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1.
Int. braz. j. urol ; 33(4): 502-509, July-Aug. 2007. tab
Artigo em Inglês | LILACS | ID: lil-465786

RESUMO

OBJECTIVE: To assess patient satisfaction and functional results at long term follow-up after surgical correction for Peyronie's disease (PD) and congenital penile curvature (CPC) with the technique of tunical plication. MATERIALS AND METHODS: One hundred and two men operated for PD (n = 76) or CPC (n = 26) in four different departments of urology in public hospitals agreed to answer a six-question telephone questionnaire about treatment satisfaction. Tunica albuginea plication procedures represented the standard surgical approach. Subjects under investigation were correction of the deformity, feeling of bumps under the skin, pain during erection, penile sensory changes, development of erectile dysfunction (ED) and postoperative ability for complete vaginal intromission. Subjective response rates were compared using the chi square test on the basis of the etiology of the disease (CPC or PD). RESULTS: Significant differences (p < 0.05) between patients with CPC and PD were noticed in the prevalence of postoperative penile deformity, sensory changes, ED and ability to complete vaginal intromission, PD patients always showing a more pessimistic view. No significant differences (p = ns) were detected in terms of unpleasant nodes under the penile skin or pain during erection. CONCLUSIONS: Long-term outcome after surgical correction for PD and CPC with the technique of tunical plication can be poor. Probably patient expectations are above the real performance of surgical techniques. Preoperative information should be more exhaustive.


Assuntos
Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Ereção Peniana/fisiologia , Induração Peniana/cirurgia , Procedimentos Cirúrgicos Urológicos Masculinos/métodos , Distribuição de Qui-Quadrado , Seguimentos , Período Pós-Operatório , Induração Peniana/diagnóstico , Induração Peniana/etiologia , Pênis/anormalidades , Pênis/cirurgia , Qualidade de Vida , Inquéritos e Questionários , Técnicas de Sutura , Resultado do Tratamento , Procedimentos Cirúrgicos Urológicos Masculinos/normas
4.
Rev. cient. AMECS ; 9(1): 41-5, jan.-jun. 2000. ilus
Artigo em Português | LILACS | ID: lil-278362

RESUMO

Os autores apresentam os achados clínicos e patológicos e indicam as possibilidades diagnósticas para a doença de Peyronie. Frente às condutas terapêuticas definidas, o diagnóstico seguro e a extensäo do processo passam a ser mais importantes.


Assuntos
Humanos , Masculino , Induração Peniana/diagnóstico , Induração Peniana/etiologia , Induração Peniana/patologia
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