Department of Urology, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai 200434, China.
Department of Urology, Shanghai Changhai Hospital, Second Military Medical University, Shanghai 200438, China.
Urol J. 2023 Dec 26;20(6):424-428. doi: 10.22037/uj.v20i.7788.
To evaluate the efficacy of frenulum protection technique of the disposable circumcision suture device (DCSD) in adult males.
Atotal of 53 adult males were diagnosed with redundant prepuce and underwent circumcision with DCSD using frenulum protection technique. The main preoperative and postoperative measure of the length of penile frenulum was evaluated. Other data such as edema rate, intraoperative blood loss, operation time, postoperative pain, staple falling off time, incision infection rate, and evaluation of satisfaction rate with penis appearance were documented in the study.
There was no significant difference in preoperative and postoperative frenulum length for each patient. The mean length of the penile frenulum before and after surgery was 2.25 ± 0.36 cm and 2.23 ± 0.39 cm, respectively (p = .31). The rate of frenulum length preservation was 100%. All the patients had no excessive resection of the frenulum and no serious complication happened after surgery. The satisfaction rate of postoperative penis appearance from patients' evaluation was 98.1% (52/53).
The frenulum protection technique was simple and operable, which could help the operator to accurately identify the most distal position of the frenulum and retain a sufficient length of frenulum during DCSD circumcision.
评估一次性包皮环切缝合器（DCSD）中系带保护技术在成年男性中的疗效。
共 53 例成年男性被诊断为包皮过长，并采用 DCSD 行系带保护技术行包皮环切术。主要评估术前和术后阴茎系带长度的变化。研究中还记录了其他数据，如水肿率、术中出血量、手术时间、术后疼痛、钉合脱落时间、切口感染率以及对阴茎外观满意度的评估。
每位患者的术前和术后系带长度均无显著差异。手术前后阴茎系带的平均长度分别为 2.25±0.36cm 和 2.23±0.39cm（p=0.31）。系带长度保留率为 100%。所有患者均无系带过度切除，术后无严重并发症发生。患者对术后阴茎外观的满意度评估为 98.1%（52/53）。
系带保护技术简单可行，可帮助术者在 DCSD 包皮环切术中准确识别系带的最远端位置，并保留足够长度的系带。
