Evidence map›Paper›PMID 26558108›Full record

ArticleArab journal of urology2013

Reconstructive surgery for idealising penile shape and restoring erectile function in patients with penile dysmorphology and erectile dysfunction.

Geng-Long Hsu, Eugen Molodysky, Shih-Ping Liu, Hong-Chiang Chang, Cheng-Hsing Hsieh, Chih-Yuan Hsu

Open access · diamondAbstract read
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Article in Arab journal of urology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Geng-Long HsuMicrosurgical Potency Reconstruction and Research Center, Hsu's Andrology and Puli Christian Hospital, Nanto, Taipei, Taiwan ; Department of Urology, National Taiwan University Hospital, College of Medicine, Taipei, Taiwan.
Eugen MolodyskyDiscipline of General Practice, Sydney School of Medicine, University of Sydney, Australia.
Shih-Ping LiuDepartment of Urology, National Taiwan University Hospital, College of Medicine, Taipei, Taiwan.
Hong-Chiang ChangDepartment of Urology, National Taiwan University Hospital, College of Medicine, Taipei, Taiwan.
Cheng-Hsing HsiehBuddhist Tzu-Chi General Hospital, Taipei Branch, Buddhist Tzu Chi University, Hualien, Taiwan.
Chih-Yuan HsuMicrosurgical Potency Reconstruction and Research Center, Hsu's Andrology and Puli Christian Hospital, Nanto, Taipei, Taiwan.
National Taiwan University Hospital · TWTzu Chi University · TWUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report an innovative combination of two surgical procedures to treat patients with erectile dysfunction and penile deviation, arising from advances in penile anatomy. PATIENTS AND

methodsFrom October 1998 to October 2011, 132 men (aged 23-39 years) underwent penile venous stripping and corporoplasty. Of these, 37 were allocated to a transverse and 95 to a longitudinal group, with an infrapubic transverse or pubic median longitudinal approach, respectively. The abridged five-item version of the International Index of Erectile Function (IIEF-5) and cavernosography were used for assessment, as necessary. Under acupuncture-aided local anaesthesia, and after a circumferential incision, the deep dorsal vein and cavernous veins were completely stripped, with 6-0 Nylon sutures for ligation, followed by tunical surgery for correcting the penile shape.

resultsIn the transverse and longitudinal groups the mean (SD) duration of surgery was 4.6 (0.2) and 4.8 (0.3) h, respectively. Before surgery the mean (SD) IIEF-5 score was 9.4 (2.3) and 9.6 (2.1), which increased to 20.6 (2.4) and 20.8 (2.7), respectively, after surgery. The penile shape (<15°) was deemed satisfactory in 92% (34/37) and 96% (91/95) of patients in the transverse and longitudinal groups, respectively. The cavernosograms consistently showed a good penile shape. There were significant differences in the mean (SD) duration of penile oedema, at 3.2 (1.6) vs. 11.9 (2.1) days, the overall satisfaction rate and the prevalence of hypertrophied scarring (all P < 0.001).

conclusionThis combination of unique penile venous stripping with a pubic median longitudinal approach and an anatomy-based corporoplasty is ideally suited to the simultaneous restoration of penile erectile function and morphological reconstruction.

Indexed as

CorporoplastyCV, cavernous veinDDV, deep dorsal veinED, erectile dysfunctionErectile dysfunctionIIEF, International Index of Erectile FunctionPDE1, prostaglandin-E1Penile deviationVeno-occlusive dysfunctionVenous strippingVOD, veno-occlusive dysfunction

Identifiers

PMID26558108
PMCPMC4442992
OpenAlexW1986852703

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.