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青春期前和青春期后患者先天性阴茎弯曲矫正中体壁折叠术的比较:年龄有影响吗?

Comparison of corporal plication for the correction of congenital penile curvature in pre-pubertal and post-pubertal patients: Does age matter?

作者信息

Cetin Serhat, Budak Firat Caglar, Tan Mustafa Ozgur, Biri Hasan, Sen Ilker, Kupeli Ahmet Bora, Bozkirli Ibrahim, Gurocak Ozdemir Serhat

机构信息

Department of Urology, Gazi University Faculty of Medicine, Ankara, Turkey.

Department of Urology, Koru Ankara Hospital, Ankara, Turkey.

出版信息

Andrologia. 2021 Apr;53(3):e13965. doi: 10.1111/and.13965. Epub 2021 Jan 10.

Abstract

We retrospectively reviewed and compared the results of corporal plication procedures for the correction of congenital penile curvature (CPC) between pre-pubertal and post-pubertal boys and find whether age matters in the success rates. We reviewed the records of 32 patients with CPC without hypospadias treated by simple plication near the 12 o'clock position between 1998 and 2018 in our clinic. Patients under 13 years of age and not had puberty yet were accepted as pre-pubertal. Residual curvature less than 10° during follow-up was accepted as a surgical success. The mean age of the pre-pubertal group was 8.3 (2-12) years, while 16.2 (14-21) for the post-pubertal patients. The mean follow-up was 38.7 (24-154) months in the pre-pubertal group and 45.1 (23-150) months in the post-pubertal group. The success rates of corporal plication in pre-pubertal and post-pubertal groups were 78% and 83% respectively (p = .753). The success rates of corporal plication were similar between pre-pubertal and post-pubertal boys. However, as the series was small further studies should be favoured to determine the effect of age on success rates.

摘要

我们回顾性分析并比较了青春期前和青春期后男孩矫正先天性阴茎弯曲(CPC)的阴茎折叠手术结果,以确定年龄对成功率是否有影响。我们回顾了1998年至2018年期间在我们诊所接受12点位置简单折叠手术治疗的32例无尿道下裂的CPC患者的记录。13岁以下且未进入青春期的患者被视为青春期前患者。随访期间残余弯曲小于10°被视为手术成功。青春期前组的平均年龄为8.3(2 - 12)岁,青春期后患者为16.2(14 - 21)岁。青春期前组的平均随访时间为38.7(24 - 154)个月,青春期后组为45.1(23 - 150)个月。青春期前组和青春期后组的阴茎折叠成功率分别为78%和83%(p = 0.753)。青春期前和青春期后男孩的阴茎折叠成功率相似。然而,由于样本量较小,应开展进一步研究以确定年龄对成功率的影响。

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