Abstract：Objective: To compare the clinical effects of Shang Ring, sleeve and conventional circumcisions in the treatment of redundant prepuce and phimosis. Methods: We reviewed the clinical data of 759 patients with redundant prepuce or phimosis treated from January 2007 to Decembe 2016. We documented operation time, intraoperative blood loss, intraoperative visual analogue scores, visual analogue scores 4-6 h, 24 h and 7 days postoperation, surgeons' satisfaction, incision healing time, degrees of preputial edema, postoperative complications, patients' satisfaction with penile appearance and compared them among the three groups. Results: Shang Ring circumcision significantly reduced the operation time and intraoperative blood loss as compared with conventional and sleeve circumcisions (P<0.05). The surgeons' satisfaction of Shang Ring and sleeve groups was higher than conventional group (P<0.05). The intraoperative and 4-6-h postoperative visual analogue score in Shang Ring group was significantly lower than that in other two groups (P<0.05), and the 7-day postoperative visual analogue score in Shang Ring group was significantly higher than that in other two groups (P<0.05). The 24-h postoperative visual analogue score in conventional group was higher than that in other two groups. The postoperative incision healing time was (18.3±2.8) d in the conventional circumcision group, (11.8±2.7) d in the sleeve circumcision group and (14.2±3.4) d in the Shang Ring circumcision group (P<0.05). As for the degree of preputial edema, sleeve circumcision showed similar effects to conventional circumcision but significantly better than Shang Ring circumcision (P<0.05). The 30-day postoperative IIEF-5 score in sleeve and Shang Ring circumcision groups was significantly higher than that in conventional group (P<0.05). Conclusions: Each of the three circumcision methods has its own advantages and disadvantages. The treatment decision should be individualized and based on a comprehensive consideration of each patient.
何存盛, 马国斌, 雷振伟. 商环包皮环切术、袖套式包皮环切术及传统包皮环切术临床应用对比分析[J]. 微创泌尿外科杂志, 2018, 7(s1): 38-.
He Cunsheng, Ma Guobin, Lei Zhenwei. A comparative study of Shang Ring, sleeve and conventional circumcisions for redundant prepuce and phimosis. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(s1): 38-.
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