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Hipospadias ve erkek cinsel sağlığı

Hipospadias ve erkek cinsel sağlığı

Abstract

Hypospadias is a relatively common congenital male genital anomaly affecting 1:300 live male births worldwide. This anomaly is characterized by an abnormal localization of the urethra on the ventral surface of the penis. The urethral opening is sited anywhere along the underside of the penis from the glans to the perineum. Most have a distal urethral opening on or near the glans, whereas in 10% the meatus is located between the proximal shaft and the perineum. In this anomaly, the traditional teatment approach is consist of surgical repair. From 1890s until now, hundreds of surgical procedures have been described for the repair of hypospadias. The aim of surgical repair is to create a functional neourethra, correct penile curvature, and produce a cosmetically normal penile appearance. Most research on the outcomes of hypospadias surgery has focused primarily on surgical techniques and functional outcomes. However patient’s perceptions of cosmetic penile appearance and sexual functions are very important parameters after surgical repair in long term follow up period. In Turkish literature very little information is available about hypospadias and sexual functions. In this review the relationship between hypospadias and sexual function was evaluated

Hipospadias erkek canlı doğumlarının 300'de birinde görülen nispeten yaygın konjenital uretral anomalidir. Bu anomali uretranın penisin ventral yüzündeki anormal lokalizasyonu ile karakterizedir. Uretra glans penisten perineye kadar olan penisin ventral yüzündeki herhangi bir alan boyunca olabilir. Uretral açılımların çoğu glans penis üzerinde ya da yakınlarında iken %10 olguda meatus perine ve proksimal kısım arasındadır. Bu anaomalide geleneksel tedavi yaklaşımı cerrahi tamiri içermektedir. 1890'lı yıllardan günümüze kadar hipospadias cerrahisinde yüzlerce cerrahi yaklaşım tanımlanmıştır. Cerrahi tedavinin amacı fonksiyonel yeni üretra oluşturmak, penil eğriliği düzeltmek ve kozmetik olarak normal görünümlü penis oluşturmaktır. Hipospadias cerrahisindeki sonuçlar üzerine yapılan araştırmalarda çoğunlukla primer olarak cerrahi teknikler ve fonksiyonel sonuçlar üzerine odaklanılmıştır. Ancak, hastaların kozmetik penil görünümleri ile ilgili algıları ve cinsel işlevler cerrahi tedavi sonrası uzun dönem takiplerde oldukça önemli parametrelerdir. Türkçe literatürde hipospadias ve cinsel işlevlerle ilgili çok az bilgi bulunmaktadır. Bu derlemede, hipospadias ve cinsel işlevler arasındaki ilişki incelemiştir

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Turkey
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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green