[Congenital penile curvature: Guidelines from the Andrology and Sexual Medicine Committee of the French Association of Urology (CAMS-AFU)].

法国哲学研究 Pub Date : 2022-09-01 Epub Date: 2022-06-05 DOI:10.1016/j.purol.2022.04.010
F-X Madec, W Akakpo, L Ferretti, D Carnicelli, J-É Terrier, C Methorst, S Beley, J-P Graziana, V Hupertan, R Yiou, N Morel Journel, F Marcelli, A Faix, É Huyghe
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引用次数: 1

Abstract

Introduction: Guidelines regarding congenital penile curvature (CPC) are lacking, and this pathology has not been the subject of French recommendations to date. The Andrology and Sexual Medicine Committee (CAMS) of the French Association of Urology (AFU) propose a series of clinical practice recommendations (CPR) by answering five clinical questions concerning the diagnosis and treatment of this pathology.

Materials and methods: After a bibliographic research between 2000 and 2021, followed by a critical reading according to the CRP method. These recommendations were written to answer five questions: (1) What are the different types of CPC? (2) What are the reasons for consultation? (3) What are the assessment methods for CPCs and their consequences? (4) What are the indications for CPCs treatment? (5) What are the corrective modalities for the treatment of CPC?

Results: There are two main phenotypes: CPC type 4 (the most common) and chordee without hypospadias. The diagnosis of CPC is clinical and established through enquiry and clinical examination associated with photos of the erect penis. Support can be offered if the curvature is responsible for a disability and/or sexual dissatisfaction linked to a deformation making penetration difficult and/or in the event of significant psychological impact. Only surgical treatments have demonstrated their effectiveness. For type 4 CPCs, corporoplasty (excisional, incisional, or incisionless techniques) is the gold standard.

Conclusion: These recommendations provide support for the management of patients consulting with CPC.

【先天性阴茎弯曲:法国泌尿外科协会(CAMS-AFU)男科和性医学委员会指南】。
导言:关于先天性阴茎弯曲(CPC)的指导方针是缺乏的,这种病理尚未成为法国迄今为止建议的主题。法国泌尿外科协会(AFU)的男科和性医学委员会(CAMS)通过回答有关该病理诊断和治疗的五个临床问题,提出了一系列临床实践建议(CPR)。材料和方法:经过2000年至2021年的书目研究,然后根据CRP方法进行批判性阅读。这些建议是为了回答五个问题而写的:(1)方案协调会有哪些不同类型?(2)咨询的原因是什么?(3)重点关注事项的评估方法及其后果是什么?(4) cpc治疗的适应症是什么?(5)治疗CPC的纠正方式是什么?结果:主要有两种表型:CPC 4型(最常见)和无尿道下裂脊索型。CPC的诊断是临床的,通过询问和临床检查以及阴茎勃起的照片来确定。如果弯曲导致残疾和/或与变形相关的性不满,使插入困难和/或在重大心理影响的情况下,可以提供支持。只有手术治疗证明了其有效性。对于4型cpc,公司成形术(切除,切口或无切口技术)是金标准。结论:这些建议为CPC患者会诊的管理提供了依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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