脱细胞异体补片移植阴茎增粗术后患者决策后悔分析

doi:10.19723/j.issn.1671-167X.2020.04.015

Abstract

Abstract:

Objective: To evaluate decision regret among patients receiving penile girth enhancement with acellular dermal matrix (PGE with ADM) and to investigate the potential indicators for decisional regret so as to facilitate the decision-making process for this special group. Methods: In the study, 78 patients receiving PGE with ADM from Jun. 2016 to Jan. 2019 at Peking University People’s Hospital and cooperative hospitals were eligible. Penile girth was taken by only one surgeon 1 week before surgery. Hospital anxiety and depression scale (HAD), international index of erectile function (IIEF) and a 10 cm long visual analogue scale named visualized penile image (VPI) were applied to measure psychological burden, erectile function and satisfaction with penile image respectively at the same time. All the patients were followed up for 3 months. Decision regret scale (DRS) was adopted for measuring decisional regret. Multivariate analysis of variance was applied to investigate the potential indicators for regret. Data analysis process was conducted with SPSS (version 24.0; SPSS, Chicago, IL, USA). Results: Mean penile girth recorded before intervention was (8.29±0.30) cm and increased to (9.46±0.29) cm post surgery (t=76.28, P< 0.01). As for both subscales of HAD measuring psychological burden, a signi-ficant reduction in the mean score was seen, that is, 2.8±1.3 (t=19.28, P< 0.05) for anxiety and 3.0±1.2 (t=20.67, P< 0.05) for depression, respectively. The average score of VPI increased by 3.7±1.1 (t=30.63, P< 0.05). There was no significant change in the average score of IIEF measuring erectile satisfaction (t=1.60, P=0.11). Twenty-nine (38.2%) patients expressed regret to some degree, and the mean DRS score was 23.4±14.8. The scores of DRS correlated negatively with scores of visualized penis image (r=-0.348, P< 0.01), and positively with scores of anxiety (r=0.760, P< 0.01) and depression subscale (r=0.471, P< 0.01). The scores of DRS was irrelevant to those of IIEF (r=0.02, P=0.867). The patients with high annual income (> 120 000 yuan) and education level above undergraduate were more prone to experience decision regret after intervention (P< 0.01). Conclusion: PGE with ADM did augment penile girth and lower psychological burden, the regret rate of which was acceptably low among the patients. High income and good education might indicate more post-operative regret. Additional decision-making aids should be offered to patients with high income and education level above high school.

Key words: Decision regret, Penile girth enhancement, Acellular dermal matrix

CLC Number:

R699.8

Chun-long ZHANG,He LI,Qing LI,Wen-jun BAI,Tao XU,Xiao-wei ZHANG. Decision regret analysis among Chinese patients receiving penile girth enhancement with acellular dermal matrix[J].Journal of Peking University (Health Sciences), 2020, 52(4): 678-683.

