https://scholars.lib.ntu.edu.tw/handle/123456789/203764
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor | 家庭醫學科 | en |
dc.contributor.author | HSIEH, CHENG-HSING | en |
dc.contributor.author | CHEN, HENG-SHUEN | en |
dc.contributor.author | LEE, WEN-YUAN | en |
dc.contributor.author | CHEN, KUO-LIANG | en |
dc.contributor.author | CHANG, CHAO-HSIANG | en |
dc.contributor.author | HSU, GENG- LONG | en |
dc.creator | 謝政興;陳恆順;李文源;陳國樑;張兆祥;許耕榕 | zh-tw |
dc.creator | HSIEH, CHENG-HSING;CHEN, HENG-SHUEN;LEE, WEN-YUAN;CHEN, KUO-LIANG;CHANG, CHAO-HSIANG;HSU, GENG- LONG | en |
dc.date | 2010 | en |
dc.date.accessioned | 2011-06-21T08:17:40Z | - |
dc.date.accessioned | 2018-07-13T08:23:33Z | - |
dc.date.available | 2011-06-21T08:17:40Z | - |
dc.date.available | 2018-07-13T08:23:33Z | - |
dc.date.issued | 2010 | - |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/235617 | - |
dc.description.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. | en |
dc.language | en-us | en |
dc.language.iso | en_US | - |
dc.relation | JOURNAL OF ANDROLOGY v.31 n.5 pp.450-456 | en |
dc.relation.ispartof | Journal of Andrology | en_US |
dc.subject | Collagen bundle | en |
dc.subject | outer longitudinal layer penis | en |
dc.subject | tunical alignment | en |
dc.subject | suture material | en |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | 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 | - |
dc.title | Salvage Penile Curvature Correction Surgery | en |
dc.identifier.doi | 10.2164/jandrol.109.008573 | - |
dc.relation.pages | 450-456 | - |
item.fulltext | no fulltext | - |
item.languageiso639-1 | en_US | - |
item.grantfulltext | none | - |
顯示於: | 醫學系 |
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