Abdülmüttalip ŞİMŞEK, Faruk ÖZGÖR, Ömer SARILAR, Mehmet Fatih AKBULUT, Murat ŞAHAN, Onur KÜÇÜKTOPÇU, Ahmet Yalçın BERBEROĞLU, Zafer Gökhan GÜRBÜZ

Konjenital penil kurvatür cerrahi tedavi sonuçlarımız

Amaç: Konjenital penil kurvatür hayatı tehdit eden bir hastalık olmamakla beraber penisin kozmetik açıdan görüntüsünü bozar ve cinsel ilişkiye engel olabilir. Tek tedavisi cerrahi olarak eğriliğin düzeltilmesidir. Biz konjenital penil kurvatür nedeniyle tunikal plikasyon ve Nesbit yöntemi uyguladığımız 16 hastayı sunmayı amaçladıkGereç ve Yöntemler: İki farklı klinikte Nisan 2011 ve Ocak 2014 tarihleri arasında yapılan 16 penil kurvatür olgusunun dosyaları geriye dönük olarak incelendi. Hastaların penis eğriliğinden dolayı cinsel ilişkiye girmekte zorlanmaları ve/veya penisin görüntüsünden kozmetik olarak rahatsız olmaları cerrahi endikasyonu olarak kabul edildi ve hastaların tamamına Nesbit prosedüre yada tunikal plikasyon uygulandı. Hastaların ilk di. Penil hipoestezi ise iki hastada görüldü. Sonuç: Konjenital penil kurvatür tedavisinde hem nesbit prosedürü hemde tunikal plikasyon etkin ve güvenilir yöntemlerdir. Operasyon sonrası dönemde penil hissizlik ile sütür matertalinin verdiği rahatsız en sık karşılaşılan şikayetler olarak ön plana çıkmaktadır

Anahtar Kelimeler:

Konjenital penil kurvatür, Plikasyon, Nesbit

Our surgical results of congenital penile curvature

Objective: Even though penile curvature is not a life-threatening disease, it affects the appearance of the penis and may interfere with patient’s sexual life. Congenital penile curvature can only be treated surgically. In this article we present 16 patients who have undergone tunical plication or Nesbit procedure for their conjenital penile curvatures. Materials and Methods: This study is a review of retrospectively collected charts of 16 patients from 2 different clinics who have undergone penile curvature surgery between April 2011 and January 2014. Patients discomfort during sexual intercourse or cosmetic reasons are accepted as surgery indications and every patient has undergone tunical plication or Nesbit procedure. Patients admittance reason to the clinics, penile curvature degree, surgery type nesbit procedure, tunical plication , operation duration and length of stay in the hospital, early complications and patient’s satisfactions were all evaluated for this study. Results: The mean age of patients were 22.75±5.52 years range 13-32 . Ten patients have undergone Nesbit procedure and six patients have undergone tunical plication procedure. The mean degree of curvature before procedure was 43.13±11.67 degrees range 30 and 67 . The degree of curvature was statistically significant higher in patients who have undergone Nesbit procedure when compared to patients who have undergone tunical plication procedure p:0.049 . During the follow-up period 15.2±7.3 months 11 of our patients had reported no complaints. One patient reported a complaint of ‘sensation of suture material’ and shortening of penis. One other patient reported both hipoesthesia and the ‘sensation of suture material’ complaint. Two other patients reported penile hipoesthesia. Conclusion: Nesbit procedure and tunical plication procedure are effective and safe treatment options in conjenital penile curvature. Penil hipoesthesia and ‘sensation of suture material’ are the two most common complaints after these procedures.

Keywords:

Congenital penile curvature, plication, Nesbit,

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