Subcutaneous tissue-sparing dorsal slit with new marking technique

Jiang, Zhao-Long; Sun, Chao; Sun, Jian; Shi, Gao-feng; Li, Hu

doi:10.1097/md.0000000000015322

Cited by 5 publications

(8 citation statements)

References 21 publications

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“…Fourteen studies (46,7%) were classified as case-series [4], [16][17][18][19][20][21][22][23][24][25][26][27][28] and 6 studies (20,0%) were classified as case-comparative series, in both cases with a retrospective evaluation of the reported data [29][30][31][32][33][34]. Finally, 10 (33,3 %) were prospective case-control studies [6], [35][36][37][38][39][40][41][42][43].…”

Section: Resultsmentioning

confidence: 99%

“…Compared to the conventional dissection, the new technique provided significantly less wound healing time, scar width and recovery time, while the intraoperative bleeding volume, surgical time, and the rate of satisfaction with appearance of the penis was significantly higher. The cost of surgery to the 2 groups was similar [35]. Pagano C et al proposed a dissection of deep fascia after conventional circumcision to improve length and circumference of the penis in a retrospective study on 36 male patients [20].…”

Section: Techniques Of Circumcisionmentioning

confidence: 91%

“…In a randomized multicentre clinical trial, Jiang ZL et al describe a novel technique of circumcision, which retains more prepuce while sparing the frenulum. The 2 layers (internal and external plates) were cut off separately so that the adhering blood vessels could be stripped off [35]. Compared to the conventional dissection, the new technique provided significantly less wound healing time, scar width and recovery time, while the intraoperative bleeding volume, surgical time, and the rate of satisfaction with appearance of the penis was significantly higher.…”

Section: Techniques Of Circumcisionmentioning

confidence: 99%

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Phimosis in adults: narrative review of the current treatments

Rosato,

Miano,

Germani

et al. 2023

Preprint

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Background: Phimosis is the inability to completely retract the foreskin and expose the glans. The treatment of phimosis varies depending on the age of the patient and the severity of the disease; a great number of conservative or surgical treatments are currently available. Aim: To provide the first review summarizing the available options for the treatment of adult phimosis. Methods: A PubMed, Cochrane and Embase search for peer-reviewed studies, published between January 2001 - December 2022 was performed using the search terms “phimosis AND treatment”. Results: A total of 288 publications were initially identified through database searching. Thirty manuscripts were ultimately eligible for inclusion in this review. Conservative treatment is an option and it includes topical steroid application and the new medical silicon tubes (Phimostop™) application for gentle prepuce dilation. Concerning the surgical approach, the gold-standard treatment is represented by circumcision in which tissue synthesis after prepuce removal can be also obtained with barbed sutures, fibrin glues or staples. Laser circumcision seems providing superior outcomes in terms of operative time and postoperative complication rate when compared to the traditional one. Several techniques of preputioplasty and use of in-situ devices (which crush the foreskin and simultaneously create haemostasis) have been also described. These in-situ devices seem feasible, safe and effective in treating phimosis while they also reduce the operative time when compared to the traditional circumcision. Patient satisfaction rates, complications and impact on sexual function of the main surgical treatments are presented. Conclusion: Many conservative and surgical treatments are available for the treatment of the adult phimosis. The choice of the right treatment depends on the grade of phimosis, results, complications, and cost-effectiveness.

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Section: Resultsmentioning

confidence: 99%

Section: Techniques Of Circumcisionmentioning

confidence: 91%

Section: Techniques Of Circumcisionmentioning

confidence: 99%

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Phimosis in adults: narrative review of the current treatments

Rosato,

Miano,

Germani

et al. 2023

Preprint

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“…After initial disinfection treatment of these wounds, patients can locally apply erythromycin eye ointment, moist exposed burn ointment, and other topical treatments that can help wounds recover, such as ointments containing epidermal growth factors. Such treatments should be performed multiple times until the wounds fully heal to avoid adhesion recurrence[ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Design and development of a new type of phimosis dilatation retractor for children

Yue¹,

Chen²,

Deng³

et al. 2021

WJCC

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BACKGROUND Phimosis is one of the most common diseases in children. Early selection of appropriate treatment for phimosis in children is beneficial to the development of their reproductive organs and significantly improves the prognosis of phimosis in children. Although traditional circumcision is the most widely used, it has many disadvantages, including postoperative bleeding and incision infection, pain, obvious scars on the surgical incision, and unsatisfactory appearance. In addition, there is much controversy regarding treatment options and timing at home and abroad. Surgical procedures such as circumcision and cerclage for children with excessively long foreskin will greatly affect the normal life of children after the operation. Young children need general anesthesia, but this anesthesia carries a great risk. AIM To design a new children phimosis dilatation retractor for children phimosis. METHODS The children phimosis was dilated with an elastic dilation frame, in order to expand the foreskin mouth and expose the penis head, and after that, the phimosis was cured. RESULTS A new type of phimosis dilatation retractor was designed, which can gently dilate the prepuce at multiple angles and in multiple directions at the same time. It has obtained the national patent for clinical application. CONCLUSION The phimosis dilatation retractor based on the principle of elastically expanding the prepuce can achieve the purpose of expanding the phimosis. The clinical application shows that the effect of the children phimosis retractor is significant, which is worth promoting.

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“…Bleeding control is achieved with the help of cautery or by tying. Wound lips are closed with absorbable sutures [14].…”

Section: Sleeve Techniquementioning

confidence: 99%

Management of Post-Circumcision Glans/Penile Necrosis

Arikan¹,

Ayten²

2022

Male Reproductive Anatomy

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Circumcision is the surgical removal of the skin covering the glans and is one of the oldest and most common surgical procedures in the world. Although there is evidence that the first circumcision was performed in Egypt in 4000 BC, according to some anthropologists, it dates back to the 10th millennium BC. The purpose of medical circumcision is to obtain enough foreskin to expose the glans penis and to prevent medical problems caused by the foreskin. Although it is known that the complications arising from these procedures are not well documented, the complication rates in the literature vary between 1 and 15%, when evaluated according to age, the rate of post-circumcision complications in newborns is reported to be approximately 0.2-0.6% and this rate is 10 times higher between the ages of 1-9. Various complications such as bleeding, infection, incomplete and insufficient circumcision, hematoma, penile adhesion, urinary retention, glanular injury, necrosis and urethral narrowing have been reported. In this book section, one of the complications, penile necrosis, will be explained in the light of the literature.

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Subcutaneous tissue-sparing dorsal slit with new marking technique

Cited by 5 publications

References 21 publications

Phimosis in adults: narrative review of the current treatments

Phimosis in adults: narrative review of the current treatments

Design and development of a new type of phimosis dilatation retractor for children

Management of Post-Circumcision Glans/Penile Necrosis

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