{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T06:20:27Z","timestamp":1787466027166,"version":"build-2736575974"},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"34","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,8,23]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    A h\u00edmvessz\u0151implant\u00e1tum-behelyez\u00e9s a mereved\u00e9si zavar\n                    egyik legmagasabb szint\u0171 betegel\u00e9gedetts\u00e9get eredm\u00e9nyez\u0151 kezel\u00e9si m\u00f3dja.\n                    V\u00e9gleges megold\u00e1snak tekinthet\u0151, a behelyez\u00e9s ut\u00e1n a mereved\u00e9si funkci\u00f3t a\n                    barlangos testek sz\u00f6vetei helyett az implant\u00e1tum biztos\u00edtja. B\u00e1r s\u00falyos\n                    sz\u00f6v\u0151dm\u00e9nyek ritk\u00e1n fordulnak el\u0151, azok az implant\u00e1tum elt\u00e1vol\u00edt\u00e1s\u00e1t, a\n                    h\u00edmvessz\u0151 sz\u00f6veteinek k\u00e1rosod\u00e1s\u00e1t, ez\u00e1ltal az \u00e9letmin\u0151s\u00e9g jelent\u0151s roml\u00e1s\u00e1t\n                    okozhatj\u00e1k. A magyar nyelv\u0171 szakirodalomban a t\u00e9m\u00e1ban mindeddig kev\u00e9s, d\u00f6nt\u0151en\n                    esetbemutat\u00e1s jelleg\u0171 k\u00f6zlem\u00e9ny jelent meg.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Vizsg\u00e1latunk c\u00e9lja a klinik\u00e1nkon v\u00e9gzett h\u00edmvessz\u0151implant\u00e1tum-be\u00fcltet\u00e9sek ut\u00e1ni\n                    betegel\u00e9gedetts\u00e9g \u00e9s sz\u00f6v\u0151dm\u00e9nyek felm\u00e9r\u00e9se volt.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Retrospekt\u00edv vizsg\u00e1latot v\u00e9gezt\u00fcnk a 2022 \u00e9s 2025 k\u00f6z\u00f6tt\n                    h\u00edmvessz\u0151implant\u00e1tum-behelyez\u00e9sen \u00e1tesett betegek k\u00f6r\u00e9ben. R\u00f6gz\u00edtett\u00fck a\n                    demogr\u00e1fiai adatokat, a mereved\u00e9si zavar etiol\u00f3gi\u00e1j\u00e1t, a perioperat\u00edv\n                    param\u00e9tereket \u00e9s a sz\u00f6v\u0151dm\u00e9nyeket, valamint k\u00e9rd\u0151\u00edves felm\u00e9r\u00e9st v\u00e9gezt\u00fcnk a\n                    m\u0171t\u00e9t ut\u00e1ni betegel\u00e9gedetts\u00e9g \u00e9rt\u00e9kel\u00e9s\u00e9re.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A\n                    vizsg\u00e1lt id\u0151szakban 12 h\u00edmvessz\u0151implant\u00e1tum-behelyez\u00e9s t\u00f6rt\u00e9nt. A betegek\n                    medi\u00e1n\u00e9letkora 57 (54\u201366) \u00e9v volt. A mereved\u00e9si zavar hat esetben vascularis, \u00f6t\n                    esetben idegi \u00e9s egy esetben hormon\u00e1lis eredet\u0171 volt. \u00d6t betegbe hajl\u00edthat\u00f3, k\u00e9t\n                    betegbe k\u00e9tr\u00e9szes felf\u00fajhat\u00f3, \u00f6t betegbe h\u00e1romr\u00e9szes felf\u00fajhat\u00f3 implant\u00e1tumot\n                    \u00fcltett\u00fcnk. A beavatkoz\u00e1sokat penoscrotalis behatol\u00e1sb\u00f3l v\u00e9gezt\u00fck, a medi\u00e1n\n                    m\u0171t\u00e9ti id\u0151 135 (100\u2013150) perc, a medi\u00e1n \u00e1pol\u00e1si id\u0151 2 (1\u20132) nap volt. A teljes\n                    sz\u00f6v\u0151dm\u00e9nyar\u00e1ny 33% (4\/12) volt. A korai posztoperat\u00edv id\u0151szakban k\u00e9t enyhe\n                    (Clavien\u2013Dindo I. gradus\u00fa) \u00e9s egy s\u00falyosabb (Clavien\u2013Dindo IIIb gradus\u00fa)\n                    sz\u00f6v\u0151dm\u00e9nyt \u00e9szlelt\u00fcnk. A medi\u00e1n 36 (10\u201347) h\u00f3napos k\u00f6vet\u00e9si id\u0151 alatt k\u00e9s\u0151i\n                    sz\u00f6v\u0151dm\u00e9nyt egy beteg eset\u00e9n figyelt\u00fcnk meg, akin\u00e9l glans-hipermobilit\u00e1s miatt\n                    implant\u00e1tumrev\u00edzi\u00f3t v\u00e9gezt\u00fcnk. Implant\u00e1tumfert\u0151z\u00e9st, mechanikai meghib\u00e1sod\u00e1st,\n                    implant\u00e1tumer\u00f3zi\u00f3t vagy glanselhal\u00e1st nem \u00e9szlelt\u00fcnk. A k\u00e9rd\u0151\u00edves felm\u00e9r\u00e9s\n                    alapj\u00e1n a v\u00e1laszad\u00f3k mindegyike k\u00e9pes volt szexu\u00e1lis aktust l\u00e9tes\u00edteni, 89%-uk\n                    volt el\u00e9gedett a m\u0171t\u00e9ttel.