PENİL KURVATÜR NEDENİYLE NESBİT OPERASYONU YAPILAN HASTALARIN MEMNUNİYET DÜZEYLERİ VE CERRAHİ SONUÇLARI

AMAÇ: Bu çalışmada penil kurvatür nedeniyle Nesbit operasyonu yapılan hastaların cerrahiden memnuniyet düzeyi ve cerrahi sonuçların değerlendirilmesi amaçlanmıştır. GEREÇ VE YÖNTEM: Ocak 2017 ile Mart 2023 tarihleri arasında tek merkezde penil kurvatür nedeniyle penis konveks yüzeyine Nesbit korporoplastisi yapılan hastalar çalışmaya alındı. Preoperatif dönemde hastaların Uluslararası Erektil Fonksiyon İndeksi ereksiyon fonksiyonu (IIEF-EF) skoru, penis kurvatür açısı, penis boyu ve kurvatür lokasyonu değerlendirildi. Postoperatif dönemde memnuniyet düzeyi, penis deformitesi, penis boyu ve IIEF-EF skorları her üç ayda bir değerlendirildi. BULGULAR: Çalışmamıza 30 Peyroni hastalığı ve 10 konjenital penil kurvatür hastalığı nedeniyle penil kurvatür gelişen 40 hasta alındı. Postoperatif dönemde 11 (%27,5) hastada kurvatür nüksü izlendi. Kurvatür açısı 20 derecenin altında olan sekiz (%20) hasta vardı. Dokuz (%22,5) hastada postoperatif komplikasyon izlendi ve hastaların %97,5’inde erektil fonksiyonların korunduğu görüldü. Preoperatif IIEF-EF skoru 22,08 ± 3,46 iken postoperatif dönemde 24,02 ± 3,06’ya yükseldi ve paired sample t testine göre postoperatif erektil fonksiyonlar anlamlı olarak yüksek bulundu (p = 0,003). Ortalama penis boyu preoperatif dönemde 13,2 ± 0,57 cm iken postoperatif dönemde 11,8 ± 0,66 cm’di (p <0,001). Vizüel analog skala kullanılarak ölçülen hasta memnuniyet düzeyi 77,37 ± 19,15 olarak bulundu. En sık görülen komplikasyonlar penil hipoestezi ve sütur hissiydi. SONUÇ: Penil kurvatür tedavisinde Nesbit prosedürü efektif ve güvenli bir tedavi seçeneğidir. En sık görülen postoperatif komplikasyonlar ise penil hipoestezi ve sütur hissiydi.

Anahtar Kelimeler:

Korporoplasti, Nesbit, Penil kurvatür, Plikasyon, Peyroni hastalığı.

SATISFACTION LEVELS AND SURGICAL RESULTS OF PATIENTS WHO HAD NESBIT CORPOROPLASTY DUE TO PENILE CURVATURE

OBJECTIVE: In this study, it is aimed to evaluate the satisfaction level and surgical results of patients who were performed Nesbit operation due to penile curvature. MATERIAL AND METHODS: Patients who were performed Nesbit corporoplasty on the penile convex surface due to penile curvature were included in a single center between January 2017 and March 2023 in the study. In the preoperative period, the patients' International Erectile Function Index erectile function (IIEF-EF) score, penile curvature angle, penile length and curvature location were evaluated. In the postoperative period, satisfaction level, penile deformity, penile length and IIEF-EF scores were evaluated every three months. RESULTS: 40 patients who developed penile curvature due to 30 Peyronie's disease and 10 congenital penile curvature disease were included in our study. Curvature recurrence was observed in 11 (27.5%) patients in the postoperative period. There were eight (20%) patients whose curvature angle was less than 20 degrees. Postoperative complications were observed in 9 (22.5%) patients and erectile functions were preserved in 97.5% of the patients. While the preoperative IIEF-EF score was 22.08 ± 3.46, it increased to 24.02 ± 3.06 in the postoperative period, and postoperative erectile functions were found to be significantly higher according to the paired sample t test (p = 0.003). While the mean penile length was 13.2 ± 0.57 cm in the preoperative period, it was 11.8 ± 0.66 cm in the postoperative period (p <0.001). The level of patient satisfaction measured using the visual analog scale was found to be 77.37 ± 19.15. The most common complications were penile hypoesthesia and suture sensation. CONCLUSIONS: Nesbit’s procedure is an effective and safe option in the treatment of penile curvature. Penile hypoesthesia and ‘sensation of suture material’ are the two most frequent post-procedural complaints.

Keywords:

Corporoplasty, Nesbit procedure, Penile curvature, Plication, Peyronie’s disease.,

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