Yıl: 2020 Cilt: 10 Sayı: 1 Sayfa Aralığı: 7 - 11 Metin Dili: İngilizce DOI: 10.5336/urology.2019-72993 İndeks Tarihi: 12-11-2020

When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?

Öz:
Objective: To analyze the outcomes of the patients who underwent surgical treatment of penile fracture especially em- phasizing the effects of the time of surgery on erectile function of the patients. Material and Methods: Between 2007 and 2019, 31 pa- tients who were consulted with the complaints and suspicion of penile fracture to the Emergency Department of Pamukkale University Hos- pitals were evaluated retrospectively. Erectile functions both prior to the surgery and at postoperative 3rd month were evaluated. The pa- tients who had an International Index of Erectile Function-5 (IIEF-5) decrease in the follow-up before the procedure and the patients who received medical treatment and no change in IEFF were divided into two groups. Compatibility of variables to normal distribution was evaluated with the Kolmogorov Smirnov test. The results were ex- pressed in 95% confidence interval and p<0.05 was considered sta- tistically significant. Results: In the study conducted on the etiology of a decrease in IEFF and the need for treatment after surgery, it was found that the rate of application to the emergency room within the first 6 hours statistically decreased the rate significantly. In addition, it has been found that the surgical application in the first 12 hours de- creases both IEFF and the need for treatment in the IEFF. Conclu- sion: Penile fracture is a rare urological emergency. Erectile dysfunction which can be seen after penile fracture, is significantly re- duced with early application of penile fracture within 6 hours to the hospital and surgical repair within the first 12 hours.
Anahtar Kelime:

Penil Fraktüre Bağlı Erektil Disfonksiyonu Önlemek İçin Cerrahi Ne Zaman Yapılmalıdır?

Öz:
Amaç: Penil fraktür cerrahisi uygulanan hastaların özellikle cerrahi zamanının, tedavi sonrası erektil fonksiyonlar üzerindeki etki- lerini vurgulayan sonuçları analiz etmek. Gereç ve Yöntemler: 2007 ve 2019 yılları arasında Pamukkale Üniversitesi Hastanesi Acil Servi- si’ne penil fraktür şüphesi ile başvuran 31 hasta retrospektif olarak de- ğerlendirildi. Ameliyat öncesi ve ameliyat sonrası 3. ayda erektil fonksiyonları değerlendirildi. Hastalar takiplerinde Uluslararası Erek- til Fonksiyon İndeksi-5 (IIEF-5) skorlarında düşme olup bunun için te- davi alan ve IIEF-5 skor değişikliği olmayan 2 gruba ayrıldı. Değişkenlerin normal dağılıma uygunluğu Kolmogorov Smirnov testi ile değerlendirildi. Sonuçlar %95 güven aralığında ifade edildi ve p<0,05 istatistiksel olarak anlamlı kabul edildi. Bulgular: IEFF'de azalma etyolojisi ve tedavi ihtiyacı etyolojisi azatlmak için yapılan ça- lışmada, hastaların ilk 6 saat içinde acil servise başvurusu ile istatistik- sel olarak anlamlı şekilde azaldığı bulundu. Ek olarak, ilk 12 saatte yapılan cerrahi uygulamanın hem IEFF'yi hem de IEFF'de tedavi ihti- yacını azalttığı bulunmuştur. Sonuç: Penil fraktür nadir görülen bir üro- lojik acil durumdur. Penil fraktür tedavisi sonrası görülebilen sertleşme bozukluğu, hastaneye 6 saat içinde erken başvuruda bulunulması ve ilk 12 saat içinde de cerrahi onarım ile önemli ölçüde azalır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA baser a, Özlülerden Y, Alkis O, YILMAZ BAŞER H, ZÜMRÜTBAS A (2020). When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?. , 7 - 11. 10.5336/urology.2019-72993
Chicago baser aykut,Özlülerden Yusuf,Alkis Okan,YILMAZ BAŞER Hülya,ZÜMRÜTBAS ALI ERSIN When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?. (2020): 7 - 11. 10.5336/urology.2019-72993
MLA baser aykut,Özlülerden Yusuf,Alkis Okan,YILMAZ BAŞER Hülya,ZÜMRÜTBAS ALI ERSIN When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?. , 2020, ss.7 - 11. 10.5336/urology.2019-72993
AMA baser a,Özlülerden Y,Alkis O,YILMAZ BAŞER H,ZÜMRÜTBAS A When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?. . 2020; 7 - 11. 10.5336/urology.2019-72993
Vancouver baser a,Özlülerden Y,Alkis O,YILMAZ BAŞER H,ZÜMRÜTBAS A When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?. . 2020; 7 - 11. 10.5336/urology.2019-72993
IEEE baser a,Özlülerden Y,Alkis O,YILMAZ BAŞER H,ZÜMRÜTBAS A "When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?." , ss.7 - 11, 2020. 10.5336/urology.2019-72993
ISNAD baser, aykut vd. "When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?". (2020), 7-11. https://doi.org/10.5336/urology.2019-72993
APA baser a, Özlülerden Y, Alkis O, YILMAZ BAŞER H, ZÜMRÜTBAS A (2020). When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?. Journal of Reconstructive Urology, 10(1), 7 - 11. 10.5336/urology.2019-72993
Chicago baser aykut,Özlülerden Yusuf,Alkis Okan,YILMAZ BAŞER Hülya,ZÜMRÜTBAS ALI ERSIN When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?. Journal of Reconstructive Urology 10, no.1 (2020): 7 - 11. 10.5336/urology.2019-72993
MLA baser aykut,Özlülerden Yusuf,Alkis Okan,YILMAZ BAŞER Hülya,ZÜMRÜTBAS ALI ERSIN When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?. Journal of Reconstructive Urology, vol.10, no.1, 2020, ss.7 - 11. 10.5336/urology.2019-72993
AMA baser a,Özlülerden Y,Alkis O,YILMAZ BAŞER H,ZÜMRÜTBAS A When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?. Journal of Reconstructive Urology. 2020; 10(1): 7 - 11. 10.5336/urology.2019-72993
Vancouver baser a,Özlülerden Y,Alkis O,YILMAZ BAŞER H,ZÜMRÜTBAS A When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?. Journal of Reconstructive Urology. 2020; 10(1): 7 - 11. 10.5336/urology.2019-72993
IEEE baser a,Özlülerden Y,Alkis O,YILMAZ BAŞER H,ZÜMRÜTBAS A "When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?." Journal of Reconstructive Urology, 10, ss.7 - 11, 2020. 10.5336/urology.2019-72993
ISNAD baser, aykut vd. "When Should Surgery be Performed in Case of Penile Fracture to Prevent Erectile Dysfunction?". Journal of Reconstructive Urology 10/1 (2020), 7-11. https://doi.org/10.5336/urology.2019-72993