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Penectomy: a technique to reduce blood loss
1Department of Urology, University of Tennessee, Memphis 38163, USA.
Urology
|February 5, 1999
Summary
A modified surgical technique for penectomy significantly reduces blood loss and the need for transfusions. This technique involves using a vascular clamp to minimize hemorrhage during partial or total penectomy procedures.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Hemorrhage is a significant complication following partial or total penectomy.
- Blood transfusion may be necessary due to excessive blood loss during penectomy.
Purpose of the Study:
- To evaluate a modified surgical technique for penectomy.
- To determine if modifications can reduce intraoperative blood loss.
Main Methods:
- A Penrose tourniquet was employed to limit subcutaneous bleeding.
- Incised urethral edges were oversewn for better closure.
- A noncrushing vascular clamp was applied to the corporal bodies prior to transection.
Main Results:
- Application of a noncrushing vascular clamp before penectomy substantially decreased blood loss.
- The modified technique facilitated a clear surgical field during the procedure.
- This approach proved effective for both partial and total penectomy.
Conclusions:
- Modification of the penectomy surgical technique can effectively minimize hemorrhage.
- The described method offers a strategy to reduce a major complication of penectomy.