Konjenital penil kurvatur cerrahisinde nörovasküler bundle diseksiyonu komplet mi yapılmalı parsiyel mi?


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Çiçek M., Kazan H. Ö. , Yıldırım A. , Erol B.

28. Ulusal Üroloji Kongresi, Antalya, Türkiye, 10 - 13 Ekim 2019, ss.5-6

  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayısı: ss.5-6

Özet

İntroduction: The question of whether neurovascular bundle (NVB) dissection should be complete or partial in penile plication is controversial. Partial dissection around the plication points will decrease the likelihood of further dissection, damage to the NVB and operating time. In this case, a video presentation was performed to demonstrate that acceptable aesthetic and functional results could be achieved with penile plication by partial NVB dissection.
CASE: A 13-year-old male patient was admitted to the hospital with ventral curvature of the penis. Physical examination was revealed 80-degree ventral curvature after the manuel sexuel stimulation. The penis was degloved with a circumcision incision under general anesthesia.

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Buck's fascia was opened. Artifical erection was performed and approximately 80 degrees curvature was seen in the ventral side. NVB was dissected only in the region where plication suture was planned. NVB was isolated and separated from the tunica albuginea. Three plication suture was applied with 2-0 ethibonds to dorsolateral side of the tunica albuginea and curvature was corrected. The control of penile straightened was seen with artificial erection. The Buck's fascia was closed. Operation was terminated by closing the skin. There were no postoperative complications. The patient was discharged on the first postoperative day. No deviation of the penis was observed in the postoperative 2nd week control.

CONCLUSION: Instead of complete dissection, the plication suture should be marked and the partial dissection can be performed in the designated area. It can be provided similar functional success and decreased operating time.