دورية أكاديمية
The Revised PENIS Score and proposal of the PACKAGE Checklist: a meta-epidemiologic study on penile amputation and replantation.
| العنوان: | The Revised PENIS Score and proposal of the PACKAGE Checklist: a meta-epidemiologic study on penile amputation and replantation. |
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| المؤلفون: | Tran AA; Department of Urology, University of Arkansas for Medical Sciences, Little Rock, AR 72223, United States., Machado BLC; Department of Urology, University of Arkansas for Medical Sciences, Little Rock, AR 72223, United States., Kuykendall KH; Department of Urology, University of Arkansas for Medical Sciences, Little Rock, AR 72223, United States., Spencer HJ; Department of Urology, University of Arkansas for Medical Sciences, Little Rock, AR 72223, United States., Scherzer ND; Department of Urology, University of Arkansas for Medical Sciences, Little Rock, AR 72223, United States., Almajed WS; Department of Urology, School of Medicine, Tulane University, New Orleans, Louisiana 70112, United States., Saghir N; Department of Plastic Surgery and Burns, Wythenshawe Hospital, Manchester, United Kingdom., Saghir R; Department of General Surgery, Calderdale and Huddersfield NHS Trust, Huddersfield, United Kingdom., Hellstrom WJG; Department of Urology, School of Medicine, Tulane University, New Orleans, Louisiana 70112, United States. |
| المصدر: | Sexual medicine reviews [Sex Med Rev] 2023 Jun 27; Vol. 11 (3), pp. 278-290. |
| نوع المنشور: | Review; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: Netherlands NLM ID: 101614773 Publication Model: Print Cited Medium: Internet ISSN: 2050-0521 (Electronic) Linking ISSN: 20500521 NLM ISO Abbreviation: Sex Med Rev Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : [Oxford] : Oxford University Press Original Publication: Hoboken, NJ : Wiley, 2013- |
| مواضيع طبية MeSH: | Microsurgery* , Amputation, Traumatic*/surgery , Amputation, Traumatic*/psychology, Male ; Humans ; Checklist ; Replantation ; Penis/surgery ; Postoperative Complications/surgery |
| مستخلص: | Introduction: Penile amputation causes severe physical and psychosocial distress. Microsurgical implementation in penile replantation is presumed to be superior to surgical repair. This assumption has been difficult to verify. Objectives: The purpose of this study was threefold: (1) to produce an updated review of penile replantation, substantiated by the largest sample size to date; (2) to appraise the comparative value of the novel PENIS Score and propose the PACKAGE Checklist, a guide for standardization of future case reports and reviews; and (3) to improve confusing terminology and recommend the standardization of vocabulary. Methods: A literature review assessed 432 full-text case reports in 20 languages and identified 123 microsurgical and 40 surgical cases of penile replantation. The novel PENIS Score stratified penile amputations based on 5 criteria: position along the shaft, extension through the penis, neurovascular repair, ischemia time and type, and severed edge condition and contamination. For the outcome measurements, a Kendall tau coefficient evaluated the association between each PENIS criterion for short-term postoperative complications and 3 outcome measures: erection, urination, and sensation. Results: Less than half of surgical reports on penile replantation are sufficiently detailed to complete all PENIS Score criteria. The viability of microsurgical and surgical replantation was equivalent at 92% and 94%, respectively. A statistically significant correlation was found between microsurgical repair and the return of sensation but not with nerve repair. Return of sensation with nerve repair was 51%, and microsurgical replantation without nerve repair was 42%; both were significantly higher than the 14% for surgical replantation. Preservation of a skin bridge was associated with a 40% reduction in severe postoperative complications. Conclusion: Microsurgical replantation is superior in return of sensation, with or without nerve repair. Implementing the PACKAGE Checklist and PENIS Score will help inform case reports and reviews. (© The Author(s) 2023. Published by Oxford University Press on behalf of The International Society of Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| فهرسة مساهمة: | Keywords: PACKAGE checklist; PENIS score; microsurgery; penile amputation; penile replantation |
| تواريخ الأحداث: | Date Created: 20230320 Date Completed: 20230704 Latest Revision: 20230704 |
| رمز التحديث: | 20230704 |
| DOI: | 10.1093/sxmrev/qead005 |
| PMID: | 36941207 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2050-0521 |
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| DOI: | 10.1093/sxmrev/qead005 |