BACKGROUND: To compare the patients who underwent early surgical repair of penile fracture, which is one of the urological emergencies, and patients who recovered with conservative treatment concerning long-term sexual functions. METHODS: The data of 42 patients who applied to our clinic with penile fracture between January 2010 and January 2020 were retrospectively analyzed. The patients were categorized into two groups as early operated and followed-up conservatively. The preoperative and postoperative findings of the patients were compared with the International Erectile Function Scale (IIEF-6) scores in the long-term follow-up. RESULTS: The median age of the patients was 35 (20-65) years and the median follow-up period was 52 (8-120) months. The postoperative mean IIEF-6 score of the patients was 22.98±6.52. There was no significant difference between the surgical and the conservative groups concerning postoperative complications (p=0.460). In the follow-up period, the presence of palpable plaque on the rupture area was significantly higher in the conservative group (p=0.041). However, there was no significant difference between the groups concerning IIEF-6 scores (p=0.085). CONCLUSION: Although there is no significant difference in long-term IIEF-6 scores between the two groups, the rate of palpable plaque formation is higher in patients followed-up conservatively. Therefore, early surgical repair should be considered in the foreground, especially in patients with a large rupture area.
Objective: Bladder pain syndrome/Interstitial cystitis (BPS/IC) negatively affects both women's social life and sexual functions. The study researched if this situation can negatively affect the sexual functions of the male partners of these women.
Objective: To compare the efficacy of combined semi-rigid+ flexible ureterorenoscopic surgery (URS+RIRC) and percutaneous nephrolithotomy (PNL), which is the standard method for the surgery of ≥2 cm upper ureteral impacted stones. Material and Method: The data of 123 patients who underwent stone surgery for ≥2 cm impacted ureteral stones in the upper ureter in our clinic were retrospectively analyzed. The patients were divided into two groups as URS+RIRC ( n=59) and PNL ( n=64) according to the type of operation. Patients with stones impacted in the ureter at the level between the L4 vertebra and ureteropelvic junction were included in the study. Preoperative demographic data and postoperative results of the patients in two groups were compared. Results: Average operation time was similar in both groups (p=0.147). Mean hospital stay was significantly higher in the PNL group compared to the URS+RIRC group (3.28±0.57 days vs 1.11±0.32 days, p=0.001). Mucosal injury was developed in 10 (16.9%) patients in the URS+RIRC group during the operation, while it was only 3 (4.7%) in the PNL group (p=0.027). Postoperative urinary tract infection development was found to be similar in URS+RIRC and PNL groups (8.5% vs 4.7%, p=0.479).Postoperativestone-free rate was found to be significantly higher in the PNL group compared to the URS+RIRC group (95.3% vs 79.7%, p=0.008).
Conclusion:PNL is a very effective and safe procedure in the surgical treatment of stones ≥2 cm in diameter impacted in the upper ureter. The complication rate of PNL is comparable with URS+RIRC; however, it is seen that the PNL is more advantageous than URS+RIRC in terms of postoperative total stone-free rate.
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