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Outpatient surgery for penile venous patch with the patient under local anesthesia
Geng-Long Hsu1, Cheng-Hsing Hsieh, Hsien-Sheng Wen
1Department of Urology, Taiwan Adventist Hospital, Taipei, Taiwan, Republic of China.
Abstract:
Although local anesthesia for penile surgery has been widely reported, its application for penile venous patch, however, has not been published. We evaluated an anesthetic and surgical technique on an outpatient basis. From March 1993 to September 2001, a total of 29 men with penile deformity, aged 27 to 77 years (mean 55 years) received a penile venous patch for morphologic correction. They received autologous grafting of the deep dorsal vein under local anesthesia as an outpatient procedure. The anesthetic effect and postoperative results were satisfactory. The average available area of the deep dorsal vein was 5.7 x 2.5 cm(2). The common immediate side effects included puncture of the vessels, subcutaneous ecchymosis, and transient palpitation, but there were no significant late complications. All patients returned home uneventfully. This has been proven to be a cost-effective, simple, and safe method with fewer complications. It offers the advantages of lower morbidity, protection of privacy, fewer adverse effects of anesthesia, and a more rapid return to activity with minimal complications.
Insights
Local anesthesia for penile venous patch surgery is safe and effective for outpatient procedures. This technique offers a cost-effective, minimally invasive option with rapid recovery and few complications.
Area of Science:
- Urology
- Ambulatory Surgery
Background:
- Local anesthesia is common for penile surgery, but its use for penile venous patching was not previously documented.
- Penile venous patching is a surgical technique for morphologic correction of penile deformities.
Purpose of the Study:
- To evaluate the safety and efficacy of local anesthesia for penile venous patch surgery on an outpatient basis.
- To assess the anesthetic effects and postoperative outcomes of this procedure.
Main Methods:
- A total of 29 male patients with penile deformities underwent autologous grafting of the deep dorsal vein under local anesthesia.
- The procedure was performed on an outpatient basis between March 1993 and September 2001.
Main Results:
- The anesthetic effect and postoperative results were satisfactory in all patients.
- The average size of the deep dorsal vein graft was 5.7 x 2.5 cm².
- Immediate side effects included vessel puncture, ecchymosis, and transient palpitations, with no significant late complications.
Conclusions:
- Local anesthesia for penile venous patch surgery is a cost-effective, simple, and safe outpatient method.
- This approach offers advantages such as lower morbidity, preserved privacy, reduced anesthesia-related adverse effects, and faster return to activity.