Figures/Tables 4

Table 1

Figure 1

Table 2

Table 3

References 24

[1]	Tiggemann M, Martins Y, Churchett L. Beyond muscles: unexplored parts of men's body image[J]. J Health Psychol, 2008,13(8):1163-1172. pmid: 18987089
[2]	Lever J, Frederick DA, Peplau LA. Does size matter? Men’s and women’s views on penis size across the lifespan[J]. Psychol Men Masc, 2006,7(3):129.
[3]	Hehemann MC, Towe M, Huynh LM, et al. Penile girth enlargement strategies: What’s the evidence[J]. Sex Med Rev, 2019,7(3):535-547.
[4]	Svenson O. Differentiation and consolidation theory of human decision making: a frame of reference for the study of pre- and post-decision Processes[J]. Acta Psychol (Amst), 1992,80(1):143-168.
[5]	Zeelenberg M, Pieters R. A Theory of regret regulation 1.0[J]. J Consum Psychol, 2007,17(1):3-18.
[6]	Wilson A, Ronnekleiv-Kelly SM, Pawlik TM. Regret in surgical decision making: a systematic review of patient and physician perspectives[J]. World J Surg, 2017,41(6):1454-1465. pmid: 28243695
[7]	Yamauchi K, Nakao M, Nakashima M. Correlates of regret with treatment decision-making among Japanese women with breast cancer: results of an internet-based cross-sectional survey[J]. BMC Womens Health, 2019,19(1):86. doi: 10.1186/s12905-019-0783-5 pmid: 31266493
[8]	Wang AW, Chang SM, Chang CS, et al. Regret about surgical decisions among early-stage breast cancer patients: Effects of the congruence between patients’ preferred and actual decision-making roles[J]. Psychooncology, 2018,27(2):508-514. doi: 10.1002/pon.4522 pmid: 28792651
[9]	Spyropoulos E, Christoforidis C, Borousas D, et al. Augmentation phalloplasty surgery for penile dysmorphophobia in young adults: considerations regarding patient selection, outcome evaluation and techniques applied[J]. Eur Urol, 2005,48(1):121-128
[10]	Xu T, Zhang G, Bai W, et al. Complications and management of penile girth enhancement with acellular dermal matrix[J]. J Sex Med, 2019,16(12):2011-2017. doi: 10.1016/j.jsxm.2019.09.010 pmid: 31668731
[11]	Brehaut JC, O'Connor AM, Wood TJ, et al. Validation of a decision regret scale[J]. Med Decis Making, 2003,23(4):281-292. doi: 10.1177/0272989X03256005 pmid: 12926578
[12]	Zhong T, Bagher S, Jindal K, et al. The influence of dispositional optimism on decision regret to undergo major breast reconstructive surgery[J]. J Surg Oncol, 2013,108(8):526-530. doi: 10.1002/jso.23437 pmid: 24105811
[13]	Zigmond AS, Snaith RP. The hospital anxiety and depression scale[J]. Acta Psychiatr Scand, 1983,67(6):361-370. doi: 10.1111/j.1600-0447.1983.tb09716.x pmid: 6880820
[14]	Bjelland I, Dahl AA, Haug TT, et al. The validity of the hospital anxiety and distress scale[J]. J Psychosom Res, 2002,52(2):69-77. pmid: 11832252
[15]	Leung CM, Ho S, Kan CS, et al. Evaluation of the Chinese version of the hospital anxiety and depression scale. A cross-cultural perspective[J]. Int J Psychosom, 1993,40(1/2/3/4):29-34.
[16]	Yafi FA, Huynh LM, Ahlering T, et al. What is a “Validated Questionnaire”? A critical review of erectile function assessment[J]. J Sex Med, 2020,17(5):849-860. doi: 10.1016/j.jsxm.2020.02.005 pmid: 32146130
[17]	Chen XB, Li RX, Yang HN, et al. A comprehensive, prospective study of penile dimensions in Chinese men of multiple ethnicities[J]. Int J Impot Res, 2014,26(5):172-176. doi: 10.1038/ijir.2014.9
[18]	Vardi Y, Har-Shai Y, Gil T, et al. A critical analysis of penile enhancement procedures for patients with normal penile size: surgical techniques, success, and complications[J]. Eur Urol, 2008,54(5):1042-1050. pmid: 18760874
[19]	Sheehan J, Sherman KA, Lam T, et al. Association of information satisfaction, psychological distress and monitoring coping style with post-decision regret following breast reconstruction[J]. Psychooncology, 2007,16(4):342-351. doi: 10.1002/pon.1067 pmid: 16874745
[20]	Calderon C, Ferrando PJ, Lorenzo-Seva U, et al. Validity and reliability of the decision regret scale in cancer patients receiving adjuvant chemotherapy[J]. J Pain Symptom Manage, 2019,57(4):828-834. doi: 10.1016/j.jpainsymman.2018.11.017 pmid: 30639730
[21]	Shaverdian N, Kishan AU, Veruttipong D, et al. Impact of the primary information source used for decision making on treatment perceptions and regret in prostate cancer[J]. Am J Clin Oncol, 2018,41(9):898-904. doi: 10.1097/COC.0000000000000387 pmid: 28537990
[22]	Schumacher JR, Taylor LJ, Tucholka JL, et al. Socioeconomic factors associated with post-mastectomy immediate reconstruction in a contemporary cohort of breast cancer survivors[J]. Ann Surg Oncol, 2017,24(10):3017-3023. doi: 10.1245/s10434-017-5933-0 pmid: 28766209
[23]	谌绍林, 丁敏, 朱健华, 等. 护士评判性思维能力的调查及其相关因素分析[J]. 中华现代护理杂志, 2011,17(11):1241-1244.
[24]	石霞, 刘玉玲, 封锡玲. 护理人员获取网络资源信息的能力调查[J]. 护理学杂志, 2008,23(2):14-15.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 10

