Evidence-Based Criteria for Pain of Interstitial Cystitis/Painful Bladder Syndrome in Women

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• 作者：John W. Warren ; Jessica Brown ; J. Kathleen Tracy ; Patricia Langenberg ; Ursula Wesselmann ; Patty Greenberg
• 关键词：Firm boundary ; Vertical integration ; Keiretsu ; Relational contract ; Specificity ; Interdependency ; Testability
• 刊名：Urology
• 出版年：2008
• 期刊代码：267_00904295
• 类别：med
• 出版时间：March 2008
• 卷：71
• 期：3
• 页码：444-448
• 文件大小：91 K

摘要

A total of 45 penile plication procedures were performed in 43 pediatric patients, of whom 39 had mild to moderate and 4 had severe curvature. Eight patients had previously undergone penile curvature repair. After the induction of an artificial erection test a 4 or 5-zero polypropylene plication suture was placed at the point of maximal curvature at the 12 o'clock position.

Results

Of patients with mild to moderate curvature 97%underwent a successful initial procedure. Satisfactory results were achieved in only 2 of the 4 patients with severe curvature. Two of the 3 initial failures were successfully reoperated using the same technique. The procedure was successful in all 8 patients who had previously undergone operation for curvature repair.

Conclusions

Midline dorsal penile plication is a safe, simple to perform procedure that achieves excellent results in patients with mild to moderate curvature. It is a useful technique in patients in who previous repairs have failed. We suggest other repair techniques for severe curvature.