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[Outcome, quality of life and functional assessment after perineal and external genitalia gangrene]. / Prise en charge de la gangrène des organes génitaux externes et du périnée : résultats, qualité de vie et évaluation fonctionnelle.
Espeillac, C; Charles, T; Donatini, G; David, R; Bertheuil, N; Leclère, F M.
Afiliación
  • Espeillac C; Service d'urologie, CHU de Poitiers, université de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France. Electronic address: cyprien.espeillac@chu-poitiers.fr.
  • Charles T; Service d'urologie, CHU de Poitiers, université de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France.
  • Donatini G; Service de chirurgie digestive, CHU de Poitiers, université de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France.
  • David R; Physical and rehabilitation medicine unit, HAVAE EA6310, Limoges university hospital, university of Limoges, 87000 Limoges, France.
  • Bertheuil N; Service de chirurgie plastique, CHU de Rennes, université de Rennes, Rennes, France.
  • Leclère FM; Service de chirurgie plastique, reconstructrice et esthétique, CHU de Poitiers, université de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France; ABS Lab, université de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France.
Prog Urol ; 33(5): 247-253, 2023 Apr.
Article en Fr | MEDLINE | ID: mdl-36935331
INTRODUCTION: External genitalia gangrene is a well-known uncommon disease; however, mortality remains important. Recent literature focuses on early management. The object of this study was to assess quality of life and disease-specific function, in the medium- and long-term. METHOD: We evaluated retrospectively adult inpatients with external genitalia gangrene who had a surgical debridement between 2010 and 2020 at CHU de Poitiers. Preoperatory FGSI Score was calculated for patients included. In a second phase, surviving patients at 2020 who had agreed to take part in the follow-up were assessed by clinical examination, and asked to complete Short-Form 36 test and two additional disease-specific questionnaire (USP, IIEF5). RESULTS: The patients consisted of 33 men. Mean age was 61.18. Eleven patients (33%) died primarily from external genitalia gangrene. Median FGSI score was 6 (1-13). We were able to reach 11 patients (33%) for secondary clinical revaluation. Time before revaluation was 3months to 8years. All parts of SF-36 were significantly low. Mean USP score was 1.27±2.68/4.54±4.43/0.72±1.84. Nine patients (81%) suffered erectile dysfunction without any sexual intercourse possible. CONCLUSION: Patients with external genitalia gangrene experience severe deterioration of their quality of life. Multidisciplinary healthcare process should systematically be carried out, as so as early screening of vulnerability risks factors, to improve functional outcomes and quality of life.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Gangrena de Fournier / Gangrena Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Humans / Male / Middle aged Idioma: Fr Revista: Prog Urol Asunto de la revista: UROLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Gangrena de Fournier / Gangrena Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Humans / Male / Middle aged Idioma: Fr Revista: Prog Urol Asunto de la revista: UROLOGIA Año: 2023 Tipo del documento: Article Pais de publicación: Francia