Mayer M, Rey Valzacchi G, Silva Garretón A, Layus O, Gueglio G
Sección de Andrología, Servicio de Urología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
Sección de Andrología, Servicio de Urología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
Actas Urol Esp (Engl Ed). 2018 Jul-Aug;42(6):414-419. doi: 10.1016/j.acuro.2017.11.002. Epub 2017 Dec 29.
Congenital penile curvature is a relatively rare disease, resulting from a deviation of the penis from the body's straight axis when erect. The prevalence is difficult to determine. Although it has been suggested that the condition could affect up to 10% of the male population, most of these deviations are minor, with no clinical or psychological importance, which leads to its underdiagnosis. Effective correction of the deviation can markedly improve the quality of life of adolescents with this condition.
To assess the quality of the sex life of patients diagnosed with congenital penile curvature who underwent surgical correction.
Design Retrospective, observational cohort study. Data was collected from the medical records of patients who underwent surgical correction of congenital penile curvature from June 2004 to August 2016. The patients completed the following self-administered questionnaires: Sexual Quality of Life Questionnaire-Male (SQOL-M), International Index of Erectile Function 5 (IIEF 5) and "How satisfied are you with the results of the surgery? From 0 to 10".
Twenty-two corporoplasties were performed to correct the patients' congenital penile curvature. The patients' average age was 23.4 years (range, 17-35). The mean deviation prior to surgery was 47.9° (range, 20°-90°). The average score on the SQOL-M was 52 points (range, 6-66). The average score on the IIEF 5 was 22.4 points.
Congenital penile curvature profoundly decreases quality of life, and early surgery is fundamental for repairing the anatomical deformation and thereby significantly restores the patients' psychosocial and sexual wellbeing.
先天性阴茎弯曲是一种相对罕见的疾病，由阴茎勃起时偏离身体的直线轴所致。其患病率难以确定。尽管有人认为这种情况可能影响高达10%的男性人群，但这些偏差大多较小，没有临床或心理意义，这导致其诊断不足。有效纠正偏差可显著改善患有这种疾病的青少年的生活质量。
评估接受手术矫正的先天性阴茎弯曲患者的性生活质量。
设计回顾性观察队列研究。从2004年6月至2016年8月接受先天性阴茎弯曲手术矫正的患者病历中收集数据。患者完成以下自我管理问卷：男性性生活质量问卷（SQOL-M）、国际勃起功能指数5（IIEF 5）以及“您对手术结果的满意度如何？从0到10分”。
进行了22例阴茎整形手术以矫正患者的先天性阴茎弯曲。患者的平均年龄为23.4岁（范围17 - 35岁）。手术前的平均弯曲度为47.9°（范围20° - 90°）。SQOL-M的平均得分为52分（范围6 - 66分）。IIEF 5的平均得分为22.4分。
先天性阴茎弯曲严重降低生活质量，早期手术对于修复解剖畸形至关重要，从而能显著恢复患者的心理社会和性健康。
