Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
Long-term Results of the Congenital Penile Curvature Following Modified Nesbit Plication with Monofilament Absorbable Sutures
Konjenital Penil Kurvatürde Absorbable Monofilament Sütür Kullanılarak Yapılan Modifiye Nesbit Plikasyonunun Uzun Dönem Sonuçları
Kubilay SARIKAYAa, Çağrı ŞENOCAKa, Fahri Erkan SADİOĞLUa, Mehmet ÇİFTÇİa, Ömer Faruk BOZKURTa
aDepartment of Urology, University of Health Sciences Keçiören Training and Research Hospital, Ankara, TURKEY
J Reconstr Urol. 2021;11(1):17-22
doi: 10.5336/urology.2021-81301
Article Language: EN
Full Text
ABSTRACT
 Objective: To analyze the long-term results of the congenital penile curvature (CPC) corrected with modified Nesbit plication procedure using monofilament absorbable sutures. Material and Methods: From March 2008 to March 2018, 54 adult patients with CPC underwent the modified Nesbit plication surgery procedure. Absorbable monofilament poliglecaprone-25 suture was used for plication in all patients. Patients older than 16 years of age in March 2008 were included in the study which have minimum 20 degree penile curvature. Long -term follow-up was median 68 (16-120) months and data were available for 48 patients. Results: All of the patients were curvaturefree at the end of the operation. At the time of the follow-up examination, 40 (83.3%) patients were curvature-free. Five (10.4%) had recurrent curvature less than 15 degree and the other 3 (6.2%) had curvature recurrence >15 degree. Disturbing palpable suture knot was detected in only 3 (6.2%) patients. While 38 (79.2%) patients were very satisfied with the operation, 6 (12.5%) stated to be moderately satisfied and 4 (8.3%) were unsatisfied at all. Conclusion: Absorbable poliglecaprone-25 suture provides high success rate in CPC surgery and significantly reduces suture related complications.

Keywords: Reconstructive surgical procedures; penis; abnormalities; penile erection; suture
ÖZET
 Amaç: Monofilament emilebilir sütür kullandığımız modifiye Nesbit plikasyon prosedürü ile düzeltilen konjenital penil kurvatürün [congenital penile curvature (CPC)] uzun dönem sonuçlarını incelemek. Gereç ve Yöntemler: Mart 2008 ile Mart 2018 tarihleri arasında 54 erişkin CPC hastasına modifiye Nesbit plikasyon prosedürü uygulanmıştır. Tüm hastalarda plikasyon için emilebilir monofilament poliglecaprone-25 sütür kullanılmıştır. En az 20 derece penil kurvatürlü Mart 2008 tarihinde 16 yaşından büyük olan hastalar çalışmaya dâhil edilmiştir. Ortalama 68 (16-120) aylık uzun dönem takip süresi sonunda 48 hastanın verilerine ulaşılabilmiştir. Bulgular: Operasyon sonunda tüm hastaların kurvatürü tam olarak düzelmiştir. Takip sürecindeki muayenede ise 40 (%83,3) hastanın kurvatürünün düzeldiği, 5 (%10,4) hastada 15 dereceden küçük kurvatür rekürrensi olduğu ve diğer 3 (%6,2) hastada da 15 dereceden büyük kurvatür rekürrensi olduğu görülmüştür. Sadece 3 (%6,2) hastada rahatsız edici palpe edilebilir sütür varlığı tesbit edilmiştir. Operasyon sonunda 38 (%79,2) hasta prosedürden çok memnun olduğunu belirtirken, 6 (%12,5) hasta orta düzeyde memnun olduğunu ve 4 (%8,3) hasta ise memnun olmadığını belirtmiştir. Sonuç: Emilebilir monofilament poliglecoprone-25 sütür CPC cerrahisinde yüksek başarı oranı sağlamaktadır ve sütüre bağlı komplikasyonları önemli ölçüde azaltmaktadır.

Anahtar Kelimeler: Rekonstruktif cerrahi işlemler; penis; anormallikler; penil ereksiyon; sütür
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