Functional and Patient Reported Outcomes Following Total Glans Resurfacing
| العنوان: | Functional and Patient Reported Outcomes Following Total Glans Resurfacing |
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| المؤلفون: | Paolo Gontero, G. Blecher, Marco Capece, Marco Falcone, Andrea Cocci, Mirko Preto, Massimiliano Timpano |
| المصدر: | The Journal of Sexual Medicine. 18:1099-1103 |
| بيانات النشر: | Oxford University Press (OUP), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Penile Diseases, Penile lesion, Urology, Endocrinology, Diabetes and Metabolism, 030232 urology & nephrology, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, Patient satisfaction, medicine, Humans, Penile cancer, Patient Reported Outcome Measures, Lichen Sclerosus, Glans, Split thickness skin graft, Retrospective Studies, 030219 obstetrics & reproductive medicine, business.industry, Glans resurfacing, Cosmesis, Retrospective cohort study, Middle Aged, medicine.disease, Surgery, Organ sparing surgery, Patient Satisfaction, Penis, Treatment Outcome, Quality of Life, Psychiatry and Mental health, medicine.anatomical_structure, Reproductive Medicine, International Prostate Symptom Score, Sexual function, business |
| الوصف: | Background Whilst there is a trend away from aggressive nonorgan sparing surgical treatments for malignant penile disease, a variety of penile preservation options exist but functional outcomes and patient reported outcomes (PROs) in this area are poorly reported to date. Aim The aim of this study is to report functional outcomes and PROs of total glans resurfacing (TGR) in a consecutive series of patients with lichen sclerosis (LS) or localized penile cancer (PC). Methods From 2004 to 2018 a consecutive series of patients underwent TGR for the management of LS or localized PC in a tertiary referral network. Patient clinical records and operative notes were retrospectively reviewed. Statistical analysis was conducted with Stata 12. Outcomes Urinary and sexual outcomes were recorded utilizing both the International Index of Erectile Function (IIEF) and International Prostate Symptom Score (IPSS) validated questionnaires while PROs were extrapolated from a 5-item “ad hoc” telephone questionnaire administered at 1 year post procedure. RESULTS 37 consecutive patients were enrolled. Histology results demonstrated LS in 16 patients, with the remaining 21 having a diagnosis of PC. The most common reasons for patient presentation were local pain (32.4%), pruritus (37.8%) and bleeding (29.7%). Median follow-up was 22 (IQR 13–77) months. Median age was 62 (IQR 55–68). Neither of the questionnaires assessing urinary and sexual function showed any significant deterioration after surgery. Glans sensitivity was fully maintained in 89.2% of cases. 94.5% of patients reported to be fully satisfied with the aesthetic appearance of the penis and would consider undergoing the same procedure again if necessary. 91.9% of patients would recommend the same procedure to someone else. An overall improvement of the quality of life was reported by 86.4% of patients. Clinical Implications TGR should be considered a treatment of choice for selected cases of benign or malignant penile lesions Strengths and Limitations Our study has some limitations, the first being its retrospective nature. Furthermore, despite being one of the largest series to date, follow-up duration is somewhat limited and a control group is lacking. CONCLUSION TGR represents an excellent surgical option ensuring satisfactory voiding and sexual function, as well as cosmesis for selected cases of penile lesions. |
| تدمد: | 1743-6109 1743-6095 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1bc25e26e37873fdbb6744d8b5c0bd88 https://doi.org/10.1016/j.jsxm.2021.02.012 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....1bc25e26e37873fdbb6744d8b5c0bd88 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17436109 17436095 |
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