TY  - JOUR
T1  - Evaluation of the Effectiveness of Local Anesthesia and Patient Tolerance in Penile Prosthesis Implantation
TT  - Penil Protez İmplantasyonunda Lokal Anestezinin Etkinliğinin ve Hasta Toleransının Değerlendirilmesi
AU  - Gelmiş, Mücahit
AU  - Eren, Ali Erhan
AU  - Arslan, Baran
AU  - Boğa, Mehmet Salih
AU  - İslamoğlu, Ekrem
PY  - 2025
DA  - May
Y2  - 2025
DO  - 10.54233/endourolbull-1649521
JF  - Endoüroloji Bülteni
JO  - Endourol Bull
PB  - Endoüroloji Derneği
WT  - DergiPark
SN  - 2148-0532
SP  - 86
EP  - 92
VL  - 17
IS  - 2
LA  - en
AB  - Objective: This study aims to evaluate the effectiveness, safety, and patient tolerance of penile prosthesis implantation (PPI) performed under local anesthesia (LA). The study investigates its impact on perioperative pain management, postoperative recovery, and overall patient satisfaction.Material and Methods: This prospective study included 26 male patients who underwent PPI under LA between January 2024 and December 2024. Ethical approval was obtained from the Ethics Committee Antalya Training and Research Hospital No: 2/24, Date: 30.01.2025). Pain intensity was assessed using the Visual Analog Scale (VAS), while patient stability and intraoperative parameters were monitored. The American Society of Anesthesiologists (ASA) classification system was used for anesthesia risk assessment.Results: The mean age of the patients was 67.25 ± 11.48 years. Diabetes mellitus and hypertension were present in 75% and 62.5% of patients, respectively. According to ASA classification, 46.2% were classified as ASA-II, while 53.8% were ASA-III. The mean intraoperative VAS score was 1.8 (mild pain), while the mean postoperative VAS score was 4.6 (mild-to-moderate pain). No patients required additional sedation or conversion to general anesthesia. No major intraoperative complications or postoperative prosthesis-related complications were observed.Conclusion: Local anesthesia is a feasible and effective alternative for penile prosthesis implantation, offering benefits such as minimal intraoperative discomfort, avoidance of systemic anesthetic complications, and a favorable recovery profile. Further studies with larger cohorts are needed to optimize pain management strategies and evaluate long-term functional outcomes.
KW  - Penile prosthesis implantation
KW  - Local anesthesia
KW  - Erectile dysfunction
KW  - Pain management
N2  - Amaç: Bu çalışmanın amacı, lokal anestezi altında gerçekleştirilen penis protezi implantasyonunun (PPI) etkinliğini, güvenliğini ve hasta toleransını değerlendirmektir. Çalışma, perioperatif ağrı yönetimi, postoperatif iyileşme süreci ve genel hasta memnuniyeti üzerindeki etkilerini araştırmaktadır.Gereç ve Yöntemler: Bu prospektif çalışmaya, Ocak 2024 ile Aralık 2024 tarihleri arasında lokal anestezi altında PPI uygulanan 26 erkek hasta dahil edildi. Çalışma için etik onay, Antalya Eğitim ve Araştırma Hastanesi Etik Kurulu’ndan alındı (Karar No: 2/24, Tarih: 30.01.2025). Ağrı şiddeti Görsel Analog Skalası (VAS) kullanılarak değerlendirildi ve intraoperatif parametreler ile hasta stabilitesi takip edildi. Anestezi riski değerlendirmesinde Amerikan Anesteziyologlar Derneği (ASA) sınıflandırma sistemi kullanıldı.Bulgular: Hastaların ortalama yaşı 67,25 ± 11,48 yıl olup, %75’inde diyabetes mellitus, %62,5’inde hipertansiyon mevcuttu. ASA sınıflandırmasına göre hastaların %46,2’si ASA-II, %53,8’i ASA-III kategorisinde yer aldı. Ortalama intraoperatif VAS skoru 1,8 (hafif ağrı), ortalama postoperatif VAS skoru ise 4,6 (hafif-orta şiddette ağrı) olarak ölçüldü. Hiçbir hastada ek sedasyon gereksinimi ya da genel anesteziye geçiş ihtiyacı oluşmadı. Ayrıca, intraoperatif veya erken postoperatif dönemde ciddi komplikasyon veya protezle ilişkili olumsuz durum gözlenmedi.Sonuç: Lokal anestezi, penis protezi implantasyonu için güvenilir ve etkili bir alternatif olup, minimal intraoperatif rahatsızlık, sistemik anestezik komplikasyonlardan kaçınma ve avantajlı bir iyileşme süreci sunmaktadır. Daha geniş hasta gruplarında yapılacak ileri çalışmalar, ağrı yönetimi stratejilerinin optimize edilmesi ve uzun dönem fonksiyonel sonuçların değerlendirilmesi açısından gereklidir.
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UR  - https://doi.org/10.54233/endourolbull-1649521
L1  - https://dergipark.org.tr/tr/download/article-file/4652782
ER  -