Kumar V, Javle P
Department of Urology, Leighton Hospital, Crewe, Cheshire, UK.
Ann R Coll Surg Engl. 2001 Mar;83(2):126-7.
A total of 45 patients underwent reduction of paraphymosis at LN Hospital, Delhi, India and Leighton Hospital, Crewe, UK from August 1991 to September 1999 using the multiple puncture and glans squeeze technique. These were divided into 3 grades: grade 1, paraphymosis without engorgement of glans; grade 2, paraphymosis with engorgement of glans; and grade 3, paraphymosis with associated skin changes (non-pitting oedema, cheese-cutting of the shaft of the penis or erosions).
Grade 1 (6) patients were reduced by simply pulling the foreskin back into the normal position. Grade 2 (37) patients were reduced by the above-mentioned technique. Grade 3 (2) patients could not be reduced by this technique and the band had to be divided.
Difficult paraphymosis with gross engorgement of the glans can be successfully reduced by this technique as long as the skin changes are not marked.
1991年8月至1999年9月期间，共有45例患者在印度德里的LN医院以及英国克鲁的莱顿医院采用多点穿刺和挤压龟头技术进行了包皮嵌顿复位。这些患者被分为3个等级：1级，包皮嵌顿但龟头无充血；2级，包皮嵌顿且龟头充血；3级，包皮嵌顿伴有相关皮肤改变（非凹陷性水肿、阴茎体部呈奶酪样切割或糜烂）。
1级（6例）患者通过简单地将包皮拉回正常位置得以复位。2级（37例）患者采用上述技术复位。3级（2例）患者无法通过该技术复位，必须切开系带。
只要皮肤改变不明显，对于伴有龟头严重充血的困难型包皮嵌顿，该技术可成功复位。
