title: The penile tourniquet.
abstract: Tourniquets are commonly used in penile surgery to achieve a bloodless operating field or produce artificial erections intraoperatively. Several techniques have been described, but there is a paucity of data and a lack of guidelines to direct their safe use. In penile surgery, it is the local rather than systemic effects of tourniquet use that are the main concern. Tourniquet time should be kept to a minimum, as the limited data available suggests that reperfusion injury can occur even after short periods of ischaemia. High risk groups such as diabetics and arteriopaths are at particular risk. Further studies are needed to determine safe tourniquet times and pressures.
authors.affiliation: Bristol Urological Institute, Southmead Hospital, Bristol BS10 5NB, UK. brianaparsons@hotmail.com
authors.forename: Brian A
authors.initials: BA
authors.lastname: Parsons
authors.forename: Odunayo
authors.initials: O
authors.lastname: Kalejaiye
authors.forename: Mustafa
authors.initials: M
authors.lastname: Mohammed
authors.forename: Raj A
authors.initials: RA
authors.lastname: Persad
mesh_terms: D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000517:prevention & control; D008297:Male; D010413:Penis / Q000601:surgery*; D017410:Practice Guidelines as Topic; D015427:Reperfusion Injury / Q000209:etiology / Q000517:prevention & control; D013997:Time Factors; D014111:Tourniquets / Q000009:adverse effects*
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