Penis Kırıklarının Acil Cerrahi Tedavisinin Sonuçları: Dikiş Malzemeleri, Gecikmiş Onarım ve Ameliyat Sonrası Sonuçlar Üzerine Bir Çalışma

Yıl 2024, , 145 - 150, 30.10.2024

Süleyman Sağır , Ferhat Çelikkaleli , Müslüm Ergün , Cüneyt Özden , Mustafa Güler , İzzettin Toktaş

https://doi.org/10.33719/nju1545993

Öz

Amaç: Bu çalışma, penis kırığı (PK) hastalarında cerrahi zamanlama ve dikiş malzemelerinin ameliyat sonrası sonuçlar üzerindeki etkisini, özellikle penil kurvatür (PK) gelişimine odaklanarak incelemektedir.

Gereç ve Yöntemler: 2015-2024 yılları arasında penis kırıkları nedeniyle tedavi edilen 63 hasta üzerinde retrospektif bir analiz yapıldı. Ameliyat süresi, dikiş malzemeleri ve PK gibi ameliyat sonrası komplikasyonlar hakkındaki veriler toplandı.

Bulgular: Hastaların %27’sinde PK gelişti ve bu hastalarda cerrahi müdahale süresi, PK gelişmeyenlere kıyasla anlamlı derecede daha uzun bulundu. Dikiş malzemesi türü (2-0 Prolene ve 3-0 Vicryl) PK veya nodül oluşumu üzerinde anlamlı bir etkiye sahip değildi.

Sonuç: Gecikmiş cerrahi müdahale, PK riskinin artmasıyla ilişkilidir. Komplikasyonları azaltmak için erken cerrahi önerilmektedir, ancak dikiş malzemesi sonuçları etkilememektedir.

Anahtar Kelimeler

(Penis kırığı, Penis eğriliği, Dikiş malzemeleri, Ameliyat sonrası sonuçlar

Outcomes of Emergency Surgical Treatment for Penile Fractures: A Study on Suture Materials, Delayed Repair, and Postoperative Results

Öz

Objective: This study examines the impact of surgical timing and suture materials on postoperative outcomes in penile fracture patients, particularly focusing on the development of penile curvature (PC).
Materials and Methods: A retrospective analysis was conducted on 63 patients treated for penile fractures between 2015 and 2024. Data on the time to surgery, suture materials, and postoperative complications such as PC were collected.
Results: PC occurred in 27% of patients, with a significantly longer surgical delay in those with PC compared to those without. Suture material type (2-0 Prolene vs. 3-0 Vicryl) had no significant effect on PC or nodule formation.
Conclusion: Delayed surgical intervention is associated with an increased risk of PC. Early surgery is recommended to reduce complications, while suture material does not influence outcomes.

Anahtar Kelimeler

Penile fracture, surgical timing, penile curvature, suture materials, postoperative outcomes.

Etik Beyan

Ethical approval was obtained from the Gazi Yaşargil Training and Research Hospital, Health Sciences University, on June 7, 2024, with reference number 88.

Kaynakça

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