\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    Eredm\u00e9nyeink szerint a\n                    h\u00edmvessz\u0151implant\u00e1tum-be\u00fcltet\u00e9s biztons\u00e1gos beavatkoz\u00e1s, amely magas szint\u0171\n                    betegel\u00e9gedetts\u00e9get eredm\u00e9nyez. A sz\u00f6v\u0151dm\u00e9nyek \u00e9s a betegel\u00e9gedetts\u00e9g\n                    tekintet\u00e9ben eredm\u00e9nyeink \u00f6sszhangban \u00e1llnak a nemzetk\u00f6zi irodalom adataival.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A h\u00edmvessz\u0151implant\u00e1tum-m\u0171t\u00e9tek eset\u00e9n\n                    elengedhetetlen a m\u0171t\u00e9ti eredm\u00e9nyek folyamatos monitoroz\u00e1sa a min\u0151s\u00e9gbiztos\u00edt\u00e1s,\n                    a sz\u00f6v\u0151dm\u00e9nyek megel\u0151z\u00e9se, valamint a betegel\u00e9gedetts\u00e9g maximaliz\u00e1l\u00e1sa\n                    \u00e9rdek\u00e9ben. Orv Hetil. 2026; 167(34): 1353\u20131358.\n                  <\/jats:p>","DOI":"10.1556\/650.2026.33635","type":"journal-article","created":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T05:23:32Z","timestamp":1787462612000},"page":"1353-1358","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Betegel\u00e9gedetts\u00e9g \u00e9s sz\u00f6v\u0151dm\u00e9nyek h\u00edmvessz\u0151prot\u00e9zis-be\u00fcltet\u00e9st k\u00f6vet\u0151en"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1547-3028","authenticated-orcid":true,"given":"Mih\u00e1ly","family":"Mur\u00e1nyi","sequence":"first","affiliation":[{"name":"Debreceni Egyetem, Klinikai K\u00f6zpont, Urol\u00f3giai Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyula","family":"Drabik","sequence":"additional","affiliation":[{"name":"J\u00e1r\u00f3beteg-ell\u00e1t\u00f3 Centrum Hajd\u00faszoboszl\u00f3 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibor","family":"Flask\u00f3","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, Klinikai K\u00f6zpont, Urol\u00f3giai Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"Kiss","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, Klinikai K\u00f6zpont, Urol\u00f3giai Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Patel J, Zakkar B, Polchert M, et al. Recent technological\n                    development of penile prosthesis: a literature review. Transl Androl Urol. 2024;\n                    13: 165-184. https:\/\/doi.org\/10.21037\/tau-22-741","DOI":"10.21037\/tau-22-741"},{"key":"R2","unstructured":"Salonia A, Boeri L, Capogrosso P, et al. EAU guidelines on sexual\n                    and reproductive health. European Association of Urology Guidelines Office,\n                    Arnhem, 2026."},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Kir\u00e1ly IE, Bajory Z. Plaque incision, grafting and penile prosthesis\n                    implantation in Peyronie\u2019s disease. [S\u00falyos mereved\u00e9si zavarral k\u00fczd\u0151\n                    Peyronie-beteg m\u0171t\u00e9ti kezel\u00e9se Egydio szerinti geometria alkalmaz\u00e1s\u00e1val,\n                    hereburok folttal \u00e9s egyidej\u0171 semirigid p\u00e9niszimplant\u00e1tum behelyez\u00e9s\u00e9vel.] Magy\n                    Urol. 2017; 29: 106-112. 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BJU Int. 2014; 114: 576-581.\n                        https:\/\/doi.org\/10.1111\/bju.12686","DOI":"10.1111\/bju.12686"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Sar\u0131kaya S, Ralph DJ. Mystery and realities of phalloplasty: a\n                    systematic review. Turk J Urol. 2017; 43: 229-236.\n                        https:\/\/doi.org\/10.5152\/tud.2017.14554","DOI":"10.5152\/tud.2017.14554"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Fein RL. GFS Mark II inflatable penile prosthesis: four-year\n                    clinical study. Urology 1994; 43: 209-213.\n                        https:\/\/doi.org\/10.1016\/0090-4295(94)90046-9","DOI":"10.1016\/0090-4295(94)90046-9"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Moln\u00e1r PJ, B\u00f6sz\u00f6rm\u00e9nyi-Nagy G. Report on inpatient urological care\n                    based on 2022 data. 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