Limits...
Congenital penile curvature presenting as unconsummated marriage. Repair by 16-dot plication with subjectively reported patient and partner satisfaction.

Zahran AR, Abdeldaeim HM, Fouda K, Elgebaly OF - Arab J Urol (2012)

Bottom Line: All patients were able to consummate their marriage within a mean (SD, range) of 5.3 (1.3, 4-8) weeks after surgery.The overall satisfaction rate with the outcome of the operation among patients was nearly 100% for 'moderately satisfied' or greater, and among their partners was nearly 96% for 'moderately satisfied' or greater, at 3 months.Most patients and their partners were pleased with the outcome of the procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Alexandria University, Alexandria, Egypt.

ABSTRACT

Objective: To evaluate self-reported patient and partner satisfaction in cases of unconsummated marriage due to congenital penile curvature that was treated by the 16-dot plication procedure.

Patients and methods: From March 2008 to March 2012, 24 couples presented to our institute with an unconsummated marriage due to congenital penile curvature. All patients were treated using the 16-dot plication operation. Patients were followed up for 3 months and were asked, with their partners, to complete a specific questionnaire to evaluate their satisfaction with the outcome of the operation.

Results: The duration of unconsummated marriage was 2-12 weeks. The mean (SD, range) angle of penile curvature was 57.4 (20.3, 30-110)°. All patients were able to consummate their marriage within a mean (SD, range) of 5.3 (1.3, 4-8) weeks after surgery. The overall satisfaction rate with the outcome of the operation among patients was nearly 100% for 'moderately satisfied' or greater, and among their partners was nearly 96% for 'moderately satisfied' or greater, at 3 months.

Conclusion: The 16-dot plication technique is an easy procedure for the emergent correction of congenital penile curvature presenting as an unconsummated marriage. Most patients and their partners were pleased with the outcome of the procedure.

No MeSH data available.


An intraoperative view showing the penis becoming straight during plication.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4442961&req=5

f0010: An intraoperative view showing the penis becoming straight during plication.

Mentions: The surgery was performed with the patient under spinal anaesthesia and with intravenous sedation. The plication procedure was done using nonabsorbable sutures (2/0 polyester fibre) as described by Gholami and Lue [6], after an injection with 60 mg papaverine into the corpus cavernosum. A subcoronal circumcising incision was made, and then the centre of curvature was marked using a marking pen. Entry and exit points of the suture were also marked. Plication sutures were then placed through the full thickness of the tunica albuginea. Sutures were tied once the straightness of the penis was confirmed by all the surgical team (Fig. 2). The dartos fascia was then re-approximated and the skin was closed [6]. A Coban dressing was applied after surgery for 48 h. Patients were discharged on the same day, and instructed not to attempt sexual intercourse during the first 4 weeks after surgery. They were also advised to apply ice-packs whenever they had painful nocturnal erections. Patients were followed up for 3 months, and then patients and their female partner were asked to complete a specific questionnaire separately, to evaluate the outcome of the procedure and patient/partner satisfaction (Appendix).


Congenital penile curvature presenting as unconsummated marriage. Repair by 16-dot plication with subjectively reported patient and partner satisfaction.

Zahran AR, Abdeldaeim HM, Fouda K, Elgebaly OF - Arab J Urol (2012)

An intraoperative view showing the penis becoming straight during plication.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4442961&req=5

f0010: An intraoperative view showing the penis becoming straight during plication.
Mentions: The surgery was performed with the patient under spinal anaesthesia and with intravenous sedation. The plication procedure was done using nonabsorbable sutures (2/0 polyester fibre) as described by Gholami and Lue [6], after an injection with 60 mg papaverine into the corpus cavernosum. A subcoronal circumcising incision was made, and then the centre of curvature was marked using a marking pen. Entry and exit points of the suture were also marked. Plication sutures were then placed through the full thickness of the tunica albuginea. Sutures were tied once the straightness of the penis was confirmed by all the surgical team (Fig. 2). The dartos fascia was then re-approximated and the skin was closed [6]. A Coban dressing was applied after surgery for 48 h. Patients were discharged on the same day, and instructed not to attempt sexual intercourse during the first 4 weeks after surgery. They were also advised to apply ice-packs whenever they had painful nocturnal erections. Patients were followed up for 3 months, and then patients and their female partner were asked to complete a specific questionnaire separately, to evaluate the outcome of the procedure and patient/partner satisfaction (Appendix).

Bottom Line: All patients were able to consummate their marriage within a mean (SD, range) of 5.3 (1.3, 4-8) weeks after surgery.The overall satisfaction rate with the outcome of the operation among patients was nearly 100% for 'moderately satisfied' or greater, and among their partners was nearly 96% for 'moderately satisfied' or greater, at 3 months.Most patients and their partners were pleased with the outcome of the procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Alexandria University, Alexandria, Egypt.

ABSTRACT

Objective: To evaluate self-reported patient and partner satisfaction in cases of unconsummated marriage due to congenital penile curvature that was treated by the 16-dot plication procedure.

Patients and methods: From March 2008 to March 2012, 24 couples presented to our institute with an unconsummated marriage due to congenital penile curvature. All patients were treated using the 16-dot plication operation. Patients were followed up for 3 months and were asked, with their partners, to complete a specific questionnaire to evaluate their satisfaction with the outcome of the operation.

Results: The duration of unconsummated marriage was 2-12 weeks. The mean (SD, range) angle of penile curvature was 57.4 (20.3, 30-110)°. All patients were able to consummate their marriage within a mean (SD, range) of 5.3 (1.3, 4-8) weeks after surgery. The overall satisfaction rate with the outcome of the operation among patients was nearly 100% for 'moderately satisfied' or greater, and among their partners was nearly 96% for 'moderately satisfied' or greater, at 3 months.

Conclusion: The 16-dot plication technique is an easy procedure for the emergent correction of congenital penile curvature presenting as an unconsummated marriage. Most patients and their partners were pleased with the outcome of the procedure.

No MeSH data available.