Umhlangano we-American Urology Association ngumhlangano omkhulu we-urology emhlabeni. Lolu hlelo luhlelwe ngokuzwakalisa ukuboniswa kwezinkulungwane eziningana zesayensi ezikhishwa emibikweni yokuqala ebizwa ngokuthi "izibhengezo." Nakuba kubuyekezwa iziqephu zika-2015, enye ngokukhethekile, eyabhalwa nguDkt. John Mulhall eSikhumbuzweni iStein Sloan Kettering eNew York, ibamba iso.
UDkt. Mulhall, isazi esiholela ekusebenziseni ngokocansi kwesilisa. Ubhale izincwadi eziningana ngalesi sihloko futhi ube yisikhulumi esivelele njalo ngonyaka kwiNgqungquthela yezemfundo yesiguli se-Prostate Cancer Research Institute.
Esifundweni sikaDkt. Mulhall, amadoda angu-276 ahlinzwa ngokuhlinzwa komdlavuza wesifo sofuba. Kwabe sekuhlolisiswa ukuthuthukiswa kwezidakamizwa eziphambene (isifo sikaPeyronie) kungakapheli iminyaka emithathu emva kokusebenza. Isikhathi esiphezulu sabahlanganyeli bezocwaningo saba ngu-56. UDkt. Mulhall wabika ukuthi ama-17,4% wamadoda athuthukise ukulungiswa okukhohlisayo. Ukungajwayelekile kwaqala isilinganiso sezinyanga ezingu-12 emva kokuhlinzwa. Ukuthuthukiswa kwesifo sikaPeyronie kula madoda abhekana nokuhlinzwa kwenzeka kathathu ngokuphindaphindiwe ukuthi ingozi yokuphila komuntu okhulayo kaPeyronie. Amadoda angama-5% ahlakulela isifo sikaPeyronie ngesikhathi sokuphila.
Njengoba kuchazwe ku-Wikipedia, "Isifo se-Peyronie siyisifo esixhumene nesishukela esithinta ukukhula kwamapulanka ensimbi e-penis.
Ngokuqondile, isisindo sezinhlayiya ezibomvu ezungeze i-corpora cavernosa (imizimba erectile ye-penis). Lezi zicubu ezilalayo zibangela ubuhlungu, ukuvinjelwa okungavamile, ukungasebenzi kahle kwe-erectile, indentation, ukulahleka kwebhande nokunciphisa. I-Wikipedia ibika ukuthi "izinhlobo eziningi zokwelashwa zisetshenzisiwe, kodwa akekho okuye kwaphumelela ngokukhethekile."
Esifundweni sakhe, uDkt. Mulhall uthi isifo sikaPeyronie esibangelwa ukuhlinzeka nge-prostate siye sabikwa ngaphambilini ezincwadini zesayensi kwenye ngesinye isikhathi. Kuye, lokhu kunesabeka kunalokho. Kungenzeka kanjani ukuthi inkinga yezocansi ezinjalo futhi ezibhubhisayo kungenzeka ukuthi inganakwa umphakathi wezokwelapha we-urologic isikhathi eside? I-prostatectomy ehlukumezekayo ye-Nerve-sparing iyenziwe ngamadoda ayizigidi eziningana kule minyaka engu-30 edlule. Uma abantu abayizigidi ezimbili benomdlavuza we-prostate kaningi abangaphezu kuka-300 000 baye bahlakulela isifo sikaPeyronie.
Ngikwazi ukucabangela izincazelo ezimbili zokungaboni kahle le nkinga ebhubhisayo. Enye, izazi ze-urologists nje azikhulumi neziguli zabo ngemva kokuhlinzwa. Kungenzeka yini ukuthi abazange baqaphele ngokujwayelekile okwenzeka ku-Peyronie? Okunye okunye kungenzeka ukuthi i-urologists impela iyazi ngalesi sici esibucayi esibucayi, kodwa sazikhethela ukuthula. Lokhu kuzohambisana nokuhluleka kwama-urologists ukubika omunye umphumela oshisayo wokuhlinzwa owenziwa uDkt. Mulhall emphakathini-inkinga ejwayelekile yokukhipha umchamo ngesikhathi se-orgasm.
UDkt. Mulhall kanye nabanye ochwepheshe abathile baye babika le nkinga enyanyekayo ebonakalayo cishe engama-20% wamadoda ane-prostate opération. "I-Climacturia," igama elithi uDkt. Mulhall uhlele ukuchaza le nkinga.
Uma ukwelashwa okwelashwa kwakuwukuphela kwendlela yokwandisa ukusinda emadodeni anomdlavuza we-prostate, imiphumela emibi kakhulu efana ne-Peyronie's disease kanye ne-climacturia ingase ibhekwe njengento ebalulekile yokugcina impilo yomuntu. Kodwa-ke, ngalolu suku nosuku, ezinye izinketho eziningi ezifana nemisakazo, izimila zembewu, ukwelashwa okugxile kanye nokuqapha okulula ngokubhekwa okusebenzayo, konke kubhekwe njengento evamile.
Noma kunjalo, unyaka ngamunye amadoda angaphezu kuka-75,000 aqhubeka ekhetha ukuba ne-prostatectomy enkulu.
Njengoba kunikezwe izimo eziningi zokuhlinzwa ngokuqhathaniswa nezinye izinketho, umuntu akanakusiza kodwa azibuze ukuthi kungani ukuhlinzeka kuqhubeka kudumile. Isizathu empeleni kulula ukuyiqonda. Izifundo zibonisa ukuthi izikhathi ezingu-80%, iziguli zivele zihluke ekuqondisweni kodokotela wabo uma ukhetha ukwelashwa: "Noma ngabe uthini u-doc, uyingcweti." Inkinga yukuthi kwi-prostate world urologists (obani abahlinzayo) bangodokotela baqala ukuzokweluleka amadoda ane-cancer yomzimba esanda kutholakala. Akumangalisi-ke ukuthi ukuhlinzekwa yizincomo eziphezulu ezinikezwa i-urologists.