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Erschienen in:
01.12.2012 | Urology - Original Paper
Penile vascular indices in surgically treated and conservatively treated penile fracture: does conventional immediate repair matter?
Erschienen in: International Urology and Nephrology | Ausgabe 6/2012
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Objective
To investigate the impact of immediate surgical repair and conservative treatment of penile fracture (PF) on penile vascular indices.
Methods
The study includes 146 surgically treated (group 1), and 56 conservatively treated patients (group 2). All of the participants underwent penile duplex Doppler ultrasonography (PDDU), and Doppler parameters including the peak systolic velocity (PSV), end diastolic velocity (EDV), and resistive index (RI) were measured in both corpora at baseline and after intracavernosal injection of 20 μg prostaglandin E1. Univariable and multivariable Cox regression analysis addressed study variables.
Results
An increased number of men in group 2 (25.0 %) compared with men in group 1 (19.2 %) reported ED, but the difference did not reach statistical significance (P = 0.06). In patients with ED the mean PSV did not differ significantly between the group 1 (30.1 ± 4.02 cm/s) and group 2 (30.1 ± 4.02 cm/s) (P = 0.32). Also, in patients without ED, the mean PSV for group 1 (82.4 ± 24.1 cm/s) subjects did not differ significantly from the means for the group 2 patients (79.4 ± 27.2 cm/s) (P = 0.21). Vascular hemodynamics in fractured corpus cavernosum did not differ significantly between two groups (P = 0.08).
Conclusions
Current method of surgical treatment does not provide better outcome in terms of erectile function and penile vascular hemodynamics.