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А Т Л А С ПО Р Е К О Н С Т Р У К Т И В Н О Й Х И Р У Р Г И И П О Л О В О Г О Ч Л Е Н А • при эректильной дисфункции тяжелой степени: «одиночный расслабляющий разрез + импланта¬ ция гидравлических протезов и трансплантат подкожной вены бедра или биологический транс¬ плантат»; • при оссифицированных бляшках: иссечение бляшки с корпоропластикой несколькими транс¬ плантатами подкожной вены бедра или гетерологичным трансплантатом + имплантация мягких или гидравлических протезов; • послеоперационная повязка в положении избыточного разгибания и растяжения в сочетании с пероральным приемом ингибиторов фосфодиэстеразы 5-го типа и кортикостероидов. ЛИТЕРАТУРА Andrews H.O., Al-Akraa M., Pryor J.P. et al. The Nesbit operation for Peyronie's disease: an analysis of the failures. BJU Int 2001;87:658—60. Austoni E., Simoni G . Multiple clonal chromosome abnormalites in Peyronie's disease. Cancer Genet Cytogenet 1991;52:181—5. Austoni E., Mantovani F., Colombo F. Preserving erectile function in radical surgery of Peyronie's disease and long-term follow up on 335 operated patients. In: Proceedings of the International Conference on Peyronie's Disease, Sentara (USA), 1993. Austoni E., Colombo F., Mantovani F. Evaluation of corpora alterations and erectile dysfunction following radical surgery for Peyronie's disease and long-term follow-up on 152 operated patients. J Androl 1994;15(Suppl):57S—62S. Austoni E., Mantovani F., Colombo F. et al. Erectile complications after radical surgery for penile plastic induration. Arch Ital Urol Androl 1994;66:19—22. Austoni E., Colombo F., Mantovani F. et al. Radical surgery and conservation of erection in Peyronie's disease. Arch Ital Urol Androl 1995;67:359—64. Austoni E., Mantovani F., Colombo F. et al. Combined coronal-scrotal access for penile surgery: 15 year experience on 720 patients. Int J Impotence Res 1995;7(Suppl 1):119—209. Austoni E., Fenice O . , Kartalas-Goumas Y . et al. Radical surgical treatment of Peironie disease by excision of the plaque and dermal graft allowing conservation of erection. Ann Urol (Paris) 1996;30:204—12. Austoni E., Giudice V., Gatti G . et al. Soft prosthetic penile implant and radical plaque excision with dermal graft for the treatment of Peyronie's disease. Int J Impot Res 1996;8. Austoni E., Tonazzi G.L., Grasso G . et al. Radical surgery and dermal patch on IPP: a 15 years follow-up on 564 patients. Int J Impot Res 1996;8. Austoni E., Pisani E. Development and progress in the therapy of penile induration: 15 years' experience. Arch Ital Urol Nefrol Androl 1988;60:231—57. Austoni E., Colombo F., Romano A.L. et al. Soft prosthesis implant and relaxing albugineal incision with saphenous grafting for surgical therapy of Peyronie's disease: a 5-year experience and long-term follow-up on 145 operated patients. Eur Urol 2005;47:223—9. Brock G., Nunes L., von Heyden B. et al. Can a venous patch graft be a substitute for the tunica albuginea of the penis? J Urol 1993;150:1306—9. Calabretta A . M . , Horton C.E., Devine C.J. Jr et al. Surgical correction of the deviated penis. Clin Plast Surg 1980;7:201—5. Colombo F., Guarneri A., Kartalas-Goumas I. et al. Surgical treatment of Peyronie's disease: Venous grafting and soft sylicone prosthetic implant. 7 Congress of European Society for Sexual Medicine, Londra 5—8 dicembre, 2004. Devine C.J. Jr, Horton C.E. Peyronie's disease. Clin Plast Surg 1988;15:405—9. Devine C.J. Jr, Horton C.E. Surgical treatment of Peyronie's disease with a dermal graft. J Urol 1974;111:44—9. Gholami S.S., Lue T.F. Peyronie's disease. Urol Clin North A m 2001;28:377—90. Jordan G . H . Peyronie's disease: update on medical management and surgical tips. Can J Urol 2007;14(Suppl 1):69—74. Kelami A . Peyronie disease and surgical treatment: a new concept. Urology 1980;15:559—61. th 310