Penil plikasyon tekniği uygulanan konjenital penil kurvatür sonuçları
Makaleler > Tam Makale · 2017
Yazarlar: Fuat KIZILAY, MEHMET ŞAHİN, Ahmet Barış ALTAY
Androloji Bülteni, Diğer Kurumların Hakemli Dergileri, Uluslararası, TR Dizin (Ulakbim), 2017, cilt 19, ss 10-15
DOI: 10.24898/tandro.2017.03779
Özet
Penil kurvatür (PK) sıklıkla konjenitaldir (primer), nadiren kazanılmış da (sekonder) olabilir.Konjenital PK, geç adölesan veya erken erişkinlik döneminde ortaya çıkabilir [1,2] ve oldukça nadir görülür.Konjenital PK insidansının %0,6 olduğu tahmin edilmektedir.[3] Klinik anlamlı PK insidansı çok daha düşüktür ve PK ile birlikte görülen kurvatür ve seksüel disfonksiyonun derecesi de önemli oranda değişmektedir.[4] Hipospadias ile birlikte görülme oranı artarken, %4-10'a ulaşan prevalansı olduğunu bildiren ça-ABSTRACT OBJECTIVE: Penile plication technique is a fundamental technique used in the treatment of congenital penile curvature disease.We aimed to analyze the success rate and results of this technique in our patients. MATERIAL AND METHODS:We performed retrospective analysis of 50 patients who underwent penile plication.We reached the patients via telephone and called them for control.Patients' overall satisfaction associated with the procedure, complication rate, hospitalization time, the degree of curvature, erectile function and feeling of palpable lesion were questioned. RESULTS:The mean age of the cases was 29.75 (22-48).The mean curvature degree was 40.1.Ventral was the most common curvature direction.The most common curvature degree was 45°.Forty patients (80%) were discharged on the first postoperative day.There was feeling of palpable lesion in 10 patients (20%).Thirty-six patients (% 72) declared that they were generally satisfied with the procedure.Minor complications were seen in 6 patients, none required intervention.Residual 5° curvature was detected in 10 patients (20%), but no secondary surgery was required.Four patients reported feeling of palpable lesion (8%) and 3 patients had penile numbness (6%).Fortyfour patients (88%) reported no deterioration in erectile function. CONCLUSION:Plication technique is a frequently performed method in the treatment of congenital penile curvature with a low complication rate and high patient satisfaction.Urologists must pay attention to patients' expectations from the surgery during the preoperative period and patients must be avoided from having impossible expectations.The use of polyester sutures has reduced the feeling of palpable lesion.