Repair with Purse-String Suture Technique in
Circular Glans Penile Defects Involving the Distal Urethra:
Observational Study

AHMEDOV, ANVAR; sevim, mehmet

doi:10.5336/urology.2021-86305

Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study

Anvar AHMEDOV, (Clinic of Plastic, Aesthetic and Reconstructive Surgery, Başakşehir Çam ve Sakura City Hospital, İstanbul, TURKEY)

Mehmet SEVİM (Department of Urology, Kütahya University of Health Sciences Evliya Çelebi Training and Research Hospital, Kütahya, TURKEY)

Journal of Reconstructive Urology

13 0

Yıl: 2021 Cilt: 11 Sayı: 3 Sayfa Aralığı: 140 - 146 Metin Dili: İngilizce DOI: 10.5336/urology.2021-86305 İndeks Tarihi: 27-05-2022

Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study

Öz:

ABS TRACT Objective: Circular necrotic wounds, including the urethral meatus and distal urethra, can be seen on the glans penis of patients in intensive care units (ICU) due to long-term application of urethral catheters. In this article, we aimed to explain the purse-string suture (PSS) technique that we use in such wounds in the urethral meatus. Material and Methods: Twelve male patients who were treated in Kütahya Health Science Univesity Evliya Çelebi Research and Training Hospital between January 2017 and January 2020 in the neurology and general ICU and who developed circular necrotic pressure wounds in the urethral meatus due to long-term use of urethral catheters were included in the study. Wounds were repaired with PSS technique in all patients. The data of the patients were collected retrospectively. Demographic data of the patients, urethral defect lengths, postoperative success rates, complications and managing these complications were evaluated. Results: The mean age of the 12 patients included in the study was 67.5±16.76 years. The mean length of the urethral defect formed in the patients during the operation was calculated as 2.25 (interquartile range 0.7) cm. The number of patients who came and were reached for regular control was 8 (66.7%). Two (16.7%) patients died due to their main diseases. Wound infection developed in 2 (16.6%) patients and urethra-cutaneous fistula developed in 1 (8.3%) of the patients, and these 3 (25%) patients were treated by re-operation. Conclusion: PSS is an easy-to-use technique with good cosmetic and functional results in the closure of circular defects of the distal urethra.

Anahtar Kelime:

Distal Üretrayı İçine Alan Sirküler Glans Penis Defektlerinde Purse-String Sütür Tekniğiyle Onarım: Gözlemsel Çalışma

Öz:

ÖZET Amaç: Üretral kataterlerin uzun süreli uygulanmasına bağlı olarak yoğun bakım ünitelerinde (YBÜ) tedavi gören hastaların glans penislerinde üretral meatusu ve distal üretrayı da içine alan sirküler nekrotik yaralar görülebilmektedir. Bu yazımızda, üretral meatusta ortaya çıkan bu tür yaraların cerrahi tedavisinde uyguladığımız “purse-string sütür (PSS)” tekniğini anlatmayı amaçladık. Gereç ve Yöntemler: Kütahya Sağlık Bilimleri Üniversitesi Evliya Çelebi Eğitim ve Araştırma Hastanesi nö roloji ve genel YBÜ’lerinde Ocak 2017- Ocak 2020 tarihleri arasında tedavi gören ve uzun süreli üretral sonda kullanımına bağlı üretral meatusta sirküler nekrotik bası yarası gelişen 12 erkek hasta çalışmaya dâhil edildi. Hastaların tamamının yaralarına PSS tekniği ile onarım gerçekleştirildi. Hastaların verileri retrospektif olarak toplandı. Hastaların demografik verileri, üretral defekt uzunlukları, cerrahi sonrası başarı oranları ve karşılaşılan komplikasyonlar ve bu komplikasyonlarla başa çıkma yöntemleri değerlendirildi. Bulgular: Çalışmaya dâhil edilen 12 hastanın yaş ortalaması 67,5± 16,76 yıl idi. Ameliyat esnasında hastalardaki üretral defektin ortalama uzunluğu 2,25 (çeyrekler arası aralık 0,7) cm olarak hesaplandı. Düzenli kontrole gelen ve ulaşılan hasta sayımız 8 (%66,7) idi. İki (%16,6) hasta, ana hastalıkları sebebiyle hayatını kaybetti. Hastalardan 2’sinde (%16,7) yara yeri enfeksiyonu ve 1’inde (%8,3) üretro-kutanöz fistül gelişti ve bu 3 (%5) hasta reopere edilerek tedavi edildi. Sonuç: PSS, distal üretranın sirküler defektlerinin kapatılmasında güvenilir, kozmetik ve fonksiyonel olarak iyi sonuç veren ve kolay kullanılabilir bir tekniktir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	AHMEDOV A, sevim m (2021). Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study. , 140 - 146. 10.5336/urology.2021-86305
Chicago	AHMEDOV ANVAR,sevim mehmet Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study. (2021): 140 - 146. 10.5336/urology.2021-86305
MLA	AHMEDOV ANVAR,sevim mehmet Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study. , 2021, ss.140 - 146. 10.5336/urology.2021-86305
AMA	AHMEDOV A,sevim m Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study. . 2021; 140 - 146. 10.5336/urology.2021-86305
Vancouver	AHMEDOV A,sevim m Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study. . 2021; 140 - 146. 10.5336/urology.2021-86305
IEEE	AHMEDOV A,sevim m "Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study." , ss.140 - 146, 2021. 10.5336/urology.2021-86305
ISNAD	AHMEDOV, ANVAR - sevim, mehmet. "Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study". (2021), 140-146. https://doi.org/10.5336/urology.2021-86305

APA	AHMEDOV A, sevim m (2021). Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study. Journal of Reconstructive Urology, 11(3), 140 - 146. 10.5336/urology.2021-86305
Chicago	AHMEDOV ANVAR,sevim mehmet Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study. Journal of Reconstructive Urology 11, no.3 (2021): 140 - 146. 10.5336/urology.2021-86305
MLA	AHMEDOV ANVAR,sevim mehmet Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study. Journal of Reconstructive Urology, vol.11, no.3, 2021, ss.140 - 146. 10.5336/urology.2021-86305
AMA	AHMEDOV A,sevim m Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study. Journal of Reconstructive Urology. 2021; 11(3): 140 - 146. 10.5336/urology.2021-86305
Vancouver	AHMEDOV A,sevim m Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study. Journal of Reconstructive Urology. 2021; 11(3): 140 - 146. 10.5336/urology.2021-86305
IEEE	AHMEDOV A,sevim m "Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study." Journal of Reconstructive Urology, 11, ss.140 - 146, 2021. 10.5336/urology.2021-86305
ISNAD	AHMEDOV, ANVAR - sevim, mehmet. "Repair with Purse-String Suture Technique in Circular Glans Penile Defects Involving the Distal Urethra: Observational Study". Journal of Reconstructive Urology 11/3 (2021), 140-146. https://doi.org/10.5336/urology.2021-86305