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门诊小儿泌尿外科手术

Office-based pediatric urology procedures.

作者信息

Alwehaibi Abdulaziz, Alyami Fahad, Altwijri Faisal, Trbay Mahmoud

机构信息

Department of Urology, King Saud Medical City, Riyadh, Saudi Arabia.

Department of Urology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

出版信息

Urol Ann. 2024 Jul-Sep;16(3):247-249. doi: 10.4103/ua.ua_89_23. Epub 2024 Jul 3.

DOI:10.4103/ua.ua_89_23
PMID:39290226
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11404713/
Abstract

INTRODUCTION

Office-based procedures under local anesthesia are not a popular and well-accepted concept in pediatric urology except for newborn circumcision. There is limited literature on the utilization of office-based procedures under local anesthesia in pediatric urology. In this study, we present our experience of office-based procedures under local anesthesia from a tertiary center.

MATERIALS AND METHODS

This is a retrospective study of the patients who underwent meatotomy and penile adhesion release in the clinic under local anesthesia between January 2017 and August 2022 by a single surgeon in a tertiary center. A total of 92 patients were included in this study.

RESULTS

There were 65 patients diagnosed with meatal stenosis and 27 patients diagnosed with penile adhesion. The overall incidence of recurrence was noted in four patients. Only one patient had minimal complications. The overall average follow-up was 5.39 months (1-10 months).

CONCLUSION

Selective office-based procedure (meatotomy and penile adhesion release) under topical local anesthesia is a simple, safe, and effective method to treat such conditions with a high success rate, especially with financial and time constraints on health care nowadays.

摘要

引言

除新生儿包皮环切术外，局部麻醉下的门诊手术在小儿泌尿外科并不是一个受欢迎且被广泛接受的概念。关于小儿泌尿外科局部麻醉下门诊手术应用的文献有限。在本研究中，我们展示了一家三级中心在局部麻醉下进行门诊手术的经验。

材料与方法

这是一项回顾性研究，研究对象为2017年1月至2022年8月期间在一家三级中心由一名外科医生在门诊对行尿道口切开术和阴茎粘连松解术的患者。本研究共纳入92例患者。

结果

65例患者诊断为尿道口狭窄，27例患者诊断为阴茎粘连。4例患者出现复发。仅1例患者有轻微并发症。总体平均随访时间为5.39个月（1 - 10个月）。

结论

局部表面麻醉下的选择性门诊手术（尿道口切开术和阴茎粘连松解术）是治疗此类病症的一种简单、安全且有效的方法，成功率高，尤其是在当今医疗保健面临财务和时间限制的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e72b/11404713/41e4cb2d829b/UA-16-247-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e72b/11404713/584dd139d984/UA-16-247-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e72b/11404713/bf8a759f235f/UA-16-247-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e72b/11404713/41e4cb2d829b/UA-16-247-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e72b/11404713/584dd139d984/UA-16-247-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e72b/11404713/bf8a759f235f/UA-16-247-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e72b/11404713/41e4cb2d829b/UA-16-247-g003.jpg

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本文引用的文献

1
Office Based Pediatric Urologic Procedures: A Safe and Effective Alternative to Interventions Under Anesthesia.基于门诊的小儿泌尿科手术：一种安全有效的麻醉下干预替代方案。
Urology. 2022 Aug;166:223-226. doi: 10.1016/j.urology.2022.04.008. Epub 2022 Apr 21.
2
Clinic meatotomy under topical anesthesia.局部麻醉下临床尿道口切开术。
J Pediatr Urol. 2017 Oct;13(5):499.e1-499.e3. doi: 10.1016/j.jpurol.2017.02.014. Epub 2017 Mar 15.
3
Meatotomy using topical anesthesia: A painless option.局部麻醉下的尿道口切开术：一种无痛选择。
Urol Ann. 2015 Jan-Mar;7(1):67-70. doi: 10.4103/0974-7796.148622.
4
Surgical management of meatal stenosis with meatoplasty.采用尿道口成形术治疗尿道口狭窄的手术管理。
J Vis Exp. 2010 Nov 30(45):2213. doi: 10.3791/2213.
5
The efficacy of topical betamethasone for treating phimosis: a comparison of two treatment regimens.外用倍他米松治疗包茎的疗效：两种治疗方案的比较。
Urology. 2008 Jul;72(1):68-71. doi: 10.1016/j.urology.2008.02.030. Epub 2008 May 2.
6
The efficacy of LMX versus EMLA for pain relief in boys undergoing office meatotomy.
J Urol. 2004 Oct;172(4 Pt 2):1760-1. doi: 10.1097/01.ju.0000139830.42599.a6.
7
Principles of office anesthesia: part II. Topical anesthesia.门诊麻醉原则：第二部分。表面麻醉。
Am Fam Physician. 2002 Jul 1;66(1):99-102.
8
Penile adhesions after neonatal circumcision.新生儿包皮环切术后阴茎粘连
J Urol. 2000 Aug;164(2):495-6.
9
Efficacy and safety of lidocaine-prilocaine cream for pain during circumcision.利多卡因-丙胺卡因乳膏用于包皮环切术疼痛的疗效与安全性。
N Engl J Med. 1997 Apr 24;336(17):1197-201. doi: 10.1056/NEJM199704243361701.
10
Urethral meatotomy in the office using topical EMLA cream for anesthesia.在诊室使用复方利多卡因乳膏进行尿道外口切开术麻醉。
J Urol. 1996 Aug;156(2 Pt 2):857-8; discussion 858-9. doi: 10.1097/00005392-199608001-00087.