https://scholars.lib.ntu.edu.tw/handle/123456789/542012
標題: | Modified plication of the tunica albuginea in treating congenital penile curvature | 作者: | Hsieh J.T. Huang H.E. Chen J. HONG-CHIANG CHANG SHIH-PING LIU |
公開日期: | 2001 | 卷: | 88 | 期: | 3 | 起(迄)頁: | 236-240 | 來源出版物: | BJU International | 摘要: | Objective: To describe a modified plication technique and compare the results with the Nesbit procedure for treating congenital penile curvature. Patients and methods: Eleven men with congenital penile curvature were treated by a modified tunica albuginea plication technique. An artificial erection was induced by normal saline injection; in the areas where plication was planned, Buck's fascia was opened longitudinally and dissected a short distance toward the midline to free the neurovascular bundles. Allis clamps were used to grasp the tunica albuginea and 'bumps' created. Two interrupted U-shaped sutures using 2/0 polyglactin were placed underneath each Allis clamp to secure the bump. The results were analysed retrospectively and compared with the results of 11 other men treated using the Nesbit procedure. Results: The mean (range) follow-up was 25 (12-47) months for the Nesbit procedure and 15 (8-26) months for the modified plication procedure. In the Nesbit group, eight patients had satisfactory cosmetic and functional results; three complained of penile shortening and one had erectile dysfunction. In the modified plication group, 10 patients reported satisfactory cosmetic and functional results; one complained of penile shortening, two were concerned about the indurations of the penis but none had erectile dysfunction. Conclusions: The modified plication technique is easier to perform, is more often successful and causes fewer surgical complications than the Nesbit procedure for treating congenital penile curvature. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034823875&doi=10.1046%2fj.1464-410X.2001.02244.x&partnerID=40&md5=c2bd7f7cd7f92756ad787d383fa45b2f https://scholars.lib.ntu.edu.tw/handle/123456789/542012 |
ISSN: | 1464-4096 | DOI: | 10.1046/j.1464-410X.2001.02244.x | SDG/關鍵字: | polyglactin; sodium chloride; adult; article; clinical article; clinical trial; congenital malformation; controlled clinical trial; controlled study; erectile dysfunction; fascia; follow up; functional anatomy; human; intermethod comparison; male; penis disease; penis erection; postoperative complication; priority journal; surgical technique; suture; tunica albuginea; Adolescent; Adult; Follow-Up Studies; Humans; Male; Patient Satisfaction; Penis; Retrospective Studies; Treatment Outcome |
顯示於: | 醫學系 |
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