Background: Surgical reconstruction is the gold standard of treatment for Peyronie's disease (PD). Grafting procedures provide satisfactory outcomes in patients with complex curvature, short penile length, and without previous erectile dysfunction (ED). We aimed to compare two different grafting methods of reconstruction in patients with PD.Method: Fifty-two PD patients at Imam-Reza hospital of Mashhad from October 2011 to January 2019 with stable plaque, penile angulation of >60˚, complex curvature, and without ED who consented to cooperate, included in our study and divided into two groups. The first group consists of 26 patients, undergone grafting through a double-Y incision and a single saphenous graft placed within the incision. For the second group, two smaller saphenous vein grafts were placed in the two parallel incisions. ED assessed pre-and postoperational via the International index of erectile function. Penile angulation less than 20 degrees was considered a favorable outcome. Patients followed for 18 months, and sacculation, penile shortening, post-operation infection, and penile hypoesthesia were assessed as complications. We used a paired t-test to compare these two groups.Results: ED was 25% and 12% in the first and the second group, respectively. Statistics showed no difference between the two groups regarding pre and post-operational ED (P=0.1). Regarding complications during follow-up, sacculation occurred in four patients of the first group and none of the second group patients but no significant difference (P=0.23).
Conclusion:We found no superiority to declare between these two procedures, although regarding the small sample size of our study, further evaluations are needed to establish more reliable results.
Hydatidosis is a substantial zoonosis infection with a significant socio-economic burden. Surgery is the most effective treatment of hydatidosis. The utilization of scolicidal agents is a method to minimize the risk of distribution of infective protoscoleces during surgery. So far, most of the available scolicidals result in local or systemic side effects. Considering essential oils of Artemisia dracunculus and Satureja sahendica have shown several bioactivities, we decided to characterize A.dracunculus and S.sahendica nanoemulsions and evaluate the scolicidal activity of these two nanoemulsions and the EOs using albendazole as positive control. To reach this goal, 10 3 protoscoleces of E.granulosus in 1 ml medium M199 were exposed to four concentrations of 1, 2, 5, and 10 µg/ml of EOs and nanoemulsions at 30, 60, and 120-minute time points. For all tested plants, a significant effect of the treatments (F5,60=61.47, P<0.001), the time of exposure (F2,120=170.72, P<0.001) and their interaction (F10,120=4.32, P<0.001) were noted. The overall mortality rate in protoscoleces after exposutre to S. sahendica nanoemulsion was significantly higher than other treatments and it was 83.13% (P˂0.05). Among all the tested compounds of the present study, nanoemulsion of S.sahendica demonstrated the highest toxicity on protoscoleces and may serve as a candidate for research and development on novel scolicidas.
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