Akın Yiğit, Şahiner İlker Fatih, Usta Mustafa Faruk
Department of Urology, Faculty of Medicine, Erzincan University, Erzincan, Turkey.
Departmet of Urology, Faculty of Medicine, Akdeniz University, Antalya, Turkey.
Turk J Urol. 2013 Sep;39(3):161-4. doi: 10.5152/tud.2013.033.
To evaluate the changing cavernosal length of patients with diabetes mellitus (DM) and organic erectile dysfunction (ED) who were treated with inflatable, three-piece penile prostheses, a current surgical treatment option in our clinic, over the course of 12 years.
Between April 2000 and December 2012, we retrospectively investigated data from patients who were diagnosed with organic ED and undergone penile prosthesis implantation (PPI). Of the 239 patients, 235 of them were included in the study. Four patients who were operated on for trans-sexuality were excluded from the study. All patients were divided into two groups as those with (Group 1) or without DM (Group 2). Data, including age, body mass index (BMI) in kg/m(2), surgical history, comorbidities, International Index of Erectile Function (IIEF) questionnaire scores, combined intracavernous injection and stimulation (CIS) test results, length of corpus cavernosum while implanting the penile prosthesis, complications, operative times, mean hospital stay, and satisfaction of the patient and partner, were recorded. Kruskal-Wallis and Mann-Whitney U tests were used for statistical analysis. A p-value of <0.05 was considered to be statistically signifcant.
The mean age was 57.9±10.5 years. Study population consisted of patients with DM (n=65), hypertension (n=21), DM, and hypertension (n=28), hyperlipidemia (n=5), a history of previous radical pelvic surgery with (n=4) or without DM (n=51) or cases without any comorbidity (n=62). Mean length of the corpus cavernosum was 17.277±0.1509 cm in Group 1 and 17289±0.1598 cm in Group 2 (p<0.05). Additionally, the other parameters, including age, operative time, and the satisfaction of the patient and partner, were not different between these groups (p>0.05).
The length of the corpus cavernosum and the destruction of cavernosal tissues do not depend only on DM. We conclude that these features may have multifactorial causes.
评估在我院接受三件式可膨胀阴茎假体植入术（这是目前一种手术治疗选择）治疗的糖尿病（DM）合并器质性勃起功能障碍（ED）患者在12年期间阴茎海绵体长度的变化情况。
2000年4月至2012年12月期间，我们回顾性调查了被诊断为器质性ED并接受阴茎假体植入术（PPI）患者的数据。239例患者中，235例纳入本研究。4例因变性手术而接受手术的患者被排除在研究之外。所有患者被分为两组，即患有糖尿病的患者（第1组）和未患糖尿病的患者（第2组）。记录的数据包括年龄、体重指数（BMI，单位为kg/m²）、手术史、合并症、国际勃起功能指数（IIEF）问卷评分、海绵体内联合注射及刺激（CIS）试验结果、植入阴茎假体时阴茎海绵体的长度、并发症、手术时间、平均住院时间以及患者及其伴侣的满意度。采用Kruskal-Wallis检验和Mann-Whitney U检验进行统计分析。p值<0.05被认为具有统计学意义。
平均年龄为57.9±10.5岁。研究人群包括患有糖尿病的患者（n = 65）、高血压患者（n = 21）、糖尿病合并高血压患者（n = 28）、高脂血症患者（n = 5）、既往有根治性盆腔手术史且患有（n = 4）或未患有糖尿病（n = 51）的患者或无任何合并症的患者（n = 62）。第1组阴茎海绵体的平均长度为17.277±0.1509 cm，第2组为17.289±0.1598 cm（p<0.05）。此外，包括年龄、手术时间以及患者及其伴侣的满意度等其他参数在两组之间无差异（p>0.05）。
阴茎海绵体的长度及海绵体组织的破坏不仅取决于糖尿病。我们得出结论，这些特征可能有多种因素导致。
