Outpatient surgery for penile venous patch with the patient under local anesthesia.
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.
Hsu
Geng-Long
GL
Department of Urology, Taiwan Adventist Hospital, Taipei, Taiwan, Republic of China.
Hsieh
Cheng-Hsing
CH
Wen
Hsien-Sheng
HS
Hsieh
Ju-Ton
JT
Chiang
Han-Sun
HS
D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D000772:Anesthesia, Local; D000779:Anesthetics, Local; D006801:Humans; D008012:Lidocaine; D008297:Male; D008875:Middle Aged; D010411:Penile Induration / Q000000981:diagnostic imaging / Q000601:surgery*; D010413:Penis / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D016378:Tissue Transplantation / Q000009:adverse effects; D014680:Veins / Q000637:transplantation*
D000779:Anesthetics, Local; D008012:Lidocaine