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男性性生理問題 |
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帕榮雷氏病(陰莖海綿體硬結)
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François
Gigot
de
La
Peyronie
(1678-1747)，法國路易士十五世時代的皇家內科醫生，他首先科學地描述了此病，故此病以其名而命名。
François
Gigot
de
La
Peyronie
(1678-1747),
a
French
royal
physician
at
the
court
of
Louis
XV,
provided
the
first
scientific
description
of
the
disease
that
now
bears
his
name.
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帕榮雷氏病(Peyronie’s
disease，拉丁病名為induratio
penis plastica或簡稱IPP，陰莖海綿體硬結)是一種可能在成人發生的陰莖異常彎曲。這種陰莖彎曲由纖維化、非彈性的瘢痕組織(纖維化盤狀硬結，plaque)的形成所引起，瘢痕組織通常發生在陰莖海綿體內。其結果是，陰莖不再有足夠的彈性維持正常的勃起，而是向上和/或側向彎曲。陰莖勃起後象這樣的彎曲，也可能會有疼痛。在某些病例，纖維化盤狀硬結也會在陰莖的尿道海綿體上發生，這會使陰莖向下彎曲。隨著時間推移，陰莖彎曲的程度可能會從稍微彎曲到彎曲極大。依疾病的發展進程，性交可能非常困難或不能進行性交。陰莖受到某種損傷所導致的症狀有可能迅速顯現，但是最常見的則是男子直到中年才緩慢地出現症狀。然而，也有在非常年輕和老年期發病的病例發生。超過40歲的男子中約有0.1
%的發病率。
治
療
發病早期，使用一些藥物可能會緩解病情。可是，病情發展到最後，並且對於嚴重的病例，唯一有效的治療措施是外科手術。儘管如此，在施行手術之前，明智的做法是等上一年或兩年，因為病症也許不久會未治而自愈。同理，只要性交仍然能夠維持，並且陰莖彎曲程度不大，簡單地進行性生活的調節並避免外科手術也許是明智之舉。
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從左至右：1.正常陰莖橫斷面；2.患有帕榮雷氏病的陰莖橫斷面；3.帕榮雷氏病所致陰莖彎曲側面觀。From
the left: 1.
Cross-section
through a
normal
penis. 2.
Cross-section
through a
penis with
Peyronie’s
disease. 3.
Side view of
a curvature
caused by
the disease.
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Physical Problems in Males |
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Peyronie’s disease
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François Gigot de
La Peyronie (1678-1747),
a French royal physician at the court of Louis XV,
provided the first scientific description of the disease
that now bears his name.
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Peyronie’s disease (lat. induratio penis plastica or IPP) is an abnormal curvature of the penis that may develop in adults. The curvature results from the formation of
fibrous, ineleastic scar tissue (plaque), usually on top of the two upper erectile bodies inside the penis (the corpora cavernosa). In consequence, the penis is no longer elastic enough for a normal erection, but bends upwards and/or sideways. The erection, such as it is, may also be painful. In some cases, the plaque also develops on the underside of the penis, in which case it will bend downward.The degree of the curvature may, over time, vary from slight to very great. Depending on the progression of the disease, sexual intercourse may become difficult or impossible. The condition may appear rather quickly as a result of some injury to the penis, but most often it develops slowly in men of middle age. However, there have also been cases in very young and very old men. About 0,1 % of all men over 40 seem to be affected.
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From the left: 1. Cross-section through a normal penis. 2. Cross-section through a penis with Peyronie’s disease. 3. Side view of a curvature caused by the disease.
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Treatment
In the early stages, some medication may prove helpful. However, in the long run, and
in severe cases, the only effective treatment is surgery. Still, before surgery is undertaken, it is advisable to wait for a year or two since the condition may, after a while, resolve itself without treatment. Also,
as long as sexual intercourse remains possible and the curvature of the penis is not too great, it may be wise to simply adjust to it and thus avoid surgery.
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