https://scholars.lib.ntu.edu.tw/handle/123456789/203764
Title: | Salvage Penile Curvature Correction Surgery | Authors: | HSIEH, CHENG-HSING CHEN, HENG-SHUEN LEE, WEN-YUAN CHEN, KUO-LIANG CHANG, CHAO-HSIANG HSU, GENG- LONG |
Keywords: | Collagen bundle;outer longitudinal layer penis;tunical alignment;suture material | Issue Date: | 2010 | Start page/Pages: | 450-456 | Source: | Journal of Andrology | Abstract: | It is commonly believed that coarser suture materials should be used to provide sufficient tenacity in surgery for penile curvature correction. We report our 15-year experience of fine sutures in a second operation in 31 patients who underwent prior curvature correction elsewhere with coarser sutures, resulting in recurrent penile curvature. Suture materials used in prior surgeries in these patients were either 2-0 or 3-0 nylon sutures. In this series, all 31 patients underwent a modified Nesbit procedure at the level of the collagen bundles using finer sutures. Prior to July 1998, 10 men underwent salvage surgery using 4-0 polyglactin sutures. Thereafter, we adapted 6-0 nylon sutures for another 21 patients. We categorized the patients into the polyglactin (n = 10) and nylon (n = 21) groups respectively. Overall, 29 patients were available for follow-up while using the abridged 5-item version of the International Index of Erectile Function ( IIEF-5) scoring system, with 21 patients in the nylon group. We have found cavernosography a practical and reliable method to objectively assess penile morphology in these patients. The penile morphology both subjectively and objectively was excellent in all patients , except for 1 in each group. Erectile function restoration showed a trend of satisfaction in the polyglactin group and based on IIEF-5 was significantly improved in the nylon group (14.2 +/- 3.6 vs 21.9 +/- 2.1, n = 20, P <.001). These results suggest that in penile tunical surgery, fine sutures such as 6-0 nylon may result in better penile morphology and functional outcomes. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/235617 | DOI: | 10.2164/jandrol.109.008573 | SDG/Keyword: | collagen; nylon; phosphodiesterase V inhibitor; polyglactin; prostaglandin E1; suture material; vasoactive agent; adult; article; cavernosography; clinical article; erectile dysfunction; follow up; human; International Index of Erectile Function; male; penis disease; penis erection; penis glans; priority journal; scoring system; suture; treatment outcome; tunica albuginea; Adult; Collagen; Genital Diseases, Male; Humans; Male; Nylons; Penile Erection; Penis; Polyglactin 910; Suture Techniques; Sutures; Treatment Outcome; Vascular Surgical Procedures |
Appears in Collections: | 醫學系 |
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