Satisfacción en pacientes con corrección de pene curvo congénito / Patient satisfaction with correction of congenital penile curvature

Introducción: El pene curvo congénito es una enfermedad relativamente rara, dada por una desviación del pene en comparación con el eje recto del cuerpo cuando se encuentra en erección. La prevalencia es difícil de determinar. Si bien indican que podría afectar hasta a un 10% de la población masculina, la mayoría de estas desviaciones son menores, sin implicancia clínica ni psicológica, lo que determinaría el subdiagnóstico. La corrección efectiva de la desviación puede mejorar marcadamente la calidad de vida de estos adolescentes. Objetivo: Evaluar la calidad sexual de los pacientes con diagnóstico de pene curvo congénito a quienes se les realizó la corrección quirúrgica. Materiales y métodos: Diseño: estudio de cohortes retrospectivo, observacional. Se recabaron los datos de las historias clínicas de los pacientes a los que se les realizó la corrección quirúrgica de pene curvo congénito entre junio del 2004 y agosto del 2016. A todos los pacientes se les efectuaron los siguientes cuestionarios autoadministrados: Sexual Quality of Life Questionnaire-Male (SQOL-M), International Index of Erectile Function 5 (IIEF 5) y "¿Cuán satisfecho está con los resultados de la cirugía? De "0 a 10". Resultados: Se realizaron 22 corporoplastias para la corrección de pene curvo congénito. El promedio de edad de los pacientes fue de 23,4 años (r 17-35). La media de grados de desviación previo a la cirugía fue de 47,9° (r = 20-90°). El puntaje promedio tras responder el cuestionario SQOL-M fue de 52 puntos (r = 6-66). Los resultados al responder el IIEF 5 fue de 22,4 puntos. Conclusión: El pene curvo congénito disminuye profundamente la calidad de vida y el tratamiento quirúrgico temprano es fundamental para reparar la deformidad anatómica y, así, restaurar significativamente el bienestar psicosocial y sexual de los pacientes

Background: 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. Objective: To assess the quality of the sex life of patients diagnosed with congenital penile curvature who underwent surgical correction. Materials and methods: 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". Results: 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. Conclusion: 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

Patient satisfaction with correction of congenital penile curvature. / Satisfacción en pacientes con corrección de pene curvo congénito.

BACKGROUND: 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. OBJECTIVE: To assess the quality of the sex life of patients diagnosed with congenital penile curvature who underwent surgical correction. MATERIALS AND METHODS: 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". RESULTS: 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. CONCLUSION: 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.

Satisfacción de los pacientes con enfermedad de La Peyronie tras cirugía de placa e injerto de pericardio bovino / Satisfaction of patients with Peyronie's disease after plaque surgery and bovine pericardium graft

Introducción: La cirugía de placa e injerto de pericardio bovino es una herramienta útil en el tratamiento de la enfermedad de La Peyronie. Objetivo: Determinar la satisfacción de los pacientes tras la realización de esta cirugía. Materiales y métodos: Estudio retrospectivo, observacional y descriptivo. Se recabaron los datos de las historias clínicas de los pacientes operados entre 2004 y 2015, y fueron evaluados mediante un cuestionario de satisfacción postoperatoria. Resultados: Se realizaron 28 cirugías. La corrección de la curva se logró en 26 pacientes (95,3%). Un paciente (3,57%) requirió corrección de la curva residual mediante técnica de Yachia, y un paciente (3,57%) presentó una complicación grave consistente en infección protésica y fístula uretrocutánea. Veintiún pacientes (75%) se mostraron satisfechos con la cirugía. Conclusiones: Nuestros resultados muestran un aceptable nivel de satisfacción de nuestros pacientes con un bajo número de complicaciones, aunque se necesitan más trabajos, prospectivos, controlados y aleatorizados

Introduction: Plaque and bovine pericardium graft surgery is a useful tool for treating Peyronie's disease. Objective: To determine patient satisfaction following this operation. Materials and methods: This was a retrospective, observational and descriptive study. We collected data from the medical records of patients who underwent surgery between 2004 and 2015 and were evaluated through a postoperative satisfaction questionnaire. Results: Twenty-eight operations were performed. Curve correction was achieved in 26 patients (95.3%). One patient (3.57%) required residual curve correction using Yachia's technique, and 1 patient (3.57%) had a severe complication consisting of prosthetic infection and urethrocutaneous fistulae. Twenty-one patients (75%) expressed satisfaction with the surgery. Conclusions: Our results show an acceptable level of satisfaction among our patients, with a low number of complications. However, further prospective, controlled and randomised studies are needed

Satisfaction of patients with Peyronie's disease after plaque surgery and bovine pericardium graft. / Satisfacción de los pacientes con enfermedad de La Peyronie tras cirugía de placa e injerto de pericardio bovino.

INTRODUCTION: Plaque and bovine pericardium graft surgery is a useful tool for treating Peyronie's disease. OBJECTIVE: To determine patient satisfaction following this operation. MATERIALS AND METHODS: This was a retrospective, observational and descriptive study. We collected data from the medical records of patients who underwent surgery between 2004 and 2015 and were evaluated through a postoperative satisfaction questionnaire. RESULTS: Twenty-eight operations were performed. Curve correction was achieved in 26 patients (95.3%). One patient (3.57%) required residual curve correction using Yachia's technique, and 1 patient (3.57%) had a severe complication consisting of prosthetic infection and urethrocutaneous fistulae. Twenty-one patients (75%) expressed satisfaction with the surgery. CONCLUSIONS: Our results show an acceptable level of satisfaction among our patients, with a low number of complications. However, further prospective, controlled and randomised studies are needed.