| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296424 |
| ISSN: | 1677-5538 |
| Autores: | Van Der Horst, C1 Martinez Portillo, F.J Seif, C2 Musial, A Alken, P3 Jünemann, K.P |
| Instituciones: | 1Christian Albrechts University Kiel, Department of Urology, Kiel, Schleswig-Holstein. Alemania 2University Hospitals, Department of Urology, Mannheim, Baden-Wurttemburg. Alemania 3University Hospitals of Mannheim Department of Urology, |
| Año: | 2003 |
| Periodo: | Jul-Ago |
| Volumen: | 29 |
| Número: | 4 |
| Paginación: | 332-335 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | PURPOSE: The Schroeder-Essed plication procedure is a standard technique for the correction of penile curvature. In a retrospective analysis we compared functional results and quality of life (LQ) of the original technique with inverted sutures as described by Schroeder-Essed and our slight modification consisting of horizontal incisions into the tunica albuginea. MATERIALS AND METHODS: Twenty-six patients with congenital penis deviation were treated for penile deviation by the original Schroeder-Essed plication with inverted sutures (11 patients) and by the described modification (15 patients). In case of modified technique, horizontal and parallel incisions 4 mm to 6 mm apart and about 8 mm - 10 mm long were made through the tunica albuginea. The outer edges of the incisions were then approximated with permanent inverted sutures (Gore-Tex® 3-0). Mean age was 21.6 years in the first group and 23.2 years in the second group. Average follow-up was 28 months and 13 months, respectively. The preoperative penile deviation angle was > 25º in all patients without difference between the 2 groups. RESULTS: All patients in both groups reported an improvement in their quality of life and full ability to engage in sexual intercourse. Nine patients (88%) in the first group and 14 patients (93%) in the second group were satisfied with the cosmetic result. In contrast, 10 patients (91%) of the first and 13 patients (87%) of the second group complained of penile shorting. Recurrence of deviation was only noticed in 2 males in the first group ( |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Pene, Malformaciones congénitas, Curvatura, Técnicas quirúrgicas, Cirugía reconstructiva |
| Keyword: | Medicine, Surgery, Penis, Congenital malformations, Curvature, Surgical techniques, Reconstructive surgery |
| Texto completo: | Texto completo (Ver HTML) |
