evaluación clínica y calidad de vida de los pacientes con implante de prótesis peneana clinical evaluation and life quality of patients with penile prosthesis

Clicks: 318
ID: 130709
2012
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Abstract
Se realizó un estudio descriptivo y longitudinal de 29 pacientes con disfunción sexual grave o moderada, atendidos en la consulta de Sexología del Hospital Clinicoquirúrgico Docente "Dr. Joaquín Castillo Duany" de Santiago de Cuba, desde enero del 2008 hasta diciembre del 2011, a los que posteriormente se les implantó prótesis peneana maleable por no responder a otras terapias. Fueron analizados los indicadores de calidad de vida (antes y después de aplicado el tratamiento quirúrgico) por medio de la escala de autovaloración Dembo-Rubinstein y se obtuvo que previo a la intervención 89,6 % de los afectados tenía función eréctil muy deteriorada, pero luego de la terapéutica alcanzaron índices de erección peneana que les permitió la penetración. Del total de la serie, 3 integrantes no mejoraron dicha disfunción, pues padecieron la extrusión de 1 o 2 cilindros; no obstante, de los 2 que expulsaron un cilindro, uno logró erección favorable (3,4 %). A pesar de que 2 operados (9,6 %) no experimentaron la mejoría deseada, el tratamiento resultó eficaz en la mayoría de los pacientes, quienes mostraron un elevado grado de satisfacción.
A descriptive and longitudinal study was carried out in 29 patients with moderate or severe sexual dysfunction, attended in the Sexology Department of "Dr. Joaquín Castillo Duany" Clinical Surgical Teaching Hospital of Santiago de Cuba, from January 2008 to December 2011, in whom a malleable penile prosthesis was subsequently implanted for not responding to other therapies. Indicators of life quality (before and after surgery) by means of Dembo-Rubistein self-evaluation scale were analyzed, and it was found that before surgery 89.6% of those affected had a marked impairment of erectile function, but after treatment they reached levels of penile erection that allowed penetration. Of the total of the series, 3 patients did not improve this dysfunction, as they suffered extrusion of 1 or 2 cylinders; however, of the two patients that expelled a cylinder, one achieved positive erection (3.4%). Although 2 patients operated (9.6%) did not experience the desired improvement, the treatment was effective in most patients who showed a high level of satisfaction.
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lobaina2012medisanevaluacin Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Rider Palermo Lobaina;Ramiro Fragas Valdés;Celso Suárez Lescay;Josefina Rodríguez Bestard
Journal Endocrine
Year 2012
DOI
DOI not found
URL
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192012000700004
Keywords
quality of life sexual dysfunction penile prosthesis sexology department

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