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Published on: June 3, 2022
[Scalpel circumcision by inserting a piece of gauze between the inner prepuce and superficial fascia]
Wen-guo Shi1, Xiao-jun Wang, Xiao-qin Liang
1Department of Urology, Shenzhen Shuguang Hospital, Shenzhen, Guangdong 518001, China. wenguo2000@yahoo.com.cn
Objective:
To introduce the advantages of the circumcision with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia.
Methods:
From November 2000 to March 2006, 2 100 patients with redundant prepuce, aged 6-78 years, averaging 23, were circumcised with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia. Of all the cases, 1 799 (85.7%) were classified as Type I, 237 (11.3%) as Type II and 64 (3.0%) as Type III redundant prepuce. The mean operation time was 20 minutes (15-35 min).
Results:
The incisions were all healed in one stage, with good appearance, no infection and no disruption. Bleeding occurred in 12 cases 648 hours after the operation and delayed bleeding in 3 cases.
Conclusion:
The circumcision with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia, with easier performance, fewer complications and less bleeding, and capable of preserving more and continuous superficial fascia and giving a better appearance, well deserves to be popularized in clinical practice.
