Peters K M, Kass E J
Department of Urology, William Beaumont Hospital, Royal Oak, Michigan, USA.
J Urol. 1997 Apr;157(4):1453-5.
Traditional teaching in urology has been to avoid electrosurgical devices in penile surgical procedures. In the last several years cutting current has been routinely used on the penis for making skin incisions, degloving, creating Byars flaps and destroying skin bridges. The purpose of this study was to determine the complications and final outcomes of electro-surgery.
A 5-year retrospective chart review was done to determine the complications and final outcomes of exclusively using electrical current to perform pediatric penile procedures.
Electrosurgery was used to perform the entire surgical dissection in 346 patients, including circumcision in 124, repeat circumcision in 68, penoscrotal fusion/chordee repair in 127 and skin bridge procedures in 27. All patients had a satisfactory cosmetic result. After correction of penoscrotal fusion, separation at the scrotal suture line in 2 patients healed secondarily without sequelae. There was no hematoma, tissue necrosis or skin sloughing and all surgery was performed on an outpatient basis.
Electrosurgery can be used safely and effectively for routine penile procedures, providing a bloodless operative field and excellent cosmetic results.
泌尿外科的传统教学一直是在阴茎手术中避免使用电外科设备。在过去几年中，切割电流已常规用于阴茎皮肤切口、脱套、制作拜尔斯皮瓣以及破坏皮肤桥接。本研究的目的是确定电外科手术的并发症和最终结果。
进行了一项为期5年的回顾性图表审查，以确定仅使用电流进行小儿阴茎手术的并发症和最终结果。
电外科手术用于346例患者的整个手术解剖，包括124例包皮环切术、68例重复包皮环切术、127例阴茎阴囊融合/尿道下裂修复术和27例皮肤桥接手术。所有患者的美容效果均令人满意。阴茎阴囊融合矫正后，2例患者阴囊缝线处的分离二期愈合，无后遗症。无血肿、组织坏死或皮肤脱落，所有手术均在门诊进行。
电外科手术可安全有效地用于常规阴茎手术，提供无血手术视野和出色的美容效果。