[1]	. [J]. Journal of Peking University(Health Sciences), 2009, 41(4): 456 -458 .
[2]	. [J]. Journal of Peking University(Health Sciences), 2009, 41(2): 125 -128 .
[3]	. [J]. Journal of Peking University(Health Sciences), 2009, 41(2): 135 -140 .
[4]	. [J]. Journal of Peking University(Health Sciences), 2009, 41(2): 158 -161 .
[5]	. [J]. Journal of Peking University(Health Sciences), 2009, 41(2): 217 -220 .
[6]	. [J]. Journal of Peking University(Health Sciences), 2009, 41(1): 52 -55 .
[7]	. [J]. Journal of Peking University(Health Sciences), 2009, 41(1): 109 -111 .
[8]	. [J]. Journal of Peking University(Health Sciences), 2009, 41(3): 297 -301 .
[9]	. [J]. Journal of Peking University(Health Sciences), 2009, 41(5): 599 -601 .
[10]	. [J]. Journal of Peking University(Health Sciences), 2009, 41(5): 516 -520 .

Categories	Number	%	Decision regret	F^*	P^*
Age/years				0.556	0.458
>30	21	27.6	30.0±40.4
≤ 30	55	72.4	29.0±40.7
Marital status				3.406	0.069
Single	49	64.5	28.6±41.0
Coupled	27	35.5	25.9±39.8
Education level				16.089	0.000
Undergraduate or below	51	67.1	13.9±31.3
Above undergraduate	25	32.9	55.0±43.3
Annual income/yuan				8.104	0.006
>120 000	31	40.8	13.6±30.8
≤120 000	45	59.2	47.3±43.3
Body mass index/(kg/m²)				0.830	0.440
Normal (18.5-24.9)	13	17.1	28.8±38.1
Overweight (25.0-29.9)	41	53.9	29.5±43.4
Fat (≥30.0)	22	28.9	29.1±39.4
Sexual orientation				-	-
Heterosexual	75	98.7
Homosexual	1	1
Bisexual	0	0

Category	Number	Mean score	Range
No regret	47	0	0
Mild	7	17.5±6.5	0-25
Moderate	22	60.7±19.1	30-100
Total	76	27.6±38.2	0-100

	Anxiety	Depression	VPI	IIEF
DRS	0.760^#	0.471^#	-0.348^#	0.020
Anxiety	-	0.324^#	-0.267^#	0.137
Depression	-	-	-0.367^#	0.110
VPI	-	-	-	-0.152

Decision regret analysis among Chinese patients receiving penile girth enhancement with acellular dermal matrix

RICH HTML

PDF (PC)

Abstract

Cite this article

share this article

Figures/Tables 4

References 24

Related Articles 2

Metrics

Comments

Recommended 10

[1]	Zhong-cheng XIN,Bi-cheng YANG,Meng LI,Yi-ming YUAN,Wan-shou CUI,Yuan TANG,Dong FANG,Wei-dong SONG. Appllication of human acellular dermal matrix in surgical treatment of genitourinary disease [J]. Journal of Peking University(Health Sciences), 2019, 51(4): 778-782.
[2]	Ting-min XU,Xiao-wei ZHANG,Guo-xi ZHANG,Wen-jun BAI,Qing LI,Tao XU. Complications and management for penile augmentation with acellular dermal matrix [J]. Journal of Peking University(Health Sciences), 2019, 51(4): 636-640.