Aykut BAŞER, Sinan ÇELEN, Salih BÜTÜN, Yusuf ÖZLÜLERDEN, Okan ALKIŞ, Cihan TOKTAŞ, Tahir TURAN

Peyroni cerrahisinde hasta memnuniyetine etki eden faktörler

ÖzetAmaç: Penil eğriliğin en sık nedeni olan peyroni hastalığı için hala en etkili tedavi yöntemini cerrrahi müdahaleler oluşturmaktadır. Fonksiyonel ve kozmetik sonuçları olan peyroni cerrahisinde hasta memnuniyetine etki eden faktörleri araştırmayı amaçladık. Gereç ve yöntem: 2012-2019 yılları arasında peyroni hstalığı tanısı konulmuş ve peyroni cerrahisi önerilmiş hastaların kayıtları retrospektif olarak incelendi. 1. Yıl kontrollerinde hastaların erektil kapasite, rezidüel / tekrarlayan penil deformite, penil uzunluk ve potansiyel komplikasyonlar açısından preoperatif kayıtları ile birlikte değerlendirildi ve memnuniyet düzeyleri ölçülerek etki eden faktörler araştırıldı. Bulgular: Plikasyon cerrahisi (Grup 1) geçiren 27 hasta, İnsizyon safen ven greft cerrahisi (Grup 2) geçiren 21 hasta saptandı. Grup 1'de hasta memnuniyet %83,33, grup 2'de %67,14 saptandı. Grup 2’de penil kısalma miktarı (2,71±1,41 cm) grup 1’e (1,14±0,91 cm) göre daha fazla gözlendi. Hastaların memnuniyetine etki eden parametreler incelendiğinde; penis boyu kısalmasıyla (p=0,036), cerrahi öncesi erektil disfonksiyon varlığını belirtmekle (rho-,375, p=0,009), plak varlığıyla (p=0,002), eşlik eden komorbid hastalık varlığıyla (p<0,001), şikayet tekrarı varlığıyla (p=0,006) hasta memnuniyeti arasında negatif korelasyon saptandı. Sonuç: Peyroni hastalığında cerrahi yöntemler en etkili tedavi yöntemleri olarak önerilmektedir. Hastaların postoperatif penil kısalma ve kurvatür rekürrensi açısından preoperatif iyi bir bilgilendirme yapılması hasta memnuniyetlerini arttırabilir.

Anahtar Kelimeler:

Peyroni hastalığı, peyroni cerrahisi, penil kısalma, IIEF-5, IIEF-5

Factors affecting patient satisfaction in peyroni surgery

Abstract Purpose: Surgical interventions are still the most effective treatment management for peyroni disease, which is the most common cause of penile curvature. We aimed to investigate the factors affecting patient satisfaction in peyroni surgery with functional and cosmetic results. Material method: The records of patients who had been diagnosed with peyroni disease between 2012-2019 and who had been recommended peyroni surgery were retrospectively analyzed. In the 1st year controls, the patients were evaluated together with their preoperative records in terms of erectile capacity, residual / recurrent penile deformity, penile length, and potential complications, and the factors affecting the effects were investigated by measuring their satisfaction levels. Results: Twenty-seven patients undergoing plication surgery (Group 1), and 21 patients undergoing incision saphenous vein graft surgery (Group 2) were identified. Patient satisfaction was 83.33% in group 1 and 67.14% in group 2. Penile shortening amount (2.71±1.41 cm) was higher in group 2 than group 1 (1.14±0.91 cm).When the parameters affecting the satisfaction of the patients are examined; There was a negative correlation between penis length (p=0.036), presence of erectile dysfunction before surgery (p=0.009), presence of plaque (p=0.002), presence of comorbid disease accompanying (p<0.001), presence of repeat complaints (p=0.006) and patient satisfaction. Conclusion: Surgical methods are recommended as the most effective treatment methods in Peyroni disease. Providing a good preoperative information in terms of postoperative penile shortening and curvature recurrence may increase patient satisfaction.

Keywords:

Peyroni disease, peyroni surgery, penile shortening, IIEF-5,

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