Penil Plikasyon Cerrahisinde Minimal İnvaziv H-İnsizyon Tekniği Komplikasyonları Azaltmaktadır: Retrospektif Kohort Çalışması

Abstract

Objective: To compare the long-term results and complications of minimally invasive H-incision complete burying-knot technique and modified Nesbit procedure in penile curvature surgery. Material and Methods: The data of 53 patients who underwent penile curvature surgery in our clinic for Peyronie's disease were retrospectively analyzed. While 27 (50.9%) of the patients had excisional modified Nesbit procedure (Group 1), 26 (49.1%) were applied minimally invasive H-incision complete burying-knot technique (Group 2). The postoperative results and complications of the groups were compared. Results: The mean age of groups was similar (p=0.369). There was no significant difference between the groups in terms of mean operating times (Group 1=41.92±6.93 minute vs Group 2=43.14±6.81 minute, p=0.520). The mean postoperative penile shorthening was 1.07±1.77 cm in Group 1, while it was 0.84±1.59 cm in Group 2 (p=0.625). Mean postoperative palpable suture knots, penile pain and penile numbness were found to be significantly lower in Group 2 (p=0.011, p=0.005, p=0.011 respectively). The mean postoperative International Index of Erectile Function scores were similar in both groups (Group 1=20.14±1.58 vs Group 2=19.73±1.84, p=0.249). Conclusion: Minimally invasive H-incision complete burying-knot technique provides similar success rates with lower postoperative complication compared to the modified Nesbit procedure in penile curvature surgery.