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Özet Amaç: Penil eğriliğin en sık nedeni olan peyroni hastalığı için hala en etkili tedavi yöntemini cerrrahi müdahaleler oluşturmaktadır. Fonksiyonel ve kozmetik sonuçları olan peyroni cerrahisinde hasta memnuniyetine etki eden faktörleri araştırmayı amaçladık. Gereç ve yöntem: 2012-2019 yılları arasında peyroni hstalığı tanısı konulmuş ve peyroni cerrahisi önerilmiş hastaların kayıtları retrospektif olarak incelendi. 1. Yıl kontrollerinde hastaların erektil kapasite, rezidüel / tekrarlayan penil deformite, penil uzunluk ve potansiyel komplikasyonlar açısından preoperatif kayıtları ile birlikte değerlendirildi ve memnuniyet düzeyleri ölçülerek etki eden faktörler araştırıldı. Bulgular: Plikasyon cerrahisi (Grup 1) geçiren 27 hasta, İnsizyon safen ven greft cerrahisi (Grup 2) geçiren 21 hasta saptandı. Grup 1'de hasta memnuniyet %83,33, grup 2'de %67,14 saptandı. Grup 2’de penil kısalma miktarı (2,71±1,41 cm) grup 1’e (1,14±0,91 cm) göre daha fazla gözlendi. Hastaların memnuniyetine etki eden parametreler incelendiğinde; penis boyu kısalmasıyla (p=0,036), cerrahi öncesi erektil disfonksiyon varlığını belirtmekle (rho-,375, p=0,009), plak varlığıyla (p=0,002), eşlik eden komorbid hastalık varlığıyla (p<0,001), şikayet tekrarı varlığıyla (p=0,006) hasta memnuniyeti arasında negatif korelasyon saptandı. Sonuç: Peyroni hastalığında cerrahi yöntemler en etkili tedavi yöntemleri olarak önerilmektedir. Hastaların postoperatif penil kısalma ve kurvatür rekürrensi açısından preoperatif iyi bir bilgilendirme yapılması hasta memnuniyetlerini arttırabilir.
Summary Purpose: Penile curvature causes the continuous treatment method for peyronian disease, which forms surgical interventions. We aimed at researching the factors that affect the patient’s satisfaction in peyroni surgery with functional and cosmetic results. Instruments and methods: the records of patients diagnosed with peyronial hstase between 2012-2019 and recommended peyronial surgery were examined retrospectively. 1 . In the years of controls, patients were evaluated along with preoperative records in terms of erectile capacity, residual / repeated penile deformity, penis length and potential complications, and the factors affecting by measuring satisfaction levels were studied. The findings: 27 patients who suffered Plikation surgery (Group 1) and 21 patients who suffered Insition safen veno greft surgery (Group 2) were identified. Patient satisfaction in Group 1 was 83.33, and in Group 2 67.14%. In Group 2, the amount of penile shortening (2,71±1,41 cm) was observed more than in Group 1 (1,14±0,91 cm). When the parameters affecting patient satisfaction were studied; the negative correlation between the shortening of the penis length (p=0,036), the presence of pre-chirurgical erectile dysfunction (rho-,375, p=0,009), the presence of plaque (p=0,002), the presence of comorbid disease accompanied (p<0,001), the presence of repeated complaints (p=0,006) and the patient satisfaction was found. The result: in Peyroni's disease, the surgical methods are recommended as effective treatments. The patient’s good preoperative information in terms of postoperative penile shortening and curvature recurrence can increase the patient’s satisfaction.
Abstract Purpose: Surgical interventions are still the most effective treatment management for peyroni disease, which is the most common cause of penile curvature. We aimed to investigate the factors affecting patient satisfaction in peyroni surgery with functional and cosmetic results. Material method: The records of patients who had been diagnosed with peyroni disease between 2012-2019 and who had been recommended peyroni surgery were retrospectively analyzed. In the 1st year controls, the patients were evaluated together with their preoperative records in terms of erectile capacity, residual / recurrent penile deformity, penile length, and potential complications, and the factors affecting the effects were investigated by measuring their satisfaction levels. Results: Twenty-seven patients undergoing plication surgery (Group 1), and 21 patients undergoing incision saphenous vein graft surgery (Group 2) were identified. Patient satisfaction was 83.33% in group 1 and 67.14% in group 2. Penile shortening amount (2.71±1.41 cm) was higher in group 2 than group 1 (1.14±0.91 cm).When the parameters affecting the satisfaction of the patients are examined; There was a negative correlation between penis length (p=0.036), presence of erectile dysfunction before surgery (p=0.009), presence of plaque (p=0.002), presence of comorbid disease accompanying (p<0.001), presence of repeat complaints (p=0.006) and patient satisfaction. Conclusion: Surgical methods are recommended as the most effective treatment methods in Peyroni disease. Providing a good preoperative information in terms of postoperative penile shortening and curvature recurrence may increase patient satisfaction.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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