Can Prevention of Erection with Sulpride be a Way to Increase Success in Hypospadias Surgery? A Case Report

Abstract

Hypospadias is treated surgically and different methods can useable for this way. Due to involuntary erections during adolescence and later, neourethra seems at risk until wound healing is complete. Erections following penile surgery are painful and can affect the healing process negatively, because the stitches may not withstand a strong erection. Therefore, prevention of erection and management of pain are extremely important after the hypospadias surgery; especially in adolescents. Preventing erection may increase the chance of success from surgery. Short-term use of antipsychotics may be beneficial to prevent erection. In this case report, the use of sulpride in an eighteen-year-old patient after hypospadias repair and the effect of this treatment on the results of the surgery was presented.

Keywords

• sulpride
• hypospadias
• erection prevention
• adolescent

Sülprid ile Ereksiyonun Önlenmesi Hipospadias Cerrahisinde Başarıyı Artırmanın Bir Yolu Olabilir mi? Bir Olgu Sunumu

Abstract

Hipospadias cerrahi olarak tedavi edilmekte ve cerrahide farklı yöntemler kullanılabilmektedir. Ergenlik döneminde ve daha sonra erişkinlikte meydana gelen istem dışı ereksiyonlar nedeniyle yeni oluşturulan üretra yara iyileşmesi tamamlanana kadar risk altındadır. Penis ameliyatı sonrası oluşan ereksiyonlar ağrılıdır ve dikişlerin dayanıklılığını azaltması nedeniyle iyileşme sürecini olumsuz şekilde etkileyebilir. Bu nedenle, özellikle ergenlik döneminde, hipospadias cerrahisinden sonra sertleşmenin önlenmesi ve ağrı yönetimi son derece önemlidir. Ereksiyonun önlenmesi ameliyattan elde edilecek başarı şansını artırabilir. Antipsikotiklerin kısa süreli kullanımı ereksiyonu önlemek için faydalı olabilir. Bu olgu sunumunda on sekiz yaşındaki bir hastada hipospadias onarımı sonrası sülprid kullanımı ve bu tedavinin ameliyatın sonuçlarına olan etkisi sunulmaktadır.

Keywords

• sülprid
• hipospadias
• ereksiyon önlenmesi
• ergenlik

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