Hsu Geng-Long, Hsieh Cheng-Hsing, Wen Hsien-Sheng, Hsieh Ju-Ton, Chiang Han-Sun
Department of Urology, Taiwan Adventist Hospital, Taipei, Taiwan, Republic of China.
J Androl. 2003 Jan-Feb;24(1):35-9.
Although local anesthesia for penile surgery has been widely reported, its application for penile venous patch, however, has not been published. We evaluated an anesthetic and surgical technique on an outpatient basis. From March 1993 to September 2001, a total of 29 men with penile deformity, aged 27 to 77 years (mean 55 years) received a penile venous patch for morphologic correction. They received autologous grafting of the deep dorsal vein under local anesthesia as an outpatient procedure. The anesthetic effect and postoperative results were satisfactory. The average available area of the deep dorsal vein was 5.7 x 2.5 cm(2). The common immediate side effects included puncture of the vessels, subcutaneous ecchymosis, and transient palpitation, but there were no significant late complications. All patients returned home uneventfully. This has been proven to be a cost-effective, simple, and safe method with fewer complications. It offers the advantages of lower morbidity, protection of privacy, fewer adverse effects of anesthesia, and a more rapid return to activity with minimal complications.
尽管阴茎手术的局部麻醉已被广泛报道，但其在阴茎静脉修补术中的应用尚未见发表。我们评估了一种门诊麻醉和手术技术。1993年3月至2001年9月，共有29例阴茎畸形男性患者，年龄27至77岁（平均55岁），接受了阴茎静脉修补术以进行形态矫正。他们在局部麻醉下作为门诊手术接受了阴茎背深静脉的自体移植。麻醉效果和术后结果令人满意。阴茎背深静脉的平均可用面积为5.7×2.5平方厘米。常见的即刻副作用包括血管穿刺、皮下瘀斑和短暂心悸，但无明显的晚期并发症。所有患者均顺利回家。这已被证明是一种经济有效、简单且安全的方法，并发症较少。它具有发病率较低、保护隐私、麻醉不良反应较少以及恢复活动更快且并发症最少的优点。
