Mesut Altan, Berk Hazir, Kadir Emre Baltaci, Ali Cansu Bozaci, Hakan Bahadır Haberal, Ahmet Gudeloglu, Ali Ergen
{"title":"阴茎骨折修复的长期并发症:勃起功能障碍和阴茎弯曲","authors":"Mesut Altan, Berk Hazir, Kadir Emre Baltaci, Ali Cansu Bozaci, Hakan Bahadır Haberal, Ahmet Gudeloglu, Ali Ergen","doi":"10.1016/j.androl.2020.12.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To determine the factors that cause erectile dysfunction and penile curvature after repair of penile fracture (PF).</p></div><div><h3>Methods</h3><p>Data from 25 patients who underwent PF repair was retrospectively analyzed. PF was diagnosed by examining patients’ medical histories and performing physical examinations. All patients underwent immediate PF repair. All patients filled out the International Index of Erectile Function (IIEF-5) form and penile curvature was examined.</p></div><div><h3>Results</h3><p>The median age of patients at the time of surgery and the median follow-up duration were 46 years (22–60 years) and 95 months (12–156 months), respectively. Two of the patients had concomitant urethral injury. At the final follow up, erectile dysfunction (ED) was present in 13 patients (52%). Among these patients, 9 patients (36%) had mild ED and 4 patients (16%) had moderate ED. With a univariate analysis, age and penile curvature were significantly associated with ED (<em>p</em> <!-->=<!--> <!-->0.008 and <em>p</em> <!-->=<!--> <!-->0.039, respectively). With a multivariate analysis, age was independently associated with ED (<em>p</em> <!-->=<!--> <!-->0.048, odds ratio<!--> <!-->=<!--> <!-->1.104, 95% confidence interval 1.000–1.218). The IIEF-5 scores correlated with age (<em>p</em> <!-->=<!--> <!-->0.009, <em>r</em> <!-->=<!--> <!-->0.510). Seven patients (28%) had penile curvature and one patient underwent penile plication surgery.</p></div><div><h3>Conclusion</h3><p>After PF repair, age is the only risk factor for ED and penile curvature rarely requires surgical treatment.</p></div>","PeriodicalId":49129,"journal":{"name":"Revista Internacional De Andrologia","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Long term complications of penile fracture repair: Erectile dysfunction and penile curvature\",\"authors\":\"Mesut Altan, Berk Hazir, Kadir Emre Baltaci, Ali Cansu Bozaci, Hakan Bahadır Haberal, Ahmet Gudeloglu, Ali Ergen\",\"doi\":\"10.1016/j.androl.2020.12.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To determine the factors that cause erectile dysfunction and penile curvature after repair of penile fracture (PF).</p></div><div><h3>Methods</h3><p>Data from 25 patients who underwent PF repair was retrospectively analyzed. PF was diagnosed by examining patients’ medical histories and performing physical examinations. All patients underwent immediate PF repair. All patients filled out the International Index of Erectile Function (IIEF-5) form and penile curvature was examined.</p></div><div><h3>Results</h3><p>The median age of patients at the time of surgery and the median follow-up duration were 46 years (22–60 years) and 95 months (12–156 months), respectively. Two of the patients had concomitant urethral injury. At the final follow up, erectile dysfunction (ED) was present in 13 patients (52%). Among these patients, 9 patients (36%) had mild ED and 4 patients (16%) had moderate ED. With a univariate analysis, age and penile curvature were significantly associated with ED (<em>p</em> <!-->=<!--> <!-->0.008 and <em>p</em> <!-->=<!--> <!-->0.039, respectively). With a multivariate analysis, age was independently associated with ED (<em>p</em> <!-->=<!--> <!-->0.048, odds ratio<!--> <!-->=<!--> <!-->1.104, 95% confidence interval 1.000–1.218). The IIEF-5 scores correlated with age (<em>p</em> <!-->=<!--> <!-->0.009, <em>r</em> <!-->=<!--> <!-->0.510). Seven patients (28%) had penile curvature and one patient underwent penile plication surgery.</p></div><div><h3>Conclusion</h3><p>After PF repair, age is the only risk factor for ED and penile curvature rarely requires surgical treatment.</p></div>\",\"PeriodicalId\":49129,\"journal\":{\"name\":\"Revista Internacional De Andrologia\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2022-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Internacional De Andrologia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1698031X22000206\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ANDROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Internacional De Andrologia","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1698031X22000206","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANDROLOGY","Score":null,"Total":0}
Long term complications of penile fracture repair: Erectile dysfunction and penile curvature
Objective
To determine the factors that cause erectile dysfunction and penile curvature after repair of penile fracture (PF).
Methods
Data from 25 patients who underwent PF repair was retrospectively analyzed. PF was diagnosed by examining patients’ medical histories and performing physical examinations. All patients underwent immediate PF repair. All patients filled out the International Index of Erectile Function (IIEF-5) form and penile curvature was examined.
Results
The median age of patients at the time of surgery and the median follow-up duration were 46 years (22–60 years) and 95 months (12–156 months), respectively. Two of the patients had concomitant urethral injury. At the final follow up, erectile dysfunction (ED) was present in 13 patients (52%). Among these patients, 9 patients (36%) had mild ED and 4 patients (16%) had moderate ED. With a univariate analysis, age and penile curvature were significantly associated with ED (p = 0.008 and p = 0.039, respectively). With a multivariate analysis, age was independently associated with ED (p = 0.048, odds ratio = 1.104, 95% confidence interval 1.000–1.218). The IIEF-5 scores correlated with age (p = 0.009, r = 0.510). Seven patients (28%) had penile curvature and one patient underwent penile plication surgery.
Conclusion
After PF repair, age is the only risk factor for ED and penile curvature rarely requires surgical treatment.
期刊介绍：
Revista Internacional de Andrología es la revista oficial de la Asociación Española de Andrología, Medicina Sexual y Reproductiva (ASESA), la Sociedade Portuguesa de Ardrologia, la Sociedad Argentina de Andrología (SAA), la Asociación Iberoamericana de Sociedades de Andrología (ANDRO), y la Federación Española de Sociedades de Sexología.
La revista publicada trimestralmente es revisada por pares y es líder en el la especialidad y en español y portugués. Recientemente también publica artículos en inglés.
El objetivo de la revista es principalmente la promoción del conocimiento y la educación médica continua, con un enfoque especial en el público español y latinoamericano, a través de la publicación de las contribuciones importantes de la investigación en el campo. Todos los miembros de las sociedades antes mencionadas reciben la revista y otros suscriptores individuales e institucionales de España, Portugal y América Latina.
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