Negative Self-Perception and Self-Attitude of Sexuality Is a Risk Factor for Patient Dissatisfaction Following Penile Surgery with Small Intestinal Submucosa Grafting for the Treatment of Severe Peyronie’s Disease
Abstract
:1. Introduction
2. Patients and Methods
2.1. Patients
2.2. Patient Reported Outcome Measure
2.3. Follow-Up
2.4. Surgical Procedure and Postoperative Management
2.5. Statistical Analysis
3. Results
3.1. Patient Characteristics
3.2. Patient Reported Outcomes
3.3. Patient Satisfaction
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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All (n = 82) | |
---|---|
Age (years; mean (95% CI)) | 56.9 (55.5–58.5) |
Body mass index (mean (95% CI)) 6 (7.3%) patients missing | 26.6 (25.7–27.4) |
Comorbidities (n; %) | |
Hypertension | 25 (30.5) |
Diabetes | 7 (8.5) |
Depression | 5 (6.1) |
Morbus Dupuytren | 15 (18.3) |
Morbus Ledderhose | 1 (1.2) |
Prostatic hyperplasia | 9 (11.0) |
Penile trauma | 11 (13.4) |
Smoking status (n; %) | |
Active | 45 (54.9) |
No | 17 (20.7) |
Unknown | 20 (24.4) |
Penile curvature (degree; mean, (95% CI)) 18 (22%) patients missing | 64.8 (59.1–70.5) |
Direction of penile curvature (n; %) | |
Ventral | 3 (3.7) |
Dorsal | 51 (62.2) |
Lateral left | 11 (13.4) |
Lateral right | 6 (7.3) |
Plaque size (cm; mean, (95% CI)) 44 (53.7%) patients missing | 2.9 (1.7–4.2) |
Duration of PD-specific symptoms (days; mean (95% CI)) 1 (1.2%) patient missing | 343.8 (217.7–469.8) |
Previous PD-specific treatments (n; %) | |
Potaba | 26 (41.3) |
Vitamine E | 13 (20.6) |
Steroids | 1 (1.6) |
Interferon | 1 (1.6) |
Verapamil | 1 (1.6) |
ESWT | 1 (1.6) |
None | 24 (38.1) |
Unknown | 19 (23.2) |
Preoperative Resistance index as measured by CDDU (mean (95% CI)) 29 (35.4%) patients missing | 0.87 (0.82–0.93) |
Preoperative | Postoperative | Difference | p-Value | |
---|---|---|---|---|
IIEF-EF score (mean (95% CI)) | 12.2 (8.4–15.9) 29 (50%) patients missing | 14.5 (12.2–16.9) | 2.0 (−4.5–8.5) | 0.13 * |
Erectile dysfunction according to IIEF-EF (n; %) | 0.041 # | |||
Severe | 11 (19.0) | 22 (37.9) | ||
Moderate | 7 (12.1) | 13 (22.4) | ||
Mild to moderate | 4 (6.9) | 6 (10.3) | ||
Mild | 3 (5.2) | 7 (12.1) | ||
No | 2 (3.4) | 10 (17.2) | ||
Missing | 29 (50.0) | 0 (0) |
Odds Ratio | 95% CI | p-Value | |
---|---|---|---|
Subjective loss of penile length | 2.026 | 1.152–3.563 | 0.014 |
Subjective reduced erectile function | 2.154 | 0.507–9.147 | 0.298 |
Negative body related self-perceptions and self-attitudes of sexuality | 3.632 | 1.231–10.718 | 0.020 |
IIEF-EF score | 0.870 | 0.805–0.940 | <0.001 |
SF-8 physical component score | 0.963 | 0.898–1.034 | 0.299 |
SF-8 mental component score | 0.971 | 0.920–1.026 | 0.298 |
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Soave, A.; Laurich, S.; Dahlem, R.; Vetterlein, M.W.; Engel, O.; Nieder, T.O.; Briken, P.; Rink, M.; Fisch, M.; Reiss, P. Negative Self-Perception and Self-Attitude of Sexuality Is a Risk Factor for Patient Dissatisfaction Following Penile Surgery with Small Intestinal Submucosa Grafting for the Treatment of Severe Peyronie’s Disease. J. Clin. Med. 2019, 8, 1121. https://doi.org/10.3390/jcm8081121
Soave A, Laurich S, Dahlem R, Vetterlein MW, Engel O, Nieder TO, Briken P, Rink M, Fisch M, Reiss P. Negative Self-Perception and Self-Attitude of Sexuality Is a Risk Factor for Patient Dissatisfaction Following Penile Surgery with Small Intestinal Submucosa Grafting for the Treatment of Severe Peyronie’s Disease. Journal of Clinical Medicine. 2019; 8(8):1121. https://doi.org/10.3390/jcm8081121
Chicago/Turabian StyleSoave, Armin, Sebastian Laurich, Roland Dahlem, Malte W. Vetterlein, Oliver Engel, Timo O. Nieder, Peer Briken, Michael Rink, Margit Fisch, and Philip Reiss. 2019. "Negative Self-Perception and Self-Attitude of Sexuality Is a Risk Factor for Patient Dissatisfaction Following Penile Surgery with Small Intestinal Submucosa Grafting for the Treatment of Severe Peyronie’s Disease" Journal of Clinical Medicine 8, no. 8: 1121. https://doi.org/10.3390/jcm8081121