Nesbit yöntemi ile tedavi edilen konjenital penil kurvatür hastalarında uzun dönem sonuçları

Abstract

Öz 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.

Satisfaction Levels and Surgical Results of Patients Who Had Nesbit Corporoplasty Due to Penile Curvature

“…The mean penile shortening in the present study was 1.41 ± 0.42 cm, significantly lower compared to the preoperative period (p <0.001). Consistent with the present study, Unal et al reported the mean penile shortening of 1.54 ± 0.44 cm in their retrospective study of 40 patients with a mean curvature of 55.6°, who underwent Nespit procedure for congenital penile curvature (10).…”

“…Curvature recurrence rates of 28% and 50% were reported in two different studies involving absorbable sutures (17,18). Suturing sensation was observed at a rate of 7.5% in the present study, compared to 0% in Unal et al and 10% in Simsek et al (10,14).…”

“…The reported incidence of penile hypoesthesia in the literature is 11.8% (2-60%) (3). Penile hypoesthesia is thought to be directly associated with neurovascular bundle dissection and is particularly seen in patients with ventral curvature (10). Although a surgical loop was employed during neurovascular bundle dissection in the present study, penile hypoesthesia was observed in two patients (5%) with ventral curvature.…”

“…The rate of ED in the present study was slightly lower than that in previous studies. In two studies from Turkey, Unal et al reported an incidence of postoperative hematoma of 0%, while Simsek et al reported an incidence of 10% in their study of 10 patients (10,14). The incidence of penile hematoma in the present study was 7.5%, a figure consistent with Simsek et al…”