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Penile vascular indices in surgically treated and conservatively treated penile fracture: does conventional immediate repair matter?

Safarinejad, Mohammad Reza and Lashkari, Mohammad Hossein and Babaei, Alireza and Dadkhah, Farid and Kolahi, Ali Asghar (2012) Penile vascular indices in surgically treated and conservatively treated penile fracture: does conventional immediate repair matter? International Urology and Nephrology, 44 (6). pp. 1631-1640. ISSN 0301-1623

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Abstract

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 mu g prostaglandin E-1. 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. Accession Number: WOS:000313523000006

Item Type: Article
Subjects: W Health professions
WX Hospital and other health Facilities
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: ePrint Admin Admin
Date Deposited: 02 Jul 2013 06:21
Last Modified: 02 Jul 2013 06:21
URI: http://eprints.ajaums.ac.ir/id/eprint/54

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