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Amaç: Bu çalışmada tek cerrahi ekip tarafından Nesbit prosedürü uygulanan konjenital penil kurvatür (KPK) hastalarının uzun dönem sonuçlarını yayınlamayı amaçlanmıştır. Gereç ve Yöntem: KPK sebebiyle Nesbit prosedürü uygulanan 40 hasta dosyası retrospektif olarak incelendi. Hastaların penil kurvatür yerleri ventral, dorsal, lateral ve biplanar olarak sınıflandırılmıştı. Hastaların penis uzunluğu, eğrilik derecesi ve yeri perioperatif ölçümlerle kayıt altına alınıp hasta takibinde bu değer esas alınmıştı. Hastalar postoperatif 12. ayda intrakavernal papaverin enjeksiyonu sonrası penis boyu, rezidüel kurvatür durumu kayıt altına alınmıştı. Aynı zamanda Uluslararası Erektil İşlev Formu -5 (IIEF-5) sorgulanıp, sübjektif şikâyetleri ve memnuniyetleri değerlendirildi Bulgular: Hastaların ortalama yaşı 26.8 (18-42) yıl idi. Preoperatif ortalama kurvatür derecesi 55.6 (40-90) derece idi. Ortalama takip süresi 39.9 (12-97) aydı. Postoperatif rezidüel kurvatürü olmayan hasta sayısı 22 (%55) idi. 17 (%42.5) hastanın ortalama 13.2 derece (10-30) klinik önemsiz rezidüel kurvatürü mevcuttu. Bir (%2.5) hastanın rezidüel (40 derece) kurvatürü mevcuttu. Hastaların hiçbirinde perioperatif ve erken postoperatif komplikasyon görülmedi. Sonuç: KPK hastalarında kurvatür derecesi ve yeri, penis boyutları ve erektil kapasiteleri cerrahi teknik seçimini etkileyen faktörler arasındadırlar. En az bu değişkenler kadar cerrahın tecrübeli olduğu teknikte cerrahın seçimini etkiler. Uzun dönem sonuçlarıyla KPK’ü olan uygun hasta grubunda Nesbit başarılı yöntemdir.
Purpose: In this study, a single surgical team aimed at publishing the long-term results of congenital penile curvature (KPK) patients applied by Nesbit procedure. Tool and Method: 40 patient files applied by Nesbit procedure due to the KPK were examined retrospectively. Patients' penile curvature locations were classified as ventral, dorsal, lateral and biplanar. The penis length, curvature and location of the patients were recorded by perioperative measurements and this value was based on the patient's tracking. Patients postoperative 12 months after intrakavernal papaverine injection were recorded in the penis-long, residual curvature condition. In addition, the International Erectile Function Form -5 (IIEF-5) was questioned and subjective complaints and satisfactions were assessed Results: The average age of patients was 26.8 (18-42) years. The preoperative average curvature degree was 55.6 (40-90) degrees. The average tracking time was 39.9 (12-97) months. The number of patients without postoperative residual curvature was 22 (55 percent). 17 (42.5) patients had an average of 13.2 degrees (10-30) clinically unimportant residual curvature. A patient (2.5%) had a residual (40 degrees) curvature. None of the patients had periodic and early postoperative complications. The result: the curvature degree and location, penis sizes and erectile capabilities in KPK patients are among the factors affecting the surgical technical choice. At least these variables affect the choice of the surgeon in the technique in which the surgeon is experienced. Nesbit is a successful method in the appropriate group of patients with long-term results of KPK.
Purpose: In this study, we aimed to report the long-term results of congenital penile curvature (CPC) patients treated by a single surgical team using the Nesbit procedure. Materials and Methods: Forty patients who underwent Nesbit procedure due to CPC in our clinic were retrospectively reviewed. Penile curvature sites of patients were classified as ventral, dorsal, lateral and biplanar. Penile length, curvature and location of the patients were recorded with perioperative measurements and this value was based on patient follow-up. The patients had penile length, residual curvature condition after intracavernal papaverine injection at 12 months postoperatively. At the same time, the International Index of Erectile Function-5 (IIEF-5) was questioned and its subjective complaints and satisfaction were evaluated. Results: The mean age of the patients was 26.8 years (18-42). The mean preoperative curvature was 55.6 (40-90) degrees. The mean follow-up was 39.9 (12-97) months. The number of patients with postoperative complete axial regularity was 22 (55%). 17 (42.5%) patients had an average clinically insignificant residual curvature of 13.2 degrees (10-30). One (2.5%) patients had residual (40 degree) curvature. None of the patients had perioperative and early postoperative complications. Conclusion: Curvature grade and location, penis size and erectile capacities in CPC patients are among the factors affecting surgical technique selection. At least the experience of the surgeon as much as these variables influences the choice of the surgeon. Nesbit is a successful method in the appropriate patient group with CPC with longterm outcomes.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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