Nesbit y?ntemi ile tedavi edilen konjenital penil kurvatür hastalar?nda uzun d?nem sonu?lar?

摘要

Ama?: Bu ?al??mada tek cerrahi ekip taraf?ndan Nesbit prosedürü uygulanan konjenital penil kurvatür (KPK) hastalar?n?n uzun d?nem sonu?lar?n? yay?nlamay? ama?lanm??t?r. Gere? ve Y?ntem: KPK sebebiyle Nesbit prosedürü uygulanan 40 hasta dosyas? retrospektif olarak incelendi. Hastalar?n penil kurvatür yerleri ventral, dorsal, lateral ve biplanar olarak s?n?fland?r?lm??t?. Hastalar?n penis uzunlu?u, e?rilik derecesi ve yeri perioperatif ?l?ümlerle kay?t alt?na al?n?p hasta takibinde bu de?er esas al?nm??t?. Hastalar postoperatif 12. ayda intrakavernal papaverin enjeksiyonu sonras? penis boyu, rezidüel kurvatür durumu kay?t alt?na al?nm??t?. Ayn? zamanda Uluslararas? Erektil ??lev Formu -5 (IIEF-5) sorgulan?p, sübjektif ?ikayetleri ve memnuniyetleri de?erlendirildi Bulgular: Hastalar?n ortalama ya?? 26.8 (18-42) y?l idi. Preoperatif ortalama kurvatür derecesi 55.6 (40-90) derece idi. Ortalama takip süresi 39.9 (12-97) ayd?. Postoperatif rezidüel kurvatürü olmayan hasta say?s? 22 (%55) idi. 17 (%42.5) hastan?n ortalama 13.2 derece (10-30) klinik ?nemsiz rezidüel kurvatürü mevcuttu. Bir (%2.5) hastan?n rezidüel (40 derece) kurvatürü mevcuttu. Hastalar?n hi?birinde perioperatif ve erken postoperatif komplikasyon g?rülmedi. Sonu?: KPK hastalar?nda kurvatür derecesi ve yeri, penis boyutlar? ve erektil kapasiteleri cerrahi teknik se?imini etkileyen fakt?rler aras?ndad?rlar. En az bu de?i?kenler kadar cerrah?n tecrübeli oldu?u teknikte cerrah?n se?imini etkiler. Uzun d?nem sonu?lar?yla KPK’ü olan uygun hasta grubunda Nesbit ba?ar?l? y?ntemdir. 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.