1053 LONG-TERM PATIENTS SATISFACTION AFTER SURGICAL CORRECTION FOR PENILE CURVATURE

2007 ◽  
Vol 6 (2) ◽  
pp. 286
Author(s):  
A. Paez ◽  
J. Mejias ◽  
J. Vallejo ◽  
I. Romero ◽  
M. De Castro ◽  
...  
Keyword(s):  
Surgical Correction ◽  
Penile Curvature ◽  
Patients Satisfaction

Long-Term Functional Outcomes After Surgical Correction of Congenital Penile Curvature

Urology ◽  
2021 ◽  
Author(s):  
Antoine Paris ◽  
Nicolas Morel-Journel ◽  
Damien Carnicelli ◽  
Alain Ruffion ◽  
Paul Neuville
Keyword(s):  
Functional Outcomes ◽  
Surgical Correction ◽  
Penile Curvature ◽  
Congenital Penile Curvature

scholarly journals Scrotal Hypospadias with Severe Chordee, Micropenis, and Bifid Scrotum in A Child Treated with Multi Stage Repair and Hormonal Therapy

2019 ◽  
Vol 2 (3) ◽  
Author(s):  
Paulina Magdalena ◽  
Gede Wirya Kusuma Duarsa
Keyword(s):  
Therapeutic Option ◽  
Surgical Correction ◽  
Surgical Reconstruction ◽  
Penile Curvature ◽  
Corpus Spongiosum ◽  
Proximal Hypospadias ◽  
Multi Stage ◽  
Good Cosmetic ◽  
Cosmetic Outcomes

Proximal hypospadias, include proximal penile, penoscrotal, scrotal and perineal types, are a less common occurrence and correspond to 20% of total hypospadias. Surgical reconstruction is the only possible therapeutic option for hypospadias. The primary objectives of the reconstruction are to create a vertically slit orthotopic meatus, straighten the penis and establish good cosmetic results that include a conically shaped glans. Other important aspects for the reconstruction are to avoid shortening the penis and optimal skin coverage. A 9 years old male presented with abnormal spraying during urination. The parents said that the opening of his urethra is located under the penis. Everytime he urinates, the urine flowing along the thighs. In physical examination, the opening of urethra is in the scrotum. The penis was uncircumcised while the scrotum was bifid in the normal position, and bilateral testes were fully descended in the well-developed scrotum. Repair of proximal hypospadias involves correction of several components of the hypospadias complex with the intent of optimizing long-term functional and cosmetic outcomes. These components include ventral penile curvature, proximal location of the urethral meatus, ventral skin deficiency, glans morphology abnormality, abnormal division of the corpus spongiosum, penile torsion and penoscrotal transposition. Surgical correction of several components divide into five sequential steps. Severe forms of hypospadia are typically accompanied by an abnormal ventral curvature of the penis (chordee). Surgical correction of both chordee and hypospadias is recommended. When properly corrected, it does not cause long-term problems, and a natural appearance of the penis is usually restored.

scholarly journals Long-term patient satisfaction after surgical correction of penile curvature via tunical plication

2007 ◽  
Vol 33 (4) ◽  
pp. 502-509 ◽  
Author(s):  
Alvaro Paez ◽  
Juan Mejias ◽  
Jorge Vallejo ◽  
Ignacio Romero ◽  
Miguel de Castro ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Surgical Correction ◽  
Penile Curvature

scholarly journals Penile fracture: Retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome

2014 ◽  
Vol 86 (4) ◽  
pp. 359 ◽  
Author(s):  
Nicola Pavan ◽  
Giorgia Tezzot ◽  
Giovanni Liguori ◽  
Renata Napoli ◽  
Paolo Umari ◽  
...  
Keyword(s):  
Erectile Function ◽  
Psychological Impact ◽  
Point Of View ◽  
Long Term Results ◽  
Penile Curvature ◽  
Penile Fracture ◽  
Radiological Investigation ◽  
Urinary Disorders ◽  
Patient Reported

Objectives: To review the cases of patients with suspected penile fracture and asses erectile and sexological outcomes. Materials and methods: from 1987 to 2013 presented to the Urology Clinic of Trieste and at the AIED of Pordenone a total of 41 cases that were divided into two groups according to the timing of treatment: 18 patients with anamnestic diagnosis of penile fracture treated nonimmediately and 23 patients treated immediately after the trauma. For all patients we evaluated the type of treatment adopted, the occurrence of complications and reoperations and the follow-up. The erectile function was also evaluated through the IIEF, as well as the psychological impact of the trauma on social and sex life, using a psycho- sexological questionnaire. Results: Among patients treated immediately after the trauma 14 were subjected to surgery. About a year after surgery, penile curvature was reported in 1 patient, pain in 3 patients, urinary disorders in 1 patient, while none reported erectile dysfunction (ED). Out of these, only 3 patients underwent reoperation. Among those treated conservatively 1 patient reported curvature, 1 patient reported pain and none reported ED. Among patients who were admitted at a later date, 14 reported curvature and 4 reported pain whereas urinary disorders were reported in 1 and ED in 4 patients. From a psychological point of view, the trauma caused in most cases a fear of new trauma and of repercussions on erectile function and sensitivity. Conclusions: The diagnosis is mainly clinical; however, radiological investigation is essential to confirm the diagnosis, assess the site and extent of the trauma and possible urethral involvement, so as to plan the most appropriate treatment. In addition, immediate treatment leads to better long-term results, with a lower incidence of ED and penile curvature. Psychologically, penile trauma intensifies the fear of reoccurrence; it decreases, however, with the passage of time.

scholarly journals Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption

2014 ◽  
Vol 86 (1) ◽  
pp. 15 ◽  
Author(s):  
Ali Abdel Raheem ◽  
Hassan El-Tatawy ◽  
Ahmed Eissa ◽  
Abdel Hamid Elbahnasy ◽  
Mohamed Elbendary
Keyword(s):  
Case Series ◽  
Surgical Reconstruction ◽  
Urethral Injury ◽  
Penile Curvature ◽  
Retrospective Case ◽  
Penile Fracture ◽  
Case Series Study ◽  
Long Term Follow Up

Objectives: Penile fracture with concomitant complete urethral disruption is an uncommon urologic disorder. Data about the treatment and outcome measurements of this condition are scarce in the literature. The aim of the present study is to evaluate the long term urinary and sexual functions of patients with penile fracture associated with complete urethral injury after immediate surgical reconstruction. Patients and methods: Twelve patients met our inclusion criteria and were included in this retrospective case series study; however, one was lost during follow-up. Patient's medical records were reviewed and all patients were interviewed for clinical evaluation. Urinary function was assessed by history, uroflometry and retrograde urethrography, while, sexual function was assessed by questionnaire (Sexual Health Inventory for Men) and penile Doppler for patients with erectile dysfunction. Results: Patients’ mean age was 32.3 ± 7.5 years (range 21-43) and the mean follow-up period was 72.6 ± 45.4 months (range 14-187). Vigorous sexual intercourse was the main cause in 91% of our patients. No serious long term complications was found. Only 1 patient (9%) suffered from anterior urethral stricture, 1 patient (9%) complained of weak erection, 3 patients (27%) had a palpable fibrosis and 2 patients (18%) reported a slight penile curvature during erection. Ninety one percent of all our patients maintained their normal urinary and sexual functions. Conclusion: On the long term follow-up, most of the patients maintained their normal erectile and voiding functions with no harmful long-term complications. We advocate immediate surgical intervention and reconstruction of both corpora cavernous and urethra as a first line treatment for those patients.

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