Modified Sleeve Type with Preservation of Subcutaneous Nerves and Blood Vessels Network Circumcision for the Treatment of Redundant Prepuce and Phimosis
Objective To explore the surgical method and clinical effect of the modified sleeve circumcision preserving the subcutaneous neurovascular network of the penis in the treatment of redundant prepuce and phimosis.Methods A total of 46 male patients with redundant prepuce or phimosis who were treated in the author's hospital from June 2020 to May 2022 were selected as the research objects.All patients underwent modified sleeve circumcision with preservation of penile subcutaneous neurovascular network.The operation time,intraoperative bleeding,postoperative pain duration,postoperative appearance,postoperative complications,and patient satisfaction were recorded.Results All 46 patients successfully completed the operation.The operation time was(48.62±7.54)min,the intraoperative blood loss was(5.53±3.56)ml,the intraoperative pain score was(1.60±0.62),and the wound healing time was(14.56±2.51)d.There was 1 case of local swelling and 1 case of wound infection after operation.The overall complication rate was 4.35%.All the sutures fell off spontaneously,the postoperative pain time was shorter(18.32±7.24)h,the incision healed well,and the appearance of the incision margin was beautiful.The patients were followed up for 1 to 6 months,and the patient's satisfaction with the surgical effect was 95.65%.Conclusion The modified sleeve circumcision preserving the subcutaneous neurovascular network has the advantages of less bleeding during operation,rapid recovery after operation,light pain,low complication rate,good penis shape after operation,inconspicuous scar,and definite curative effect,which is worthy of clinical application.
万方数据
维普
