Yusuf KASAP, Kazım CEVİZ, Muhammed Emin POLAT, Lütfi İhsan BOYACI, Mecit ÇELİK, Samet ŞENEL, Emre UZUN

Penil fraktürde cerrahi ve konservatif izlem sonuçları: tek merkez deneyimi

Purpose: The aim of this study was to show that surgical treatment ıf penile fracture (PF) is more advantageous than conservative treatment in terms of complications, but those complications can be seen after surgery also, even may be serious enough to require surgery for a second time. Materials and Methods: The data of 31 patients diagnosed with PF between 05.04.2019 and 28.07.2021 were evaluated retrospectively. Three patients were excluded from the study because their data could not be accessed. 21 patients who underwent PF repair were determined as group 1 and 7 patients who were followed conservatively because they did not want surgery, as group 2. Causes of PF, admission time to the emergency department, and ultrasonographic (USG) imaging were analyzed. All patients were evaluated with the IIEF-15 form at the sixth month of surgery or conservative treatment. In addition, penile nodules and curvature were evaluated in terms of painful erection after the operation. Results: The median age for Group 1 was 43±14.52 and 47±14.71 for Group 2. Tunica defect was 7.02±3.26 for group 1 patients and 6.85±4.98 for group 2. When the presence of complications and sexual dysfunction were compared between the two groups, it was found that Group 2 developed significantly more complications and caused more sexual dysfunction. Conclusion: The treatment of PF with fewer complications is surgical treatment, but it should not be forgotten that surgical treatment may cause complications requiring a second surgical intervention.

Anahtar Kelimeler:

Tunica defect, sexual dysfunction, tunica albuginea

Surgical and conservative treatment results of penile fracture: single-center experience

Amaç: Bu çalışmada penil fraktürde cerrahi tedavinin komplikasyon olarak daha avantajlı olduğu ancak cerrahi sonrasında da özellikle ikinci kez cerrahi gerektirecek kadar ciddi komplikasyonların görülebileceğini göstermek amaçlandı. Gereç ve Yöntem: 05.04.2019 ve 28.07.2021 tarihleri arasında penil fraktür tanısı konulan 31 hastanın verileri retrospektif olarak değerlendirildi. 3 hasta verilerine ulaşılamaması nedeni ile dışlandı. Penil fraktür onarımı yapılan 21 hasta grup 1 ve cerrahi istemediğinden konservatif olarak izlenen 7 hasta grup 2 olarak iki gruba ayrıldı. Penil fraktür nedenleri, acil servise başvuru süreleri, ultrasonografik (USG) görüntülemeleri incelendi. Tüm hastalar cerrahi veya konservatif tedavinin altıncı ayında IIEF-15 formu ile değerlendirildi. Ayrıca operasyondan sonra penil nodül ve kurvatür, ağrılı ereksiyon açısından değerlendirildi. Bulgular: Grup 1 için median yaş 43±14,52 Grup 2 için 47±14,71 idi. Grup 1 hastalar için tunika defekti 7,02±3,26, grup 2 için 6,85±4,98 idi. İki grup arasında komplikasyon ve erektil disfonkisyon (ED) varlığı karşılaştırıldığında Grup 2 de anlamlı olarak daha fazla komplikasyon geliştiği ve daha fazla ED’ ye neden olduğu saptandı. Sonuç: Penil fraktürün komplikasyon olarak daha az olan tedavisi cerrahi tedavidir ancak cerrahi tedavinin de ikinci kez cerrahi müdahale gerektirecek komplikasyonlara neden olabileceği unutulmamalıdır.

Keywords:

Tunica defect, sexual dysfunction, tunica albuginea,

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