Ye Gang, Wang Xiang-Wei, Yi Shan-Hong, Zhang Yong-Gui, Liu Wei-Chi
Department of Urology, Xinqiao Hospital, The Third Military Medical University, Chongqing, China.
Asian J Surg. 2005 Oct;28(4):282-5. doi: 10.1016/s1015-9584(09)60361-4.
To determine the efficacy of intracorpus spongiosum anaesthesia during minor procedures on the glans and anterior urethra in the outpatient clinic.
Sixty-nine consecutive male patients underwent various procedures on the glans penis or anterior urethra under intracorpus spongiosum anaesthesia, which was performed by injection of 3 mL of 1% lidocaine into the glans penis. The effect of this anaesthetic technique was assessed by questionnaire using a pain scale.
Following injection of lidocaine, the anaesthetic effect was immediate and very satisfactory. The minor procedures, varying from 8 to 68 minutes in duration, were successfully completed under the new local anaesthesia. Of the 69 patients, 63 (91.3%) felt no pain and six (8.7%) reported either minor or moderate discomfort that was tolerable and could be ignored. There were no serious complications with this anaesthetic technique except for three patients (4.3%) who had instantaneous trance during lidocaine injection.
Intracorpus spongiosum anaesthesia is an effective, simple, safe anaesthetic technique for minor procedures on the glans and anterior urethra in an outpatient setting. With this new local anaesthesia, the total cost of many procedures on the glans and anterior urethra can be markedly reduced.
确定门诊行阴茎头及前尿道小手术时海绵体麻醉的效果。
69例连续男性患者在海绵体麻醉下行阴茎头或前尿道的各种手术，通过向阴茎头注射3 mL 1%利多卡因实施麻醉。采用疼痛量表通过问卷调查评估该麻醉技术的效果。
注射利多卡因后，麻醉效果即刻出现且非常满意。在新的局部麻醉下成功完成了持续时间从8分钟到68分钟不等的小手术。69例患者中，63例（91.3%）无疼痛，6例（8.7%）报告有轻微或中度不适，但可耐受且可忽略不计。除3例患者（4.3%）在注射利多卡因时出现瞬间恍惚外，该麻醉技术无严重并发症。
海绵体麻醉是门诊行阴茎头及前尿道小手术的一种有效、简单、安全的麻醉技术。采用这种新的局部麻醉，阴茎头及前尿道许多手术的总成本可显著降低。
