Relationship between penile fracture and Peyronie s disease a prospective study      
Yazarlar (6)
Abdullah Açıkgöz
İstanbul Kemerburgaz Üniversitesi, Türkiye
Prof. Dr. Erkan GÖKÇE Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ramazan Aşcı
Ondokuz Mayıs Üniversitesi, Türkiye
Recep Büyükalpelli
Ondokuz Mayıs Üniversitesi, Türkiye
Ali Faik Yılmaz
Ondokuz Mayıs Üniversitesi, Türkiye
Şaban Sarıkaya
Ondokuz Mayıs Üniversitesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı International Journal of Impotence Research
Dergi ISSN 0955-9930 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SSCI
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 01-2011
Cilt No 23
Sayı 4
Sayfalar 165 / 171
DOI Numarası 10.1038/ijir.2011.24
Özet
Peyronie's disease is postulated to be initiated by repetitive minor traumas to the fully or partially erect penis. We investigated Peyronie's disease prospectively in cases treated for penile fracture (PF) within the last 20 years. Medical records of 63 cases treated for PFs were reviewed. Subjects were required to self-assess their current penile morphologies and sexual functions. Penile nodules and Peyronie's plaques were also evaluated with physical examination, ultrasonography and magnetic resonance imaging (MRI), and penile curvatures with auto-photography, and sexual function with international erectile function index (IIEF). Of the 63 cases (mean age 37 years), 46 who had mean follow-up of 63 months were re-evaluated. The mean IIEF-5 score was 23.2±3.1. Painful erections (n=5), penile nodules (n=5) and also penile curvatures <20° (n=2) were investigated. No Peyronie's plaque was palpated in any of the cases. Ultrasound and MRI showed fibrotic nodules of 5 mm in diameter, which extended into the subtunical area in the rupture site in 54% of the cases, although any thickening and Peyronie's plaque were not found in the tunica albuginea and intracavernosal septum of the cases examined. In PF patients treated surgically, the erectile function and penile morphology were preserved. In our cases PFs did not induce the development of Peyronie's disease.
Anahtar Kelimeler
Peyronie's disease of tunica albuginea (penile and clitoral) | blunt trauma and sexual dysfunction | diagnostic testing | history | physical examination