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Titolo:
The Nesbit operation for Peyronie's disease: an analysis of the failures
Autore:
Andrews, HO; Al-Akraa, M; Pryor, JP; Ralph, DJ;
Indirizzi:
Inst Urol, London W1P 7PN, England Inst Urol London England W1P 7PNInst Urol, London W1P 7PN, England St Peters Hosp, London WC2A 2EX, England St Peters Hosp London England WC2A 2EX rs Hosp, London WC2A 2EX, England
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 7, volume: 87, anno: 2001,
pagine: 658 - 660
SICI:
1464-4096(200105)87:7<658:TNOFPD>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Keywords:
Peyronie's disease; Nesbit operation; outcome; failure;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Andrews, HO Inst Urol, 48 Riding House St, London W1P 7PN, England Inst Urol 48 Riding House St London England W1P 7PN , England
Citazione:
H.O. Andrews et al., "The Nesbit operation for Peyronie's disease: an analysis of the failures", BJU INT, 87(7), 2001, pp. 658-660

Abstract

Objective To analyse critically the reasons for a poor outcome of the Nesbit operation for Peyronie's disease in 51 patients over a 20-year period. Patients and methods Fifty-one patients who were classified as having a poor result from the Nesbit operation were reviewed (mean age 53 pears. mean follow-up 21 months). The factors responsible for a poor result were analysed and classified into three groups: (i) deformity >30 degrees: (ii) penileshortening >2 cm: and (iii) impaired erection. Patients with a recurrent deformity were further classified according to the interval from surgery to the presentation of the recurrence. Results Thirty-one patients had a deformity of > 30 degrees: this occurredimmediately in three patients through surgical error, soon after surgery in eight patients because of suture failure and after 11 months in the remaining 20 patients because their Peyronie's disease progressed. Penile shortening of >2 cm was present in 19 patients but this only affected coital function in four. Erection was impaired in 10 patients but this was present before surgery in most. Conclusion The results of the Nesbit operation for Peyronie's disease can be improved by a preoperative assessment of erectile function and the use of sutures of high tensile strength. Patients should be warned that the disease may progress and that some penile shortening should be expected, although this does not affect coital function.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 13:16:15