Pearce I, Payne S R
Ann R Coll Surg Engl. 2002 Sep;84(5):325-7. doi: 10.1308/003588402760452439.
To assess the accuracy of pre-operative diagnosis of preputial pathology ainongst urologists and general surgeons.
Data were collected on 460 adult patients having had circumcision performed by either a general surgeon or a urologist over a 10-year period.
Pre-operative diagnosis was consistent with final histology in 83% of cases and further management was never altered by the histological result. Re-referral rates were 0% for general surgeons and 2.7% for urologists (P > 0.05) and there were no cases needing further surgical intervention.
Routine submission of histological specimens for analysis and out-patient follow-up are not required following circumcision.
评估泌尿外科医生和普通外科医生对包皮病理的术前诊断准确性。
收集了460例在10年期间由普通外科医生或泌尿外科医生进行包皮环切术的成年患者的数据。
83%的病例术前诊断与最终组织学结果一致，组织学结果从未改变进一步的治疗方案。普通外科医生的再次转诊率为0%，泌尿外科医生的再次转诊率为2.7%（P>0.05），且没有病例需要进一步的手术干预。
包皮环切术后无需常规送检组织学标本进行分析及门诊随访。
