Circumcision versus the foreskin-deglove plus shaft-fix procedure for phimosis or redundant prepuce in obese adult patients / 中华男科学杂志
National Journal of Andrology
; (12): 233-236, 2016.
Article
in Zh
| WPRIM
| ID: wpr-304722
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To compare the clinical effects of circumcision and the foreskin-deglove plus shaft-fix (FDSF) procedure in the treatment of phimosis or redundant prepuce in obese adult males (body mass index [BMI] ≥ 28 kg/m²).</p><p><b>METHODS</b>Forty-four obese adult men with phimosis or redundant prepuce underwent circumcision (n = 24) or FDSF (n = 20) according to their own wishes. The patients in the circumcision and FDSF groups were aged (26.38 ± 4.24) and (26.90 ± 3.14) years, with BMIs of (27.77 ± 0.77) and (28.07 ± 2.28) kg/m² and penis lengths of (3.51 ± 0.46) and (3.50 ± 0.59) cm, respectively. The operations were performed under local anesthesia with lidocaine plus ropivacaine mesylate.</p><p><b>RESULTS</b>The operation time of circumcision was (28.04 ± 2.65) min and that of FDSF was (45.45 ± 3.49) min. At 6 months after surgery, normal penile erection was found in all the patients, the penis length was significantly longer in the FDSF than in the circumcision group ([5.01 ± 0.73] vs [3.70 ± 0.47] cm) , and the rate of satisfaction with penile appearance was markedly higher in the former than in the latter group (3.25 ± 0.71 vs 2.83 ± 0.56).</p><p><b>CONCLUSION</b>The foreskin-deglove plus shaft-fix procedure under local anesthesia with lidocaine and ropivacaine mesylate may achieve desirable penile erection and appearance in the treatment of phimosis or redundant prepuce in obese adult patients.</p>
Full text:
1
Index:
WPRIM
Main subject:
Penis
/
Phimosis
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General Surgery
/
Congenital Abnormalities
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Penile Erection
/
Body Mass Index
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Circumcision, Male
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Mesylates
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Foreskin
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Operative Time
Limits:
Adult
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Humans
/
Male
Language:
Zh
Journal:
National Journal of Andrology
Year:
2016
Type:
Article