Wang Dong, Li Yingjie, Zhang Xuebin, Yan Su, Zhang Yushi
Department of Urology, Peking Union Medical College Hospital, Beijing, 100730, China.
Int J Impot Res. 2025 Apr 1. doi: 10.1038/s41443-025-01057-y.
We presented a novel circumcision technique for adult phimosis that combines the advantages of three circumcision methods-dorsal slit, guillotine, and sleeve (DGS)-while modifying technical details, referred to as the modified DGS technique. This retrospective comparative trial enrolled 483 adult males with phimosis undergoing circumcision between March 1, 2018 and March 1, 2024 at our hospital. The patients were divided into the modified DGS technique group (n = 151) and control (dorsal slit technique) group (n = 332) according to their preferences. Postoperative complications, surgical duration, and satisfaction with penile appearance were compared. The overall complication rate was 2.6% in the modified DGS group and 11.1% in the control group (p = 0.0019). The mean surgical duration was 36.8 ± 11.5 min for the modified DGS group and 35.2 ± 8.9 min for the control group (p = 0.0964). The modified DGS group exhibited a significantly lower dissatisfaction rate regarding overall penile appearance compared to the control group (2.6% versus 18.1%, p < 0.0001) as assessed by the postoperative follow-up questionnaire. The modified DGS technique, compared with the dorsal slit approach, can be used for phimosis with a similar surgical duration. It demonstrates fewer complications and better cosmetic outcomes.
我们提出了一种针对成人包茎的新型包皮环切术，该技术结合了三种包皮环切术（背侧切开术、断头术和袖套状环切术，即DGS）的优点，同时对技术细节进行了改进，称为改良DGS技术。这项回顾性比较试验纳入了2018年3月1日至2024年3月1日在我院接受包皮环切术的483例成年包茎男性患者。根据患者的意愿，将其分为改良DGS技术组（n = 151）和对照组（背侧切开术组，n = 332）。比较了术后并发症、手术时长以及对阴茎外观的满意度。改良DGS组的总体并发症发生率为2.6%，对照组为11.1%（p = 0.0019）。改良DGS组的平均手术时长为36.8±11.5分钟，对照组为35.2±8.9分钟（p = 0.0964）。根据术后随访问卷评估，改良DGS组对阴茎整体外观的不满意率显著低于对照组（2.6%对18.1%，p < 0.0001）。与背侧切开术相比，改良DGS技术可用于治疗包茎，手术时长相似。它并发症更少，美容效果更好。
