The role of preoperative ultrasound in the diagnosis of penile fractures and the effect of tunica defect length on postoperative functional outcomes.

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Tytuł:: The role of preoperative ultrasound in the diagnosis of penile fractures and the effect of tunica defect length on postoperative functional outcomes.
Autorzy:: Yavuzsan AH; Department of Urology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Albayrak AT; Department of Urology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Yesildal C; Department of Urology, University of Health Sciences, Sultan 2. Abdulhamid Han Training and Research Hospital, Istanbul, Turkey.
Ilgi M; Department of Urology, KMG Klinikum Luckenwalde, Luckenwalde, Germany.
Baloglu IH; Department of Urology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Eksi M; Department of Urology, Arnavutkoy State Hospital, Istanbul, Turkey.
Horasanli K; Department of Urology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Kirecci SL; Department of Urology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Ozkurt H; Department of Radiology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Źródło:: International journal of clinical practice [Int J Clin Pract] 2021 Oct; Vol. 75 (10), pp. e14568. Date of Electronic Publication: 2021 Jul 03.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2022- : Mumbai : Hindawi
Original Publication: Esher [England] ; Bronxville, N.Y. : Medicom International, c1997-
MeSH Terms:: Erectile Dysfunction*
Penile Induration*
Humans ; Male ; Penile Erection ; Penis/diagnostic imaging ; Penis/surgery ; Postoperative Period ; Ultrasonography
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Entry Date(s):: Date Created: 20210624 Date Completed: 20210921 Latest Revision: 20210921
Update Code:: 20240105
DOI:: 10.1111/ijcp.14568
PMID:: 34165862
: Czasopismo naukowe

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Purpose: This study aimed to investigate the rate of tunica defect detection by postoperative penile ultrasound (US) and the effect of tunica defect length (TDL) on functional outcomes.
Methods: Forty-six patients who underwent early penile fracture surgery in our hospital between July 2010 and December 2018 were included in the study. Each diagnosis was made via history, physical examination and US. Functional outcomes were assessed at 3, 6 and 12 months postoperatively. The International Index of Erectile Function-5 (IIEF-5) score was used to assess erectile function. US detection rates for tunica defects, as well as whether the rates changed according to TDL, were also analysed. The TDL cut-off value for US detection was determined to be 11 mm using the receiver operating characteristic curve. The impact of TDL on functional outcomes was also evaluated using this cut-off value.
Results: The main cause of fractures in 34 patients (74%) was sexual intercourse. One patient (2.2%) had penile curvature, and 16 (34.8%) had penile nodules in the follow-ups. US had a higher detection rate in the group with TDL >11mm (94% vs 25%). IIEF-5 scores at the postoperative third month were statistically lower in patients with TDL >11mm (n = 34) compared with those with ≤11 mm (n = 12). The rate of penile nodules was found to be statistically higher in the group with TDL >11mm at the end of the 1-year follow-up period (44.1% vs 8.3%).
Conclusions: US is a valuable tool for the detection of tunica defects especially with >11mm length. In addition, TDL >11 mm in penile fractures is associated with lower IIEF-5 scores in the early postoperative period and higher rates of penile nodules.
(© 2021 John Wiley & Sons Ltd.)

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