{"id":13048,"date":"2025-06-04T10:26:15","date_gmt":"2025-06-04T14:26:15","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/grafting-techniques-peyronies\/"},"modified":"2026-10-06T16:21:24","modified_gmt":"2026-10-06T20:21:24","slug":"grafting-techniques-peyronies","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/hi\/glossary-term\/grafting-techniques-peyronies\/","title":{"rendered":"\u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 \u0924\u0915\u0928\u0940\u0915\u0947\u0902 (\u092a\u0947\u0930\u094b\u0928\u0940 \u0930\u094b\u0917) (Grafting 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\u0915\u0947 \u0907\u0930\u0947\u0915\u094d\u091f\u093e\u0907\u0932 \u090a\u0924\u0915 (\u0915\u0949\u0930\u094d\u092a\u094b\u0930\u093e \u0915\u0948\u0935\u0930\u094d\u0928\u094b\u0938\u093e) \u0915\u094b \u0918\u0947\u0930\u0928\u0947 \u0935\u093e\u0932\u0947 \u0938\u093e\u092e\u093e\u0928\u094d\u092f\u0924\u0903 \u0932\u091a\u0940\u0932\u0947 \u0906\u0935\u0930\u0923, \u0915\u0947 \u092d\u0940\u0924\u0930 \u0905\u0932\u091a\u0940\u0932\u0947 \u092a\u094d\u0932\u093e\u0915 \u092f\u093e \u0928\u093f\u0936\u093e\u0928 \u090a\u0924\u0915 \u0915\u093e \u092c\u0928\u0928\u093e \u0939\u0948\u0964<sup>1\u20133<\/sup>\u00a0\u092a\u0947\u0930\u094b\u0928\u0940 \u0930\u094b\u0917 \u0915\u0947 \u0938\u0902\u0926\u0930\u094d\u092d \u092e\u0947\u0902 \u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 \u0924\u0915\u0928\u0940\u0915\u0947\u0902 \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e\u0913\u0902 \u0915\u0940 \u090f\u0915 \u0936\u094d\u0930\u0947\u0923\u0940 \u0915\u094b \u0938\u0902\u0926\u0930\u094d\u092d\u093f\u0924 \u0915\u0930\u0924\u0940 \u0939\u0948\u0902, \u091c\u093f\u0928\u094d\u0939\u0947\u0902 \u0907\u0928 \u092a\u094d\u0932\u093e\u0915\u094b\u0902 \u0915\u0947 \u0915\u093e\u0930\u0923 \u0939\u094b\u0928\u0947 \u0935\u093e\u0932\u0940 \u0932\u093f\u0902\u0917 \u0915\u0940 \u0935\u0915\u094d\u0930\u0924\u093e \u092f\u093e \u0935\u093f\u0915\u0943\u0924\u093f\u092f\u094b\u0902, \u091c\u0948\u0938\u0947 \u0906\u0935\u0930\u0917\u094d\u0932\u093e\u0938 (\u0930\u0947\u0924\u0918\u0921\u093c\u0940 \u091c\u0948\u0938\u0940) \u0906\u0915\u0943\u0924\u093f, \u0915\u094b \u0920\u0940\u0915 \u0915\u0930\u0928\u0947 \u0915\u0947 \u0932\u093f\u090f \u092c\u0928\u093e\u092f\u093e \u0917\u092f\u093e \u0939\u0948, \u091c\u094b \u092f\u094c\u0928 \u0915\u094d\u0930\u093f\u092f\u093e \u0915\u094b \u0909\u0932\u094d\u0932\u0947\u0916\u0928\u0940\u092f \u0930\u0942\u092a \u0938\u0947 \u092c\u093e\u0927\u093f\u0924 \u0915\u0930\u0924\u0940 \u0939\u0948\u0902 \u092f\u093e \u092a\u0930\u0947\u0936\u093e\u0928\u0940 \u0915\u093e \u0915\u093e\u0930\u0923 \u092c\u0928\u0924\u0940 \u0939\u0948\u0902\u0964<sup>7,10\u201313<\/sup>\u00a0\u0907\u0928 \u0924\u0915\u0928\u0940\u0915\u094b\u0902 \u0915\u093e \u092e\u0942\u0932 \u0909\u0926\u094d\u0926\u0947\u0936\u094d\u092f \u0932\u093f\u0902\u0917 \u0915\u0947 \u0905\u0935\u0924\u0932 (\u091b\u094b\u091f\u0947) \u092a\u0915\u094d\u0937 \u0915\u094b, \u091c\u0939\u093e\u0901 \u092a\u094d\u0932\u093e\u0915 \u0906\u092e\u0924\u094c\u0930 \u092a\u0930 \u0938\u094d\u0925\u093f\u0924 \u0939\u094b\u0924\u093e \u0939\u0948, \u0932\u0902\u092c\u093e \u0915\u0930\u0928\u093e \u0939\u0948, \u091c\u093f\u0938\u0938\u0947 \u0932\u093f\u0902\u0917 \u0938\u0940\u0927\u093e \u0939\u094b \u091c\u093e\u0924\u093e \u0939\u0948, \u0938\u093e\u0925 \u0939\u0940 \u0932\u093f\u0902\u0917 \u0915\u0940 \u0932\u0902\u092c\u093e\u0908 \u0915\u094b \u0938\u0941\u0930\u0915\u094d\u0937\u093f\u0924 \u0930\u0916\u0928\u0947 \u092f\u093e \u0905\u0927\u093f\u0915\u0924\u092e \u0915\u0930\u0928\u0947 \u0915\u093e \u0932\u0915\u094d\u0937\u094d\u092f \u0930\u0939\u0924\u093e \u0939\u0948, \u091c\u094b \u0930\u094b\u0917\u093f\u092f\u094b\u0902 \u0915\u0947 \u0932\u093f\u090f \u090f\u0915 \u0906\u092e \u091a\u093f\u0902\u0924\u093e \u0939\u0948\u0964<sup>7,15<\/sup><\/p>\r\n<p class=\"ai-optimize-7\">\u0907\u0938 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e \u092e\u0947\u0902 \u0906\u092e\u0924\u094c\u0930 \u092a\u0930 \u0905\u0927\u093f\u0915\u0924\u092e \u0935\u0915\u094d\u0930\u0924\u093e \u0915\u0947 \u092c\u093f\u0902\u0926\u0941 \u092a\u0930 \u092a\u0947\u0930\u094b\u0928\u0940 \u092a\u094d\u0932\u093e\u0915 \u092e\u0947\u0902 \u091a\u0940\u0930\u093e \u0932\u0917\u093e\u0928\u093e \u092f\u093e \u0909\u0938\u0947 \u0915\u093e\u091f\u0915\u0930 \u0928\u093f\u0915\u093e\u0932\u0928\u093e (\u0906\u0902\u0936\u093f\u0915 \u092f\u093e \u092a\u0942\u0930\u094d\u0923 \u0930\u0942\u092a \u0938\u0947, \u0939\u093e\u0932\u093e\u0901\u0915\u093f \u0907\u0930\u0947\u0915\u094d\u091f\u093e\u0907\u0932 \u0921\u093f\u0938\u092b\u0902\u0915\u094d\u0936\u0928 \u0915\u0947 \u0905\u0927\u093f\u0915 \u091c\u094b\u0916\u093f\u092e \u0915\u0947 \u0915\u093e\u0930\u0923 \u0905\u092c \u092a\u0942\u0930\u094d\u0923 \u091b\u0947\u0926\u0928 \u0915\u092e \u0906\u092e \u0939\u0948) \u0936\u093e\u092e\u093f\u0932 \u0939\u094b\u0924\u093e \u0939\u0948\u0964<sup>5,19<\/sup>\u00a0\u0907\u0938 \u0915\u094d\u0930\u093f\u092f\u093e \u0938\u0947 \u091f\u094d\u092f\u0942\u0928\u093f\u0915\u093e \u090f\u0932\u094d\u092c\u094d\u092f\u0942\u091c\u093f\u0928\u093f\u092f\u093e \u092e\u0947\u0902 \u090f\u0915 \u0926\u094b\u0937 \u092c\u0928\u0924\u093e \u0939\u0948\u0964 \u0907\u0938\u0915\u0947 \u092c\u093e\u0926 \u090f\u0915 \u0917\u094d\u0930\u093e\u092b\u094d\u091f, \u091c\u094b \u091c\u0948\u0935\u093f\u0915 \u092f\u093e \u0915\u0943\u0924\u094d\u0930\u093f\u092e (\u0938\u093f\u0902\u0925\u0947\u091f\u093f\u0915) \u0938\u093e\u092e\u0917\u094d\u0930\u0940 \u0915\u093e \u090f\u0915 \u0916\u0902\u0921 \u0939\u094b\u0924\u093e \u0939\u0948, \u0915\u094b \u0938\u093e\u0935\u0927\u093e\u0928\u0940\u092a\u0942\u0930\u094d\u0935\u0915 \u092e\u093e\u092a\u093e \u091c\u093e\u0924\u093e \u0939\u0948 \u0914\u0930 \u0907\u0938 \u0926\u094b\u0937 \u092e\u0947\u0902 \u0938\u093f\u0932 \u0926\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948, \u0924\u093e\u0915\u093f \u0909\u091c\u093e\u0917\u0930 \u0907\u0930\u0947\u0915\u094d\u091f\u093e\u0907\u0932 \u090a\u0924\u0915 \u0915\u094b \u0922\u0915\u093e \u091c\u093e \u0938\u0915\u0947 \u0914\u0930 \u091f\u094d\u092f\u0942\u0928\u093f\u0915\u093e \u090f\u0932\u094d\u092c\u094d\u092f\u0942\u091c\u093f\u0928\u093f\u092f\u093e \u0915\u0940 \u0905\u0916\u0902\u0921\u0924\u093e \u092c\u0939\u093e\u0932 \u0915\u0940 \u091c\u093e \u0938\u0915\u0947\u0964<sup>5,14<\/sup>\u00a0\u0907\u0938 \u0930\u093f\u0915\u094d\u0924 \u0938\u094d\u0925\u093e\u0928 \u0915\u094b \u092d\u0930\u0915\u0930, \u0917\u094d\u0930\u093e\u092b\u094d\u091f \u0932\u093f\u0902\u0917 \u0915\u0947 \u0938\u0902\u0915\u0941\u091a\u093f\u0924 \u092a\u0915\u094d\u0937 \u0915\u094b \u0909\u0924\u094d\u0924\u0932 (\u0932\u0902\u092c\u0947) \u092a\u0915\u094d\u0937 \u0915\u0940 \u0932\u0902\u092c\u093e\u0908 \u0915\u0947 \u092c\u0930\u093e\u092c\u0930 \u092b\u0948\u0932\u0928\u0947 \u0926\u0947\u0924\u093e \u0939\u0948, \u091c\u093f\u0938\u0938\u0947 \u0935\u0915\u094d\u0930\u0924\u093e \u0920\u0940\u0915 \u0939\u094b \u091c\u093e\u0924\u0940 \u0939\u0948\u0964 \u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 \u0924\u0915\u0928\u0940\u0915\u0947\u0902 \u0906\u092e\u0924\u094c\u0930 \u092a\u0930 \u0938\u094d\u0925\u093f\u0930 \u092a\u0947\u0930\u094b\u0928\u0940 \u0930\u094b\u0917 (\u0930\u094b\u0917 \u0915\u0940 \u0905\u0935\u0927\u093f &gt;12 \u092e\u0939\u0940\u0928\u0947, \u0938\u094d\u0925\u093f\u0930 \u091a\u0930\u0923 &gt;6 \u092e\u0939\u0940\u0928\u0947, \u0914\u0930 \u0926\u0930\u094d\u0926-\u092e\u0941\u0915\u094d\u0924) \u0935\u093e\u0932\u0947 \u0909\u0928 \u0930\u094b\u0917\u093f\u092f\u094b\u0902 \u0915\u0947 \u0932\u093f\u090f \u0938\u0902\u0915\u0947\u0924\u093f\u0924 \u0939\u0948\u0902 \u091c\u093f\u0928\u092e\u0947\u0902 \u0932\u093f\u0902\u0917 \u0915\u0940 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0935\u0915\u094d\u0930\u0924\u093e \u0939\u094b, \u091c\u094b \u0905\u0915\u094d\u0938\u0930 60 \u0921\u093f\u0917\u094d\u0930\u0940 \u0938\u0947 \u0905\u0927\u093f\u0915 \u0939\u094b\u0924\u0940 \u0939\u0948, \u092f\u093e \u0910\u0938\u093e \u091b\u094b\u091f\u093e \u0932\u093f\u0902\u0917 \u0939\u094b \u091c\u093f\u0938\u092e\u0947\u0902 \u092a\u094d\u0932\u093f\u0915\u0947\u0936\u0928 \u0924\u0915\u0928\u0940\u0915\u0947\u0902 (\u091c\u094b \u0909\u0924\u094d\u0924\u0932 \u092a\u0915\u094d\u0937 \u0915\u094b \u091b\u094b\u091f\u093e \u0915\u0930\u0924\u0940 \u0939\u0948\u0902) \u0932\u0902\u092c\u093e\u0908 \u092e\u0947\u0902 \u0905\u0938\u094d\u0935\u0940\u0915\u093e\u0930\u094d\u092f \u0915\u092e\u0940 \u0915\u093e \u0915\u093e\u0930\u0923 \u092c\u0928\u0947\u0902\u0917\u0940, \u092f\u093e \u0906\u0935\u0930\u0917\u094d\u0932\u093e\u0938 \u0938\u0902\u0915\u0941\u091a\u0928 \u091c\u0948\u0938\u0940 \u091c\u091f\u093f\u0932 \u0935\u093f\u0915\u0943\u0924\u093f\u092f\u093e\u0901 \u0939\u094b\u0902\u0964<sup>7,15,17,18<\/sup>\u00a0\u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e\u0913\u0902 \u0938\u0947 \u0917\u0941\u091c\u0930\u0928\u0947 \u0935\u093e\u0932\u0947 \u0930\u094b\u0917\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u0911\u092a\u0930\u0947\u0936\u0928 \u0938\u0947 \u092a\u0939\u0932\u0947 \u0938\u0902\u0924\u094b\u0937\u091c\u0928\u0915 \u0907\u0930\u0947\u0915\u094d\u091f\u093e\u0907\u0932 \u092b\u093c\u0902\u0915\u094d\u0936\u0928 \u0939\u094b\u0928\u093e \u091a\u093e\u0939\u093f\u090f, \u091c\u093f\u0938\u0947 \u0905\u0915\u094d\u0938\u0930 \u22653 \u0915\u0947 \u0907\u0930\u0947\u0915\u094d\u0936\u0928 \u0939\u093e\u0930\u094d\u0921\u0928\u0947\u0938 \u0938\u094d\u0915\u094b\u0930 \u0938\u0947 \u092a\u094d\u0930\u0932\u0947\u0916\u093f\u0924 \u0915\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948, \u0915\u094d\u092f\u094b\u0902\u0915\u093f \u0907\u0928 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e\u0913\u0902 \u092e\u0947\u0902 \u092a\u094d\u0932\u093f\u0915\u0947\u0936\u0928 \u0924\u0915\u0928\u0940\u0915\u094b\u0902 \u0915\u0940 \u0924\u0941\u0932\u0928\u093e \u092e\u0947\u0902 \u0936\u0932\u094d\u092f-\u092a\u0936\u094d\u091a\u093e\u0924 \u0907\u0930\u0947\u0915\u094d\u091f\u093e\u0907\u0932 \u0921\u093f\u0938\u092b\u0902\u0915\u094d\u0936\u0928 \u0915\u093e \u091c\u094b\u0916\u093f\u092e \u0905\u0927\u093f\u0915 \u0939\u094b\u0924\u093e \u0939\u0948\u0964<sup>5<\/sup><\/p>","gt-synonyms":"\u092a\u0947\u0930\u094b\u0928\u0940 \u0930\u094b\u0917 \u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 \u0938\u0930\u094d\u091c\u0930\u0940, \u092a\u0947\u0930\u094b\u0928\u0940 \u0930\u094b\u0917 \u0915\u0947 \u0932\u093f\u090f \u092a\u0947\u0928\u093e\u0907\u0932 \u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917, \u092a\u094d\u0932\u093e\u0915 \u091a\u0940\u0930\u093e \u0914\u0930 \u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917, \u092a\u094d\u0932\u093e\u0915 \u091b\u093e\u0902\u091f\u0928\u093e \u0914\u0930 \u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 (\u0906\u092e\u0924\u094c\u0930 \u092a\u0930 \u0906\u0902\u0936\u093f\u0915), \u091f\u094d\u092f\u0942\u0928\u093f\u0915\u093e \u0905\u0932\u094d\u092c\u094d\u092f\u0942\u091c\u093f\u0928\u093e \u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917, \u092a\u0947\u0930\u094b\u0928\u0940 \u0930\u094b\u0917 \u0915\u0947 \u0932\u093f\u090f \u092a\u0947\u0928\u093e\u0907\u0932 \u092a\u0941\u0928\u0930\u094d\u0928\u093f\u0930\u094d\u092e\u093e\u0923 \u0938\u0930\u094d\u091c\u0930\u0940, \u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 \u0915\u0947 \u0938\u093e\u0925 \u0915\u0949\u0930\u094d\u092a\u094b\u0930\u094b\u092a\u094d\u0932\u093e\u0938\u094d\u091f\u0940","gt-citation":"[1] Hatzichristodoulou G. Grafting techniques for Peyronie\u2019s disease. Transl Androl Urol. 2016 Jun;5(3):334-41. DOI: 10.21037\/tau.2016.03.16\r\n\r\n[2] Levine LA, Larsen SM. Surgery for Peyronie's disease. Asian J Androl. 2013 Jan;15(1):27-34. DOI: 10.1038\/aja.2012.92. PMID: 23178395\r\n\r\n[3] Mulhall JP, Schiff J, Guhring P. An analysis of the natural history of Peyronie's disease. J Urol. 2006 Jun;175(6):2115-8; discussion 2118. DOI: 10.1016\/S0022-5347(06)00270-9\r\n\r\n[4] Ralph D, Gonzalez-Cadavid N, Mirone V, Perovic S, Sohn M, Usta M, Levine L. The management of Peyronie's disease: evidence-based 2010 guidelines. J Sex Med. 2010 Jul;7(7):2359-74. DOI: 10.1111\/j.1743-6109.2010.01850.x\r\n\r\n[5] Taylor FL, Levine LA. Surgical correction of Peyronie's disease via tunica albuginea plication or partial plaque excision with pericardial graft: long-term follow up. J Sex Med. 2008 Sep;5(9):2221-8. DOI: 10.1111\/j.1743-6109.2008.00941.x. PMID: 18637996\r\n\r\n[6] Kadioglu A, Akman T, Sanli