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首页> 外文期刊>BMC Surgery >Tunical plication in the management of penile curvature due La Peyronie’s disease. Our experience on 47 cases
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Tunical plication in the management of penile curvature due La Peyronie’s disease. Our experience on 47 cases

机译：应对La Peyronie病引起的阴茎弯曲的最后处理。我们在47例案件中的经验

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BackgroundPeyronie’s disease is an acquired connective tissue disorder of the penile tunica albuginea with fibrosis and inflammation. The disease produces palpable plaques, penile curvature and pain during erections. Patients report negative effects in four major domains: physical appearance and self-image, sexual function and performance. These changes damage sexual life and compromise the quality of life. Our objective is to review the patient's sexual life after penile tunical plicature using the International Index of Erectile Function (IIEF) and the Sexual Encounter Profile (SEP) questionnaires.MethodsA total of 47 patients with Peyronie's disease (PD) were enrolled at our urology department and they underwent correction of penile deviation between February 2009 and March 2010. Mean patient age was 56 years and mean follow-up was 24 months. Patients with painless PD plaque with no progression in angulation for at least 12 months were chosen for surgery. They underwent a penile tunical plication.IIEF and SEP questionnaire were administered to all patients.ResultsOf all treated patients, 94% were able to insert their penis in the partner's vagina (pWe reported a significant improvement in the IIEF scores (from a baseline total score of 25.2 +/- 3.2 to a final score of 38.3 +/- 5.2; PConclusionPatient quality of life improved after surgery thanks to the improvement of their sexual life. The complications are unimportant and few bother symptoms are reported. The significant improvement in erectile function was also supported by IIEF and SEP questionnaire data. Nowadays tunical plication is a safe, advantageous and useful technique to treat patients suffering of Peyronie’s disease.
机译：背景佩罗尼氏病是一种患有纤维化和炎症的阴茎白膜性后天性结缔组织疾病。该疾病在勃起期间产生明显的斑块，阴茎弯曲和疼痛。患者报告在四个主要方面产生负面影响：身体外观和自我形象，性功能和表现。这些变化会损害性生活并损害生活质量。我们的目的是使用国际勃起功能指数（IIEF）和性交概况（SEP）问卷调查患者的阴茎包扎性生活他们在2009年2月至2010年3月之间进行了阴茎矫正。平均患者年龄为56岁，平均随访时间为24个月。选择无痛性PD斑块且至少在12个月内没有进展的患者进行手术。结果：所有接受治疗的患者中，有94％能够将其阴茎插入伴侣的阴道内（pWe报告称IIEF评分有明显改善（相对于基线总评分）评分为25.2 +/- 3.2，最终得分为38.3 +/- 5.2; PConclusion由于性生活的改善，术后患者的生活质量得到了改善，并发症并不重要，很少出现烦恼症状，勃起功能得到了显着改善IIEF和SEP问卷数据也支持这种方法，如今，膜折叠术是治疗Peyronie病患者的一种安全，有利和有用的技术。

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