The Diagnostic Algorithm Patients Examination with Penile Deformation

A. Arkatov, O. Knigavko
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Abstract

Objective: The article outlines informational content of the methods used for treatment and diagnostic algorithm development for patients with different types of penile deformations. Materials and Methods: For last 10 years there 189 patients with penile deviations were examined and treated. For diagnostic we used questionnaires, US with Doppler, MRI and CT. According to erectile function, presence of inflammation in plaque methods of treatment (surgical or conservative) was chose. Results: Positive results were observed in 94% of patients after Nesbit operations (corporoplication) and in 82% of patients after corporoplastic. Effectiveness conservative treatment was about 70%. Conclusions: Pre-surgery examination of patients with penile curvature and any type of deformation must comprise ultrasound and pharmacodopplerography along with the medical history and physical examination. In controversial clinical cases in order to prove or discard possible inflammatory peri-process it is necessary to conduct MRI.
阴茎变形患者检查的诊断算法
目的:概述不同类型阴茎畸形的治疗方法及诊断算法开发的信息内容。材料与方法:对近10年来189例阴茎畸形患者进行了检查和治疗。对于诊断,我们使用问卷调查,超声多普勒,MRI和CT。根据勃起功能,存在斑块炎症的治疗方法(手术或保守)被选择。结果:94%的患者在Nesbit手术(肌体复制)和82%的患者在肌体成形术后观察到阳性结果。保守治疗有效率约70%。结论:对于阴茎弯曲及任何类型的变形患者,术前检查必须包括超声、药理学检查以及病史和体格检查。在有争议的临床病例中,为了证明或排除可能的炎症过程,有必要进行MRI检查。
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