Frenulum Sparing Circumcision: Step-By-Step Approach of a Novel Technique
| Autor: | Amrith Raj Rao, Narayana Bhat, Prashanth K. Marla, Pritham Sharma, Sunil P. Shenoy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
complications business.industry Fistula frenular artery Clinical Biochemistry lcsh:R Cosmesis lcsh:Medicine Surgery Section General Medicine Bleed medicine.disease Meatal stenosis phimosis Surgery Foreskin medicine.anatomical_structure Frenulum medicine prepuce medicine.symptom Chordee business Glans |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 9, Iss 12, Pp PC01-PC03 (2015) |
| Popis: | Objective Circumcision, by most conventional methodologies, involves division of the frenulum and excision of the entire foreskin covering the glans. This seemingly simple procedure is occasionally associated with dreadful and devastating complications. We describe a new frenulum-sparing technique that circumvents some of the potential complications of conventional techniques and could also potentially help preserve preputial role in sexual function. Materials and methods An initial dorsal slit, three fourths of the way up to the corona is extended laterally and obliquely on either side, to meet the preputial edge, 3-4 mm from the frenulum. A broad sleeve of sub-coronal mucosa is thus preserved. The frenulum is left untouched, leaving a wide skin bridge connecting the mucosal sleeve with the shaft skin. The raw area is closed with interrupted, synthetic absorbable sutures. Over a three year period, 42 patients were circumcised using this technique. Results No significant complications like frenular bleed, painful postoperative erections, chordee, meatal stenosis, or urethra-cutaneous fistula were observed in any patient. The cosmetic results were pleasing. Conclusion The frenulum-sparing technique of circumcision is a promising modification to the various existing techniques. The method described is technically easier to perform than conventional frenulum-dividing procedures and has an acceptable cosmesis. Further randomised controlled studies on larger cohorts are necessary to establish the true benefits of this technique over established procedures. |
| Databáze: | OpenAIRE |
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