Intracavernosal pressure of the erect penis in children with hypospadias.

Autor: Ben-Meir D; Pediatric Urology Unit, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Abu Sbaih F; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Anesthesiology department, Schneider Children's Medical Center of Israel, Petah Tikva, Israel., Frumer M; Pediatric Urology Unit, Schneider Children's Medical Center of Israel, Petah Tikva, Israel. mic1039@gmail.com.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. mic1039@gmail.com.
Jazyk: angličtina
Zdroj: International journal of impotence research [Int J Impot Res] 2024 Feb; Vol. 36 (1), pp. 68-71. Date of Electronic Publication: 2023 Oct 28.
DOI: 10.1038/s41443-023-00788-0
Abstrakt: This study objective is to examine the intracavernosal pressure (ICP) in hypospadias boys with and without previous corporotomies. Retrospectively, the ICPs that were measured routinely as part of the artificial erection test in boys who underwent hypospadias repair were collected. The measurement (mmHg) included a slow manual saline instillation and a 21-gauge needle in the corpora cavernosa, which was connected to a pressure monitor. The full and rigid erections were defined according to the Erection Hardness Score by agreement between the two surgeons operating on the patient. Included were 61 boys with a median age of 15 months (IQR 8-27). Group A included 32 boys with coronal, subcoronal, or penile hypospadias. Group B included 29 boys with penoscrotal, scrotal, and perineal hypospadias. The median pressures at full erection for Groups A and B were 71.5 (IQR 59-79) and 62.5 (IQR 48-71) (p = 0.036), respectively, and at rigid erection were 283 (IQR 219-310) and 237 (IQR 182-278) (p = 0.032), respectively. In group B, median pressures at full erection for boys with and without previous corporotomies were 53.5 (IQR 45-65) and 69 (IQR 57-82), respectively (p = 0.001), and at rigid erection were 189.5 (IQR 113-263) and 264.5 (IQR 226-298), respectively (p = 0.003). In a comparison between group A boys to 18 boys in group B who did not have corporotomies, the median pressures at full erection were 71.5 (IQR 59-79) and 69 (IQR 57-82), respectively (p = 0.9), and at rigid erection were 283 (IQR 219-310) and 264 (IQR 226-298), respectively (p = 0.86). In conclusion, ICPs of artificial erections are lower in proximal hypospadias and in boys with previous corporotomies. The durability and the implications of these pressures require further research.
(© 2023. The Author(s), under exclusive licence to Springer Nature Limited.)
Databáze: MEDLINE
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