Penile Tourniquet: An Invaluable Technique

Abstract

In 72 cases of minor penile surgeries, including circumcision (42), meatotomy (18), meatoplasty (8) and chordee correction (4), a ring cut from a surgical glove finger was used as a tourniquet at the base of the penis after infiltrating the skin and the glans with plain 1% xylocaine. The usual surgical procedures were performed and the tourniquet was released after securing the probable bleeding points. The postoperative results were excellent, with oedema of the penis being the only complication. There was no incidence of skin necrosis, sensory impairment, wound infection, erectile dysfunction or postoperative oozing. This bloodless technique not only curtailed the operating time and made the procedure simpler, but it also prevented the washout of xylocaine by impeding venous drainage.

Effect of Penile Tourniquet on Growth Factors in Rat Penile Tissue

“…Although diff erent types of tourniquets have been used in hypospadias repair over the years, the true incidence of complications due to PT is not known. Pathak et al reported penile edema in 4.7 % of cases [14] . Davis and Harrold reported graft failure after tourniquet usage in two-staged hypospadias repair [4] .…”