Scopus
YÖKSİS Eşleşti
No difference between split-thickness and full-thickness skin grafts for surgical repair in adult acquired buried penis regarding surgical and functional outcomes: a comparative retrospective analysis
International Journal of Impotence Research · Ocak 2024
YÖKSİS Kayıtları
No difference between split-thickness and full-thickness skin grafts for surgical repair in adult acquired buried penis regarding surgical and functional outcomes: a comparative retrospective analysis
International Journal of Impotence Research · 2024 SCI-Expanded
DOÇENT MURAT GÜL →
Makale Bilgileri
DergiInternational Journal of Impotence Research
Yayın TarihiOcak 2024
Scopus ID2-s2.0-85184271064
Özet
Adult Acquired Buried Penis (AABP) is a pathological condition necessitating surgical correction, ranging from simple to complex procedures involving the utilization of full-thickness (FTSG) or split-thickness (STSG) skin grafts especially in cases of substantial viable penile skin loss. In this retrospective study, we aimed to compare the surgical, functional, and patient-reported outcomes (PROs) of graft types that were utilized to treat AABP among 39 patients at a single center between November 2017 and May 2023. Among these patients, 22 needed skin grafts, with 9 undergoing FTSG and the remainder receiving STSG. Lichen Sclerosus (LS) was the primary cause (54.6%) of AABP requiring skin grafts. Patients primarily presented with voiding (63.6%) and sexual (27.3%) dysfunction. The STSG group had a lower mean age (64.7 ± 11.6) than the FTSG group (66.7 ± 11.6; P = 0.015), with no significant differences in BMI (p = 0.643). Complex repairs (Santucci grade ≥3) were performed in 81.0% of cases, with 88.9% in the FTSG group and 75.0% in the STSG group. Operative times were similar (160.2 ± 31.7 vs 161.5 ± 50.3, p = 0.945). No significant differences in preoperative penis length were found between the FTSG and STSG groups (P = 0.918). Postoperative complications occurred in 36.4% of patients, with severe complications (Clavien grade ≥3) in 9.1%. General postoperative complications and recurrence rates did not significantly differ between groups (P = 0.397 and 0.375; respectively). Functional outcomes, evaluated using the International Index of Erectile Function and the International Prostate Symptom Score, improved significantly in both groups after surgical procedures (P < 0.001 for all). Patient-reported satisfaction for the operation was 81.3% calculated by ad-hoc questionnaire. In conclusion, no discernible differences in outcomes were observed between STSG and FTSG. Larger comparative studies with extended follow-up periods and validated questionnaires are warranted for confirmation. Physicians should consider specialized centers for AABP surgical repair due to its intricacies.
Yazarlar (9)
1
Murat Gul
ORCID: 0000-0002-6657-6227
2
Natalia Plamadeala
3
Marco Falcone
ORCID: 0000-0003-1101-892X
4
Mirko Preto
ORCID: 0000-0002-8144-6498
5
Lorenzo Cirigliano
ORCID: 0000-0002-8732-4272
6
Federica Peretti
7
Ilaria Ferro
8
Martina Scavone
9
Paolo Gontero
Kurumlar
Azienda Ospedaliera - Universitaria Città della Salute e della Scienza di Torino
Turin Italy
Selçuk Üniversitesi
Selçuklu Turkey
Università degli Studi di Torino
Turin Italy
Metrikler
2
Atıf
9
Yazar