KẾT QUẢ PHẪU THUẬT XƠ CỨNG VẬT HANG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Background: Peyronie's disease (PD) is a disease caused by the formation of fibrous plaques in the penis. The disease can cause curvature of the penis, causing pain and hindering the patient's sexual activities. For PD patients in the chronic stage with or without erectile dysfunction, surgery is the number one treatment option to straighten the penis, protect or restore erectile function, and maintain girth and length of penis. In Vietnam, the rate of patients coming for examination and treatment for PD is still low, there are no statistics or research on this disease as well as the results of treatment. Purpose: Evaluating the results of surgical treatment of Peyronie’s disease patients at Viet Duc University Hospital. Methods: The study describes and evaluates the results after surgical for at least 6 months of 33 PD patients treated surgically at the Andrology Center - Viet Duc University Hospital, from January 2017 to June 2022. Results: After surgery, there were improvements in erectile function and penile curvature, with the average IIEF-5 score: 18.6 ± 5.6 points, the average penile curvature: 6.8° ± 9.9°. Penile length was shorter than before surgery 1.9 ± 1.0 cm. Some late complications after surgery appeared such as decreased penile sensation, lumps under the skin, and delayed ejaculation, but their rate were low. The rate of patients with satisfied and very satisfied reached 87.9%. Conclusion: Patient satisfaction after surgery was acceptable. However, it is necessary to carefully explain to the patients before surgery about some of the risks of surgery such as shortened penis and erectile dysfuntion.