title: [Circumcision versus the foreskin-deglove plus shaft-fix procedure for phimosis or redundant prepuce in obese adult patients].
abstract: OBJECTIVE
  To compare the clinical effects of circumcision and the foreskin-deglove plus shaft-fix (FDSF) procedure in the treatment of phimosis or redundant prepuce in obese adult males (body mass index [BMI] ≥ 28 kg/m²).
  
  
  METHODS
  Forty-four obese adult men with phimosis or redundant prepuce underwent circumcision (n = 24) or FDSF (n = 20) according to their own wishes. The patients in the circumcision and FDSF groups were aged (26.38 ± 4.24) and (26.90 ± 3.14) years, with BMIs of (27.77 ± 0.77) and (28.07 ± 2.28) kg/m² and penis lengths of (3.51 ± 0.46) and (3.50 ± 0.59) cm, respectively. The operations were performed under local anesthesia with lidocaine plus ropivacaine mesylate.
  
  
  RESULTS
  The operation time of circumcision was (28.04 ± 2.65) min and that of FDSF was (45.45 ± 3.49) min. At 6 months after surgery, normal penile erection was found in all the patients, the penis length was significantly longer in the FDSF than in the circumcision group ([5.01 ± 0.73] vs [3.70 ± 0.47] cm) , and the rate of satisfaction with penile appearance was markedly higher in the former than in the latter group (3.25 ± 0.71 vs 2.83 ± 0.56).
  
  
  CONCLUSIONS
  The foreskin-deglove plus shaft-fix procedure under local anesthesia with lidocaine and ropivacaine mesylate may achieve desirable penile erection and appearance in the treatment of phimosis or redundant prepuce in obese adult patients.
authors.forename: Xing-yi
authors.initials: XY
authors.lastname: Chen
authors.forename: Xiao-fei
authors.initials: XF
authors.lastname: Wen
authors.forename: Rong-bing
authors.initials: RB
authors.lastname: Li
authors.forename: Lan
authors.initials: L
authors.lastname: Zhou
authors.forename: Xu
authors.initials: X
authors.lastname: Sun
authors.forename: Yue-min
authors.initials: YM
authors.lastname: Wang
mesh_terms: D000328:Adult; D000577:Amides; D000779:Anesthetics, Local; D015992:Body Mass Index; D002944:Circumcision, Male / Q000379:methods*; D052816:Foreskin / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D008012:Lidocaine; D008297:Male; D008698:Mesylates; D009765:Obesity / Q000150:complications*; D061646:Operative Time; D010410:Penile Erection; D010413:Penis / Q000002:abnormalities; D010688:Phimosis / Q000601:surgery*; D000077212:Ropivacaine
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D008698:Mesylates; D000077212:Ropivacaine; D008012:Lidocaine