PENİL KURVATÜR NEDENİYLE NESBİT OPERASYONU YAPILAN HASTALARIN MEMNUNİYET DÜZEYLERİ VE CERRAHİ SONUÇLARI

Abstract

OBJECTIVE: In this study, it is aimed to evaluate the satisfaction level and surgical results of patients who were performed Nesbit operation due to penile curvature. MATERIAL AND METHODS: Patients who were performed Nesbit corporoplasty on the penile convex surface due to penile curvature were included in a single center between January 2017 and March 2023 in the study. In the preoperative period, the patients' International Erectile Function Index erectile function (IIEF-EF) score, penile curvature angle, penile length and curvature location were evaluated. In the postoperative period, satisfaction level, penile deformity, penile length and IIEF-EF scores were evaluated every three months. RESULTS: 40 patients who developed penile curvature due to 30 Peyronie's disease and 10 congenital penile curvature disease were included in our study. Curvature recurrence was observed in 11 (27.5%) patients in the postoperative period. There were eight (20%) patients whose curvature angle was less than 20 degrees. Postoperative complications were observed in 9 (22.5%) patients and erectile functions were preserved in 97.5% of the patients. While the preoperative IIEF-EF score was 22.08 ± 3.46, it increased to 24.02 ± 3.06 in the postoperative period, and postoperative erectile functions were found to be significantly higher according to the paired sample t test (p = 0.003). While the mean penile length was 13.2 ± 0.57 cm in the preoperative period, it was 11.8 ± 0.66 cm in the postoperative period (p <0.001). The level of patient satisfaction measured using the visual analog scale was found to be 77.37 ± 19.15. The most common complications were penile hypoesthesia and suture sensation. CONCLUSIONS: Nesbit’s procedure is an effective and safe option in the treatment of penile curvature. Penile hypoesthesia and ‘sensation of suture material’ are the two most frequent post-procedural complaints.