Peng Lian, Han Yue-Fu, Chen Dong, Lai Bin, Huang Hong-Cai
Department of Urology, North Guangdong People's Hospital, Shantou University, School of Medicine, Shaoguan, Guangdong 512000, China .
Zhonghua Nan Ke Xue. 2020 Dec;26(12):1101-1104.
To compare the effects and complications of the disposable circumcision stapler, disposable prepuce ligator and traditional surgical method in circumcision.
This retrospective study included 327 cases of phimosis or redundant prepuce treated by circumcision with the disposable circumcision stapler (the DCS group, n = 133), disposable prepuce ligator (the DPL group, n = 105) or traditional surgical method (the TS group, n = 89) in our hospital from June 2019 to June 2020. We compared the three surgical methods in terms of operation time, intraoperative blood loss, pain score, satisfaction of the patients with the penile appearance and incidence rates of incision edema, hematoma, infection and dehiscence.
The DCS and DPL groups, compared with the TS group, showed significantly shorter operation time (［9.72 ± 2.17］ and ［10.57 ± 2.31］ vs ［36.13 ± 6.85］ min, P < 0.01), less intraoperative blood loss (［2.07 ± 0.96］ and ［2.53 ± 1.46］ vs ［14.33 ± 4.92］ ml, P < 0.01) and higher appearance satisfaction score (4.07 ± 0.80 and 3.93 ± 0.96 vs 3.13 ± 1.06, P < 0.05). The DCS and TS groups, in comparison with the DPL group, exhibited markedly lower pain score (1.87 ± 0.99 and 2.27 ± 1.16 vs 3.87 ± 1.30, P < 0.01) and the rates of postoperative incision hematoma (3.01% and 2.25% vs 9.52%, P < 0.05), and infection and dehiscence (2.45% and 2.04% vs 8.07%, P < 0.05). The postoperative rate of incision edema was remarkably lower in the DCS than in the DPL and CS groups (10.2% vs 20.2% and 23.5%, P < 0.05).
Circumcision with the disposable circumcision stapler, with the advantages of simple operation, short operation time, less bleeding, less pain, satisfactory appearance, and lower incidence of complications, deserves clinical application and promotion.
比较一次性包皮环切吻合器、一次性包皮套扎器及传统手术方法行包皮环切术的效果及并发症。
本回顾性研究纳入了2019年6月至2020年6月在我院采用一次性包皮环切吻合器（DCS组，n = 133）、一次性包皮套扎器（DPL组，n = 105）或传统手术方法（TS组，n = 89）治疗的327例包茎或包皮过长患者。我们比较了三种手术方法在手术时间、术中出血量、疼痛评分、患者对阴茎外观的满意度以及切口水肿、血肿、感染和裂开的发生率方面的差异。
与TS组相比，DCS组和DPL组的手术时间明显更短（［9.72 ± 2.17］和［10.57 ± 2.31］对［36.13 ± 6.85］分钟，P < 0.01），术中出血量更少（［2.07 ± 0.96］和［2.53 ± 1.46］对［14.33 ± 4.92］毫升，P < 0.01），外观满意度评分更高（4.07 ± 0.80和3.93 ± 0.96对3.13 ± 1.06，P < 0.05）。与DPL组相比，DCS组和TS组的疼痛评分明显更低（1.87 ± 0.99和2.27 ± 1.16对3.87 ± 1.30，P < 0.01），术后切口血肿发生率更低（3.01%和2.25%对9.52%，P < 0.05），感染和裂开发生率也更低（2.45%和2.04%对8.07%，P < 0.05）。DCS组术后切口水肿发生率明显低于DPL组和TS组（10.2%对20.2%和23.5%，P < 0.05）。
一次性包皮环切吻合器行包皮环切术操作简单、手术时间短、出血少、疼痛轻、外观满意、并发症发生率低，值得临床应用和推广。
