https://scholars.lib.ntu.edu.tw/handle/123456789/541995
標題: | Correction of Congenital Penile Curvature Using Modified Tunical Plication with Absorbable Sutures: The Long-Term Outcome and Patient Satisfaction | 作者: | Hsieh J.-T. SHIH-PING LIU Chen Y. HONG-CHIANG CHANG HONG-JENG YU CHUNG-HSIN CHEN |
公開日期: | 2007 | 卷: | 52 | 期: | 1 | 起(迄)頁: | 261-267 | 來源出版物: | European Urology | 摘要: | Objectives: Although plication of the tunica albuginea with nonabsorbable sutures is an effective method in correcting congenital penile curvature (CPC), suture-related complications may happen. We investigated the long-term outcome and patient satisfaction of a modified tunical plication technique using absorbable sutures. Materials and methods: From January 1999 to July 2005, 114 consecutive patients with CPC treated with a modified tunical plication technique by a single surgeon were retrospectively reviewed. With the modified corporeal plication technique, two, interrupted, U-shaped sutures with 2-zero polyglactin were applied to create bumps on the tunica albuginea. The long-term outcome and patient satisfaction were assessed by a post hoc questionnaire interview. Results: Among the 114 patients, complete straightness of the penis was achieved in 65 (57%) patients, and 33 (29%) patients reported a 15-degree or less residual or recurrent curvature at 6 mo postoperatively. Although 32 (28%) patients experienced suture failure (median time: 38.5 d), only half of them had a residual or recurrent curvature greater than 15 degrees. Younger patients (<24 yr) had a higher chance of suture failure than elder patients (p = 0.03). Among the 103 patients completing the questionnaire, no palpable suture knots, suture granuloma, erectile discomfort, or erectile dysfunction was reported (median follow-up time: 41.5 mo). Eighty-three (81.5%) patients were either very or moderately satisfied with the surgical outcome. Conclusions: The modified technique using double, interrupted, U-shaped sutures and absorbable suture material is a simple and effective method for treating CPC. Suture-related complications rarely happen. The long-term outcome is satisfactory, and most patients are pleased with the procedure. ? 2006 European Association of Urology. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-34249055879&doi=10.1016%2fj.eururo.2006.12.033&partnerID=40&md5=620e5f1498730d8386c05970d3fb40c9 https://scholars.lib.ntu.edu.tw/handle/123456789/541995 |
ISSN: | 0302-2838 | DOI: | 10.1016/j.eururo.2006.12.033 | SDG/關鍵字: | absorbable suture; adolescent; adult; article; chordee; congenital penile curvature; controlled study; erectile dysfunction; granuloma; human; major clinical study; male; painful erection; paresthesia; patient satisfaction; penis disease; penis glans; postoperative complication; postoperative period; priority journal; questionnaire; surgical technique; treatment outcome; tunica albuginea; wound infection; Adolescent; Adult; Follow-Up Studies; Humans; Male; Patient Satisfaction; Penile Diseases; Penile Erection; Penis; Questionnaires; Retrospective Studies; Suture Techniques; Time Factors; Treatment Outcome; Urologic Surgical Procedures, Male |
顯示於: | 醫學系 |
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