O, Gurkan L, Cakan M, Celtik M. Surgical treatment of Peyronie's disease: a critical analysis. Eur Urol. 2006 Aug;50(2):235-48. DOI: 10.1016\/j.eururo.2006.04.030. PMID: 16716495\r\n\r\n[7] Chung E, Clendinning E, Lessard L, Brock G. Five-year follow-up of Peyronie's graft surgery: outcomes and patient satisfaction. J Sex Med. 2011 Feb;8(2):594-600. DOI: 10.1111\/j.1743-6109.2010.02102.x. PMID: 21054805\r\n\r\n[8] Egydio PH, Lucon AM, Arap S. A single relaxing incision to correct different types of penile curvature: surgical technique based on geometrical principles. BJU Int. 2004 Nov;94(7):1147-57. DOI: 10.1111\/j.1464-410X.2004.05220.x. PMID: 15541152\r\n\r\n[9] Lue TF, El-Sakka AI. Lengthening shortened penis caused by Peyronie's disease using circular venous grafting and daily stretching with a vacuum erection device. J Urol. 1999 Apr;161(4):1141-4. DOI: 10.1016\/s0022-5347(01)61613-6. PMID: 10081856\r\n\r\n[10] Carson CC 3rd, Levine LA. Outcomes of surgical treatment of Peyronie's disease. BJU Int. 2014 May;113(5):704-13. DOI: 10.1111\/bju.12565. PMID: 24219080\r\n\r\n[11] Bella AJ, Lue TF. The history of Peyronie\u2019s disease. In: Levine LA, editor. Peyronie\u2019s Disease: A Guide to Clinical Management. Totowa, NJ: Humana Press; 2007. p. 3\u201311.\r\n\r\n[12] Hellstrom WJ, Bivalacqua TJ. Peyronie's disease: etiology, medical, and surgical therapy. J Androl. 2000 May-Jun;21(3):347-54.\r\n\r\n[13] Salonia A, Boeri L, Capogrosso P, et al. EAU Guidelines on Sexual and Reproductive Health. Section 8.2.3.2.2 Tunical lengthening procedures. European Association of Urology. Limited Update March 2025: pp 85-87. Available from: https:\/\/uroweb.org\/guidelines\/sexual-and-reproductive-health\n\r\n[14] Garcia-Gomez B, Ralph D, Levine L, Moncada-Iribarren I, Djinovic R, Albersen M, Garcia-Cruz E, Romero-Otero J. Grafts for Peyronie's disease: a comprehensive review. Andrology. 2018;6(1):117-126. doi:10.1111\/andr.12421. PMID: 29266877\n\r\n[15] Montorsi F, Salonia A, Maga T, Bua L, Guazzoni G, Barbieri L, Barbagli G, Chiesa R, Pizzini G, Rigatti P. Evidence based assessment of long-term results of plaque incision and vein grafting for Peyronie's disease. J Urol. 2000 Jun;163(6):1704-8. DOI: 10.1016\/s0022-5347(05)67525-8. PMID: 10799165\r\n\r\n[16] Nesbit RM. Congenital curvature of the phallus: report of three cases with description of corrective operation. J Urol. 1965 Feb;93:230-2.\r\n\r\n[17] Pryor JP. Correction of penile curvature and Peyronie's disease: why I prefer the Nesbit technique. Int J Impot Res. 1998 Jun;10(2):129-31. DOI: 10.1038\/sj.ijir.3900331. PMID: 9647952\r\n\r\n[18] Savoca G, Scieri F, Pietropaolo F, Garaffa G, Belgrano E. Straightening corporoplasty for Peyronie's disease: a review of 218 patients with median follow-up of 89 months. Eur Urol. 2004 Nov;46(5):610-4. DOI: 10.1016\/j.eururo.2004.04.027. PMID: 15474271\r\n\r\n[19] Hatzichristodoulou G, Tsambarlis P, K\u00fcbler H, Levine LA. Peyronie's graft surgery-tips and tricks from the masters in andrologic surgery. Transl Androl Urol. 2017;6(4):645-656. doi:10.21037\/tau.2017.07.17. PMID: 28904897\n\r\n[20] Lue TF, El-Sakka AI. Venous patch graft for Peyronie's disease. Part I: technique. J Urol. 1998 Dec;160(6 Pt 1):2047-9. DOI: 10.1097\/00005392-199812010-00029. PMID: 9817320\r\n\r\n[21] Sansalone S, Garaffa G, Djinovic R, Pecoraro S, Silvani M, Barbagli G, Zucchi A, Vespasiani G, Loreto C. Long-term results of the surgical treatment of Peyronie's disease with Egydio's technique: a European multicentre study. Asian J Androl. 2011 Nov;13(6):842-5. DOI: 10.1038\/aja.2011.42. PMID: 21743482","gt-clinical-context":"<p class=\"ai-optimize-12\">\u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 \u0924\u0915\u0928\u0940\u0915\u0947\u0902 \u0935\u093f\u0936\u093f\u0937\u094d\u091f \u0930\u094b\u0917\u0940 \u0938\u092e\u0942\u0939\u094b\u0902 \u092e\u0947\u0902 \u092a\u0947\u0930\u094b\u0928\u0940 \u0930\u094b\u0917 (PD) \u0915\u0947 \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u092a\u094d\u0930\u092c\u0902\u0927\u0928 \u0915\u0947 \u0932\u093f\u090f \u0928\u0948\u0926\u093e\u0928\u093f\u0915 \u0930\u0942\u092a \u0938\u0947 \u0938\u0902\u0915\u0947\u0924\u093f\u0924 \u0939\u0948\u0902, \u092e\u0941\u0916\u094d\u092f \u0930\u0942\u092a \u0938\u0947 \u0924\u092c \u091c\u092c \u0930\u094b\u0917 \u0938\u094d\u0925\u093f\u0930 \u0939\u094b \u091a\u0941\u0915\u093e \u0939\u094b (\u0915\u092e \u0938\u0947 \u0915\u092e 3\u20136 \u092e\u0939\u0940\u0928\u094b\u0902 \u0924\u0915 \u0926\u0930\u094d\u0926 \u092f\u093e \u0935\u093f\u0915\u0943\u0924\u093f 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\u0930\u0942\u0922\u093c\u093f\u0935\u093e\u0926\u0940 (\u0915\u0902\u091c\u093c\u0930\u094d\u0935\u0947\u091f\u093f\u0935) \u091a\u093f\u0915\u093f\u0924\u094d\u0938\u093e \u0909\u092a\u091a\u093e\u0930 \u0935\u093f\u092b\u0932 \u0939\u094b \u091a\u0941\u0915\u0947 \u0939\u094b\u0902 \u092f\u093e \u0909\u092a\u092f\u0941\u0915\u094d\u0924 \u0928 \u0939\u094b\u0902\u0964 \u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e \u0915\u0940 \u0938\u093f\u092b\u093e\u0930\u093f\u0936 \u0915\u0930\u0928\u0947 \u0915\u093e \u0938\u092c\u0938\u0947 \u0938\u093e\u092e\u093e\u0928\u094d\u092f \u092a\u0930\u093f\u0926\u0943\u0936\u094d\u092f \u0924\u092c \u0939\u094b\u0924\u093e \u0939\u0948 \u091c\u092c \u0930\u094b\u0917\u0940 \u092e\u0947\u0902 \u0932\u093f\u0902\u0917 \u0915\u0940 \u0935\u0915\u094d\u0930\u0924\u093e 60 \u0921\u093f\u0917\u094d\u0930\u0940 \u0938\u0947 \u0905\u0927\u093f\u0915 \u0939\u094b\u0964<sup>1,7,15<\/sup> 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\u092a\u0939\u0932\u0947 \u0938\u0947 \u0939\u0940 \u0935\u094d\u092f\u0915\u094d\u0924\u093f\u092a\u0930\u0915 \u0930\u0942\u092a \u0938\u0947 \u091b\u094b\u091f\u093e \u0939\u0948, \u092d\u0932\u0947 \u0939\u0940 \u0935\u0915\u094d\u0930\u0924\u093e \u0915\u0940 \u092e\u093e\u0924\u094d\u0930\u093e \u0915\u092e \u0939\u094b, \u0924\u093e\u0915\u093f \u092a\u094d\u0932\u093f\u0915\u0947\u0936\u0928 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e\u0913\u0902 \u0938\u0947 \u0939\u094b\u0928\u0947 \u0935\u093e\u0932\u0947 \u0915\u093f\u0938\u0940 \u092d\u0940 \u0905\u0924\u093f\u0930\u093f\u0915\u094d\u0924 \u091b\u094b\u091f\u0947\u092a\u0928 \u0938\u0947 \u092c\u091a\u093e \u091c\u093e \u0938\u0915\u0947\u0964<sup>1<\/sup><\/p>\r\n<p class=\"ai-optimize-13\">\u0938\u092b\u0932 \u092a\u0930\u093f\u0923\u093e\u092e\u094b\u0902 \u0915\u0947 \u0932\u093f\u090f \u0930\u094b\u0917\u0940 \u091a\u092f\u0928 \u092e\u093e\u0928\u0926\u0902\u0921 \u0905\u0924\u094d\u092f\u0902\u0924 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0939\u0948\u0902\u0964 \u092a\u0939\u0932\u093e, \u0930\u094b\u0917\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u092a\u0947\u0930\u094b\u0928\u0940 \u0930\u094b\u0917 \u0938\u094d\u0925\u093f\u0930 \u0939\u094b\u0928\u093e \u091a\u093e\u0939\u093f\u090f, \u0915\u094d\u092f\u094b\u0902\u0915\u093f \u0938\u0915\u094d\u0930\u093f\u092f \u0938\u0942\u091c\u0928 (\u0907\u0928\u094d\u092b\u094d\u0932\u0947\u092e\u0947\u091f\u0930\u0940) \u091a\u0930\u0923 \u0915\u0947 \u0926\u094c\u0930\u093e\u0928 \u0911\u092a\u0930\u0947\u0936\u0928 \u0915\u0930\u0928\u0947 \u0938\u0947 \u0935\u0915\u094d\u0930\u0924\u093e \u0915\u0940 \u092a\u0941\u0928\u0930\u093e\u0935\u0943\u0924\u094d\u0924\u093f \u0939\u094b \u0938\u0915\u0924\u0940 \u0939\u0948\u0964<sup>1,4<\/sup> \u0926\u0942\u0938\u0930\u093e, \u0914\u0930 \u092c\u0939\u0941\u0924 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0930\u0942\u092a \u0938\u0947, \u0930\u094b\u0917\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u092b\u0949\u0938\u094d\u092b\u094b\u0921\u093e\u0907\u090f\u0938\u094d\u091f\u0930\u0947\u091c\u093c \u091f\u093e\u0907\u092a 5 (PDE5) \u0905\u0935\u0930\u094b\u0927\u0915\u094b\u0902 \u0915\u0947 \u0938\u093e\u0925 \u0914\u0930 \u0909\u0928\u0915\u0947 \u092c\u093f\u0928\u093e, \u0926\u094b\u0928\u094b\u0902 \u0938\u094d\u0925\u093f\u0924\u093f\u092f\u094b\u0902 \u092e\u0947\u0902 \u092a\u0930\u094d\u092f\u093e\u092a\u094d\u0924 \u0907\u0930\u0947\u0915\u094d\u091f\u093e\u0907\u0932 \u092b\u093c\u0902\u0915\u094d\u0936\u0928 \u0939\u094b\u0928\u093e \u091a\u093e\u0939\u093f\u090f, \u091c\u093f\u0938\u0947 \u0905\u0915\u094d\u0938\u0930 3 \u092f\u093e 4 \u0915\u0947 \u0907\u0930\u0947\u0915\u094d\u0936\u0928 \u0939\u093e\u0930\u094d\u0921\u0928\u0947\u0938 \u0938\u094d\u0915\u094b\u0930 (EHS) \u0938\u0947 \u092a\u094d\u0930\u0932\u0947\u0916\u093f\u0924 \u0915\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948 (\u091c\u0939\u093e\u0901 4 \u092a\u0942\u0930\u094d\u0923\u0924\u0903 \u0915\u0920\u094b\u0930 \u0907\u0930\u0947\u0915\u094d\u0936\u0928 \u0939\u0948)\u0964<sup>5,7<\/sup> \u0907\u0938\u0915\u093e \u0915\u093e\u0930\u0923 \u092f\u0939 \u0939\u0948 \u0915\u093f \u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e\u0913\u0902 \u092e\u0947\u0902, \u092a\u094d\u0932\u093f\u0915\u0947\u0936\u0928 \u0915\u0940 \u0924\u0941\u0932\u0928\u093e \u092e\u0947\u0902, \u0928\u094d\u092f\u0942\u0930\u094b\u0935\u0948\u0938\u094d\u0915\u0941\u0932\u0930 \u092c\u0902\u0921\u0932 \u0914\u0930 \u091f\u094d\u092f\u0942\u0928\u093f\u0915\u093e \u090f\u0932\u094d\u092c\u094d\u092f\u0942\u091c\u093f\u0928\u093f\u092f\u093e \u0915\u093e \u0905\u0927\u093f\u0915 \u0935\u094d\u092f\u093e\u092a\u0915 \u0935\u093f\u091a\u094d\u091b\u0947\u0926\u0928 (\u0921\u093f\u0938\u0947\u0915\u094d\u0936\u0928) \u0936\u093e\u092e\u093f\u0932 \u0939\u094b\u0924\u093e \u0939\u0948, \u0907\u0938\u0932\u093f\u090f \u0907\u0928\u092e\u0947\u0902 \u0928\u090f \u0938\u093f\u0930\u0947 \u0938\u0947 (de novo) \u0907\u0930\u0947\u0915\u094d\u091f\u093e\u0907\u0932 \u0921\u093f\u0938\u092b\u0902\u0915\u094d\u0936\u0928 \u0939\u094b\u0928\u0947 \u092f\u093e \u092a\u0939\u0932\u0947 \u0938\u0947 \u092e\u094c\u091c\u0942\u0926 \u0907\u0930\u0947\u0915\u094d\u091f\u093e\u0907\u0932 \u0921\u093f\u0938\u092b\u0902\u0915\u094d\u0936\u0928 \u0915\u0947 \u092c\u093f\u0917\u0921\u093c\u0928\u0947 \u0915\u093e \u0905\u0902\u0924\u0930\u094d\u0928\u093f\u0939\u093f\u0924 \u091c\u094b\u0916\u093f\u092e \u0905\u0927\u093f\u0915 \u0939\u094b\u0924\u093e \u0939\u0948\u0964<sup>5,19<\/sup> \u0907\u0938\u0932\u093f\u090f, \u092f\u0926\u093f \u0915\u093f\u0938\u0940 \u0930\u094b\u0917\u0940 \u092e\u0947\u0902 PD \u0938\u0947 \u091c\u0941\u0921\u093c\u0940 \u092e\u0939\u0924\u094d\u0935\u092a\u0942\u0930\u094d\u0923 \u0935\u0915\u094d\u0930\u0924\u093e 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\u0936\u0932\u094d\u092f-\u092a\u0942\u0930\u094d\u0935 \u092a\u0930\u093e\u092e\u0930\u094d\u0936, \u091c\u093f\u0938\u092e\u0947\u0902 \u0935\u0915\u094d\u0930\u0924\u093e \u0915\u0940 \u092a\u0941\u0928\u0930\u093e\u0935\u0943\u0924\u094d\u0924\u093f \u0915\u093e \u091c\u094b\u0916\u093f\u092e (\u0915\u0941\u091b \u0936\u094d\u0930\u0943\u0902\u0916\u0932\u093e\u0913\u0902 \u092e\u0947\u0902 10\u201333% \u092c\u0924\u093e\u092f\u093e \u0917\u092f\u093e) \u092d\u0940 \u0936\u093e\u092e\u093f\u0932 \u0939\u0948, \u0906\u0935\u0936\u094d\u092f\u0915 \u0939\u0948\u0964<sup>1,15<\/sup><\/p>\r\n<p class=\"ai-optimize-14\">\u0917\u094d\u0930\u093e\u092b\u094d\u091f\u093f\u0902\u0917 \u0915\u0940 \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e \u0906\u092e\u0924\u094c\u0930 \u092a\u0930 \u0932\u093f\u0902\u0917 \u0915\u094b \u0921\u0940\u0917\u094d\u0932\u0935 \u0915\u0930\u0928\u0947 (\u0924\u094d\u0935\u091a\u093e \u0915\u094b \u092a\u0940\u091b\u0947 \u0939\u091f\u093e\u0928\u0947) \u0915\u0947 \u0932\u093f\u090f \u0938\u0930\u094d\u0915\u092e\u0938\u093e\u0907\u091c\u093c\u093f\u0902\u0917 \u092f\u093e \u0938\u092c\u0915\u094b\u0930\u094b\u0928\u0932 \u091a\u0940\u0930\u0947 \u0938\u0947 \u0936\u0941\u0930\u0942 \u0939\u094b\u0924\u0940 \u0939\u0948, \u091c\u093f\u0938\u0938\u0947 \u091f\u094d\u092f\u0942\u0928\u093f\u0915\u093e \u090f\u0932\u094d\u092c\u094d\u092f\u0942\u091c\u093f\u0928\u093f\u092f\u093e \u0914\u0930 \u092a\u0947\u0930\u094b\u0928\u0940 \u092a\u094d\u0932\u093e\u0915 \u0924\u0915 \u092a\u0939\u0941\u0901\u091a \u092e\u093f\u0932\u0924\u0940 \u0939\u0948\u0964<sup>20<\/sup> \u0928\u094d\u092f\u0942\u0930\u094b\u0935\u0948\u0938\u094d\u0915\u0941\u0932\u0930 \u092c\u0902\u0921\u0932, \u091c\u093f\u0938\u092e\u0947\u0902 \u0938\u0902\u0935\u0947\u0926\u0928\u093e \u0914\u0930 \u0907\u0930\u0947\u0915\u094d\u0936\u0928 \u0915\u0947 \u0932\u093f\u090f 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(\u090f\u0915\u094d\u0938\u093f\u091c\u093c\u0928) \u0915\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964<sup>5,8<\/sup> \u0907\u0938 \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e \u0938\u0947 \u091f\u094d\u092f\u0942\u0928\u093f\u0915\u093e \u090f\u0932\u094d\u092c\u094d\u092f\u0942\u091c\u093f\u0928\u093f\u092f\u093e \u092e\u0947\u0902 \u090f\u0915 \u0926\u094b\u0937 \u092c\u0928\u0924\u093e \u0939\u0948, \u091c\u093f\u0938\u0938\u0947 \u0932\u093f\u0902\u0917 \u0938\u0940\u0927\u093e \u0939\u094b \u092a\u093e\u0924\u093e \u0939\u0948\u0964 \u091a\u0941\u0928\u0940 \u0917\u0908 \u0917\u094d\u0930\u093e\u092b\u094d\u091f \u0938\u093e\u092e\u0917\u094d\u0930\u0940 (\u091c\u094b \u0911\u091f\u094b\u0932\u0949\u0917\u0938 \u0939\u094b \u0938\u0915\u0924\u0940 \u0939\u0948, \u091c\u0948\u0938\u0947 \u0936\u093f\u0930\u093e, \u0921\u0930\u094d\u092e\u093f\u0938, \u092c\u0915\u094d\u0915\u0932 \u092e\u094d\u092f\u0942\u0915\u094b\u0938\u093e \u092f\u093e \u091f\u094d\u092f\u0942\u0928\u093f\u0915\u093e \u0935\u0948\u091c\u093e\u0907\u0928\u0947\u0932\u093f\u0938, \u092f\u093e \u0928\u0949\u0928-\u0911\u091f\u094b\u0932\u0949\u0917\u0938\/\u090f\u0932\u094b\u0917\u094d\u0930\u093e\u092b\u094d\u091f\/\u091c\u093c\u0947\u0928\u094b\u0917\u094d\u0930\u093e\u092b\u094d\u091f, \u091c\u0948\u0938\u0947 \u092a\u0947\u0930\u093f\u0915\u093e\u0930\u094d\u0921\u093f\u092f\u092e, \u0938\u094d\u092e\u0949\u0932 \u0907\u0902\u091f\u0947\u0938\u094d\u091f\u093e\u0907\u0928\u0932 \u0938\u092c\u092e\u094d\u092f\u0942\u0915\u094b\u0938\u093e (SIS) \u092f\u093e \u0915\u094b\u0932\u0947\u091c\u0928 \u092b\u094d\u0932\u0940\u0938) \u0915\u094b \u092b\u093f\u0930 \u0926\u094b\u0937 \u0915\u0947 \u0906\u0915\u093e\u0930 \u0914\u0930 \u0906\u0915\u0943\u0924\u093f \u0915\u0947 \u0905\u0928\u0941\u0938\u093e\u0930 \u0915\u093e\u091f\u093e \u091c\u093e\u0924\u093e \u0939\u0948 \u0914\u0930 \u092e\u0939\u0940\u0928, \u0905\u0935\u0936\u094b\u0937\u093f\u0924 \u0939\u094b\u0928\u0947 \u0935\u093e\u0932\u0947 \u092f\u093e \u0928 \u0939\u094b\u0928\u0947 \u0935\u093e\u0932\u0947 \u091f\u093e\u0901\u0915\u094b\u0902 \u0915\u093e \u0909\u092a\u092f\u094b\u0917 \u0915\u0930\u0915\u0947 \u0938\u093e\u0935\u0927\u093e\u0928\u0940\u092a\u0942\u0930\u094d\u0935\u0915 \u0909\u0938\u0915\u0947 \u0938\u094d\u0925\u093e\u0928 \u092a\u0930 \u0938\u093f\u0932 \u0926\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964<sup>5,14,21<\/sup> \u0938\u092e\u093e\u092a\u0928 \u0915\u0940 \u091c\u0932\u0930\u094b\u0927\u0915\u0924\u093e (\u0935\u0949\u091f\u0930\u091f\u093e\u0907\u091f\u0928\u0947\u0938) \u0915\u0940 \u092a\u0941\u0937\u094d\u091f\u093f \u0905\u0915\u094d\u0938\u0930 \u0926\u094b\u092c\u093e\u0930\u093e \u0915\u0943\u0924\u094d\u0930\u093f\u092e \u0907\u0930\u0947\u0915\u094d\u0936\u0928 \u0926\u094d\u0935\u093e\u0930\u093e \u0915\u0940 \u091c\u093e\u0924\u0940 \u0939\u0948\u0964 \u0905\u0902\u0924 \u092e\u0947\u0902, \u0932\u093f\u0902\u0917 \u0915\u0940 \u0924\u094d\u0935\u091a\u093e \u0915\u094b \u0935\u093e\u092a\u0938 \u092e\u093f\u0932\u093e\u0915\u0930 \u0938\u093f\u0932 \u0926\u093f\u092f\u093e \u091c\u093e\u0924\u093e \u0939\u0948\u0964<\/p>\r\n<p class=\"ai-optimize-15\">\u0905\u092a\u0947\u0915\u094d\u0937\u093f\u0924 \u092a\u0930\u093f\u0923\u093e\u092e\u094b\u0902 \u092e\u0947\u0902 \u0932\u093f\u0902\u0917 \u0915\u0940 \u0935\u0915\u094d\u0930\u0924\u093e \u092e\u0947\u0902 \u0909\u0932\u094d\u0932\u0947\u0916\u0928\u0940\u092f \u0915\u092e\u0940 \u0936\u093e\u092e\u093f\u0932 \u0939\u0948, \u091c\u093f\u0938\u0938\u0947 \u0905\u0927\u093f\u0915\u093e\u0902\u0936 \u0930\u094b\u0917\u093f\u092f\u094b\u0902 \u0915\u0947 \u0932\u093f\u090f \u0938\u0902\u0924\u094b\u0937\u091c\u0928\u0915 \u0938\u0902\u092d\u094b\u0917 \u0938\u0902\u092d\u0935 \u0939\u094b\u0924\u093e \u0939\u0948\u0964 \u0917\u094d\u0930\u093e\u092b\u094d\u091f \u0938\u093e\u092e\u0917\u094d\u0930\u0940, \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u0924\u0915\u0928\u0940\u0915 \u0914\u0930 \u0930\u094b\u0917\u0940 \u091a\u092f\u0928 \u0915\u0947 \u0906\u0927\u093e\u0930 \u092a\u0930, \u0935\u093f\u092d\u093f\u0928\u094d\u0928 \u0936\u094d\u0930\u0943\u0902\u0916\u0932\u093e\u0913\u0902 \u092e\u0947\u0902 \u0932\u093f\u0902\u0917 \u0915\u094b \u0938\u0940\u0927\u093e \u0915\u0930\u0928\u0947 \u0915\u0940 \u0938\u092b\u0932\u0924\u093e \u0926\u0930 \u0905\u0915\u094d\u0938\u0930 70% \u0938\u0947 \u0932\u0947\u0915\u0930 90% \u0938\u0947 \u0905\u0927\u093f\u0915 \u0924\u0915 \u0939\u094b\u0924\u0940 \u0939\u0948\u0964<sup>7,15,21<\/sup> \u0939\u093e\u0932\u093e\u0901\u0915\u093f, \u092a\u094d\u0930\u0915\u094d\u0930\u093f\u092f\u093e \u0915\u0940 \u0932\u0902\u092c\u093e\u0908-\u0938\u0902\u0930\u0915\u094d\u0937\u0915 \u092a\u094d\u0930\u0915\u0943\u0924\u093f \u0915\u0947 \u092c\u093e\u0935\u091c\u0942\u0926 \u0932\u093f\u0902\u0917 \u0915\u093e \u0915\u0941\u091b \u0939\u0926 \u0924\u0915 \u091b\u094b\u091f\u093e \u0939\u094b\u0928\u093e \u092b\u093f\u0930 \u092d\u0940 \u0939\u094b \u0938\u0915\u0924\u093e \u0939\u0948, \u0914\u0930 \u0907\u0938 \u092a\u0930 \u0911\u092a\u0930\u0947\u0936\u0928 \u0938\u0947 \u092a\u0939\u0932\u0947 \u091a\u0930\u094d\u091a\u093e \u0915\u0940 \u091c\u093e\u0928\u0940 \u091a\u093e\u0939\u093f\u090f\u0964<sup>7,13<\/sup> \u0938\u0902\u0935\u0947\u0926\u0940 \u092a\u0930\u093f\u0935\u0930\u094d\u0924\u0928, \u091c\u0948\u0938\u0947 \u0917\u094d\u0932\u093e\u0928\u094d\u0938 (\u0936\u093f\u0936\u094d\u0928\u092e\u0941\u0902\u0921) \u0915\u093e \u0938\u0941\u0928\u094d\u0928\u092a\u0928 \u092f\u093e \u0905\u0924\u093f\u0938\u0902\u0935\u0947\u0926\u0928\u0936\u0940\u0932\u0924\u093e, \u092d\u0940 \u0938\u0902\u092d\u0935 \u0939\u0948\u0902, \u0932\u0947\u0915\u093f\u0928 \u0906\u092e\u0924\u094c\u0930 \u092a\u0930 \u0905\u0938\u094d\u0925\u093e\u092f\u0940 \u0939\u094b\u0924\u0947 \u0939\u0948\u0902\u0964 \u0930\u093f\u0915\u0935\u0930\u0940 \u0915\u0940 \u0938\u092e\u092f-\u0938\u0940\u092e\u093e \u092e\u0947\u0902 \u0906\u092e\u0924\u094c\u0930 \u092a\u0930 \u092a\u0930\u094d\u092f\u093e\u092a\u094d\u0924 \u0909\u092a\u091a\u093e\u0930 (\u0939\u0940\u0932\u093f\u0902\u0917) \u0915\u0947 \u0932\u093f\u090f 4\u20138 \u0938\u092a\u094d\u0924\u093e\u0939 \u0924\u0915 \u092f\u094c\u0928 \u0917\u0924\u093f\u0935\u093f\u0927\u093f \u0938\u0947 \u092a\u0930\u0939\u0947\u091c \u0915\u0940 \u0905\u0935\u0927\u093f \u0936\u093e\u092e\u093f\u0932 \u0939\u094b\u0924\u0940 \u0939\u0948\u0964 \u0936\u0932\u094d\u092f-\u092a\u0936\u094d\u091a\u093e\u0924 \u092a\u0941\u0928\u0930\u094d\u0935\u093e\u0938 \u092a\u094d\u0930\u094b\u091f\u094b\u0915\u0949\u0932, \u091c\u093f\u0928\u092e\u0947\u0902 \u0932\u093f\u0902\u0917 \u0916\u0940\u0902\u091a\u0928\u0947 (\u0938\u094d\u091f\u094d\u0930\u0947\u091a\u093f\u0902\u0917) \u0915\u0947 \u0935\u094d\u092f\u093e\u092f\u093e\u092e, \u0935\u0948\u0915\u094d\u092f\u0942\u092e \u0907\u0930\u0947\u0915\u094d\u0936\u0928 \u0921\u093f\u0935\u093e\u0907\u0938 \u092f\u093e \u0915\u092e \u0916\u0941\u0930\u093e\u0915 \u0935\u093e\u0932\u0947 PDE5 \u0905\u0935\u0930\u094b\u0927\u0915 \u0936\u093e\u092e\u093f\u0932 \u0939\u094b \u0938\u0915\u0924\u0947 \u0939\u0948\u0902, \u0932\u093f\u0902\u0917 \u0915\u0940 \u0932\u0902\u092c\u093e\u0908 \u092e\u0947\u0902 \u0915\u092e\u0940 \u0915\u094b \u0930\u094b\u0915\u0928\u0947 \u0914\u0930 \u092a\u0930\u093f\u0923\u093e\u092e\u094b\u0902 \u0915\u094b \u092c\u0947\u0939\u0924\u0930 \u092c\u0928\u093e\u0928\u0947 \u092e\u0947\u0902 \u092e\u0926\u0926 \u0915\u0947 \u0932\u093f\u090f \u0905\u0915\u094d\u0938\u0930 \u0905\u0928\u0941\u0936\u0902\u0938\u093f\u0924 \u0915\u093f\u090f \u091c\u093e\u0924\u0947 \u0939\u0948\u0902\u0964<sup>1,13<\/sup> \u091c\u092c \u0909\u092a\u092f\u0941\u0915\u094d\u0924 \u0930\u094b\u0917\u0940 \u091a\u092f\u0928, \u0938\u093e\u0935\u0927\u093e\u0928\u0940\u092a\u0942\u0930\u094d\u0923 \u0938\u0930\u094d\u091c\u093f\u0915\u0932 \u0924\u0915\u0928\u0940\u0915 \u0914\u0930 \u0935\u094d\u092f\u093e\u092a\u0915 \u0936\u0932\u094d\u092f-\u092a\u0942\u0930\u094d\u0935 \u092a\u0930\u093e\u092e\u0930\u094d\u0936 \u0905\u092a\u0928\u093e\u090f \u091c\u093e\u0924\u0947 \u0939\u0948\u0902, \u0924\u094b \u0926\u0940\u0930\u094d\u0918\u0915\u093e\u0932\u093f\u0915 \u0930\u094b\u0917\u0940 \u0938\u0902\u0924\u0941\u0937\u094d\u091f\u093f \u0906\u092e\u0924\u094c\u0930 \u092a\u0930 \u0909\u091a\u094d\u091a \u0939\u094b\u0924\u0940 \u0939\u0948\u0964<sup>7,21<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":68},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>\u092a\u0947\u0930\u094b\u0928\u0940 \u0930\u094b\u0917 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