Corporoplasty under local anesthesia: Cost-effective improvement of the surgical treatment of Peyronie's disease

Ana, Morales Martínez; Carlos, Funes Padilla; Teresa, Melgarejo Segura Ma; Fernando, López Carmona Pintado; Miguel, Arrabal Martín

doi:10.1016/j.androl.2021.02.007

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Recent literature has also described the use of regional anesthesia alone, showing significant cost savings compared to more invasive anesthetic methods. 2 However, patientreported tolerability and pain under this approach remain unexamined. To address this gap, we are planning a subsequent prospective study specifically focusing on patients undergoing penile plication with only local anesthesia, potentially supplemented with oral or inhaled anxiolytics.…”

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confidence: 99%

Editorial Commentary

Ziegelmann

2024

Urology Practice

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Section: Reply By Authorsmentioning

confidence: 99%

Editorial Commentary

Ziegelmann

2024

Urology Practice

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“…Recent literature has also described the use of regional anesthesia alone, showing significant cost savings compared to more invasive anesthetic methods. 2 However, patient-reported tolerability and pain under this approach remain unexamined. To address this gap, we are planning a subsequent prospective study specifically focusing on patients undergoing penile plication with only local anesthesia, potentially supplemented with oral or inhaled anxiolytics.…”

mentioning

confidence: 99%

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Bal,

Fidel,

Shah

et al. 2024

Urology Practice

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Altieri modified Nesbit corporoplasty for the treatment of penile curvature: Comparison of local anesthesia vs loco-regional anesthesia on the clinical outcomes

Altieri,

Saldutto,

Verratti

et al. 2024

Arch Ital Urol Androl

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Objective: To compare the safety profile and clinical outcomes of Altieri-modified Nesbit corporoplasty using two different anesthesia methods including spinal anesthesia and local anesthesia. Materials and methods: A total of 40 patients with congenital penile curvature (CPC) and Peyronie’s disease (PD) underwent Altieri-modified Nesbit corporoplasty. Group 1 (n = 20) received spinal anesthesia, and Group 2 (n = 20) received local anesthesia. The patients were categorized into age groups (< 30 years, 31-45 years, 46-60 years, and 61-75 years) for analysis. Clinical outcomes, post-operative complications, hospital stay, pain levels, and other parameters were assessed. Results: The results showed that 2 patients (10%) reported postoperative complications, including headache, arterial hypotension, and penile foreskin necrosis from the spinal anesthesia group. Whereas, in the local anesthesia group, 1 patient (5%) reported scar phimosis. Further, post-operative pain was predominantly very mild, with 16 patients (80%) in the spinal anesthesia group and 14 patients (70%) in the local anesthesia group experiencing minimal discomfort. Age did not significantly impact hospital stay, post-operative intestinal disorders, constipation, lower urinary tract symptoms, voiding burning, or dysuria. Conclusions: Spinal anesthesia may lead to more post-operative complications and longer hospital stays compared to local anesthesia. Age does not significantly affect most clinical outcomes but can influence post-operative pain in patients receiving local anesthesia.

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Corporoplasty under local anesthesia: Cost-effective improvement of the surgical treatment of Peyronie's disease

Cited by 3 publications

References 21 publications

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Altieri modified Nesbit corporoplasty for the treatment of penile curvature: Comparison of local anesthesia vs loco-regional anesthesia on the clinical outcomes

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