Hu Qin-Bo, Dai Yi-Bo, Mei Chang-Ying, Xu Qin-Hong
Center of Reproductive Medicine, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang 315010, China.
Operating Theater, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang 315010, China..
Zhonghua Nan Ke Xue. 2024 May;30(5):424-429.
To explore the perioperative nursing methods of autologous dermal transplantation for penile girth enhancement combined with penile lengthening surgery.
Summarize the perioperative nursing data of 5 patients with small penis who underwent autologous groin dermal transplantation for penile girth enhancement combined with penile lengthening surgery.
After comprehensive perioperative nursing, all 5 patients recovered well after the surgery. The preoperative APPSSI scores of the patients were 4.60±0.48, which were all less than 6 points. The postoperative APPSSI scores at 2 months, 6 months, and 12 months were 9－12 (10.6±1.02), 10－12 (11.2±0.98), and 10－12 (11.2±0.98) respectively, showing satisfaction with the surgical outcomes. There was a statistically significant difference compared to the preoperative APPSSI scores (Ｐ<0.05). The preoperative SAS scores were 45－58 (52.2±4.35), and the SAS scores at 2 months, 6 months, and 12 months postoperatively were 31－40 (34.2±3.31), 30-41 (35.8±3.65), and 33－40 (35.6±2.33) respectively, indicating a reduction in anxiety levels after the surgery, with a statistically significant difference compared to the preoperative SAS scores (P<0.05). The preoperative IIEF-5 scores were 7－15 (10.4±2.87), and the IIEF-5 scores at 2 months, 6 months, and 1 year postoperatively were 16－24 (19.8±2.71), 18－25 (21.2±2.48), and 18－24 (20.8±2.39) respectively, showing a significant improvement postoperatively, with statistical significance (P<0.05). The preoperative NPTR examination showed a sustained erection time of 18－25 (21.2±2.59) minutes, and the NPTR examination at 2 months, 6 months, and 1 year postoperatively showed sustained erection times of 18－24 (21.8±2.28), 20-25 (23.4±2.30), and 24－27 (25.4±1.14) minutes respectively. There was no statistically significant difference in the sustained erection time at 2 months and 6 months postoperatively compared to preoperative NPTR examination, but there was a statistically significant difference at 12 months postoperatively (P<0.01).
Comprehensive perioperative nursing is an important factor in achieving high satisfaction with the surgery, promoting postoperative recovery, and improving the quality of sexual life for patients undergoing autologous groin dermal transplantation for penile girth enhancement combined with penile lengthening surgery.
探讨自体真皮移植阴茎增粗联合阴茎延长术的围手术期护理方法。
总结5例阴茎短小患者行自体腹股沟真皮移植阴茎增粗联合阴茎延长术的围手术期护理资料。
经过全面的围手术期护理，5例患者术后恢复良好。患者术前APPSSI评分为4.60±0.48，均低于6分。术后2个月、6个月及12个月的APPSSI评分分别为9 - 12（10.6±1.02）、10 - 12（11.2±0.98）和10 - 12（11.2±0.98），对手术效果表示满意。与术前APPSSI评分相比，差异有统计学意义（Ｐ<0.05）。术前SAS评分为45 - 58（52.2±4.35），术后2个月、6个月及12个月的SAS评分分别为31 - 40（34.2±3.31）、30 - 41（35.8±3.65）和33 - 40（35.6±2.33），表明术后焦虑水平降低，与术前SAS评分相比，差异有统计学意义（P<0.05）。术前IIEF - 5评分为7 - 15（10.4±2.87），术后2个月、6个月及术后1年的IIEF - 5评分分别为16 - 24（19.8±2.71）、18 - 25（21.2±2.48）和18 - 24（20.8±2.39），术后有显著改善，差异有统计学意义（P<0.05）。术前NPTR检查显示阴茎持续勃起时间为18 - 25（21.2±2.59）分钟，术后2个月、6个月及1年的NPTR检查显示阴茎持续勃起时间分别为18 - 24（21.8±2.28）、20 - 25（23.4±2.30）和24 - 27（25.4±1.14）分钟。术后2个月和6个月的阴茎持续勃起时间与术前NPTR检查相比，差异无统计学意义，但术后12个月差异有统计学意义（P<0.01）。
全面的围手术期护理是使自体腹股沟真皮移植阴茎增粗联合阴茎延长术患者对手术满意度高、促进术后恢复及改善性生活质量的重要因素。
