Frenulum identification positioning with a disposable suture device in circumcision to prevent postoperative penile frenulum malposition.
- Author:
Yun-Quan HUANG
1
;
Jing ZHENG
1
;
Xu-Xiao ZHOU
1
;
Zhe-Min YAO
1
;
Ting ZHANG
1
;
Qu-Fei SHAO
1
;
Zhi-Gang WU
2
Author Information
1. Department of Urology, Yueqing Hospital Affiliated to Wenzhou Medical University, Wenzhou, Zhejiang 325000, China.
2. Department of Urology, The First Hospital Affiliated to Wenzhou Medical University, Wenzhou, Zhejiang 325600, China.
- Publication Type:Journal Article
- Keywords:
circumcision;
disposable circumcision suture device;
malposition;
penile frenulum;
redundant prepuce
- MeSH:
Circumcision, Male;
instrumentation;
methods;
Disposable Equipment;
Foreskin;
surgery;
Humans;
Male;
Penis;
surgery;
Phimosis;
surgery;
Postoperative Complications;
prevention & control;
Suture Techniques;
instrumentation;
Sutures
- From:
National Journal of Andrology
2017;23(5):422-426
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of the frenulum identification positioning method with a disposable suture device in circumcision for the prevention of postoperative penile frenulum malposition.
METHODS:Totally 212 patients with phimosis or redundant prepuce underwent circumcision from March 2015 to September 2016, including 109 cases of conventional circumcision (the control group) and 103 cases treated by frenulum identification positioning with a disposable suture device (the observation group). We observed the postoperative position of the penile frenulum and median raphe and compared the deviation angles of the frenulum between the two groups of patients.
RESULTS:The median of penile frenulum deviation angle (interquartile range) was 0 (3.56) in the observation group, significantly smaller than 12.41 (19.59) in the control (P <0.001, P = 0.000). And the rate of frenulum deviation was remarkably lower in the former (8.74% ［9/103］) than in the latter group (66.06% ［72/109］) (P <0.01).
CONCLUSIONS:Circumcision using the frenulum identification positioning method with a disposable suture device can effectively avoid postoperative penile frenulum malposition. With the advantages of safety and easy operation, it deserves clinical application and popularization.
