Comparison of Holmium: YAG laser circumcision with conventional circumcision in adult male

IF 0.8 Q4 UROLOGY & NEPHROLOGY
C-C Kuo, Chia-Hao Kuei, C. Liao, Yu-hua Lin
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引用次数: 0

Abstract

Purpose: To evaluate the use of the Holmium: Yttrium-aluminum-garnet (YAG) laser versus the conventional dorsal-slit procedure for adult male circumcision. Materials and Methods: From January 2020 to December 2020, 60 adult men diagnosed with as having phimosis and received circumcision were enrolled. Patients received either Holmium: YAG laser circumcision or conventional circumcision. In this study, we assessed the difference between the groups. Results: Although the operative time and blood loss decreased more in the Holmium: YAG laser circumcision group than in the conventional circumcision group (P < 0.001), a longer short-term delay in wound healing was observed in the laser circumcision group than in the conventional circumcision during the follow-up course (20.0% vs. 3.3%, P = 0.04). Our results also demonstrated no significant difference between the two groups in pain control, postoperative prepuce edema, prepuce redundancy, infection, or hematoma occurrence (P > 0.05). Microscopy findings of the resected prepuce in the Holmium: YAG laser circumcision group demonstrated a high percentage of coagulated small capillaries near the cutting edge. Conclusion: The holmium laser seems to be a concrete and feasible option for circumcision. Although patients undergoing holmium laser circumcision benefit from less blood loss and a rapid surgery compared to the conventional procedure, there is a higher risk of poor wound healing in short-term follow-up.
成年男性钬激光包皮环切术与常规包皮环切术的比较
目的:评价钬:钇铝石榴石(YAG)激光与传统背侧切口手术在成年男性包皮环切术中的应用。材料和方法:从2020年1月到2020年12月,60名被诊断为包茎并接受包皮环切术的成年男性被纳入研究。患者接受钬:YAG激光包皮环切术或常规包皮环切。在这项研究中,我们评估了两组之间的差异。结果:尽管钬激光包皮环切术组的手术时间和出血量比常规包皮环切组减少得更多(P<0.001),在随访过程中,激光包皮环切术组的伤口愈合短期延迟时间比传统包皮环切手术组更长(20.0%对3.3%,P=0.04)。我们的结果还表明,两组在疼痛控制、术后包皮水肿、包皮过长、感染、,钬:YAG激光包皮环切术组切除包皮的显微镜检查结果显示,切缘附近有高比例的小毛细血管凝结。结论:钬激光是一种具体可行的包皮环切术选择。尽管与传统手术相比,接受钬激光包皮环切术的患者出血量少,手术速度快,但在短期随访中,伤口愈合不良的风险更高。
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来源期刊
Urological Science
Urological Science UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
26
审稿时长
6 weeks
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