商环微创术在早泄合并包皮过长手术中的应用研究

Clinical application of Shang Ring microsurgery for prospermia patients with redundant prepuce

目的：研究商环微创术在早泄合并包皮过长手术中的安全性及可行性。方法回顾分析我院应用商环微创术治疗的早泄合并包皮过长73例患者的手术情况、并发症、外观满意度、性生活满意度及有无勃起功能障碍（ED）等各项指标。结果73例患者均顺利完成商环微创术，手术平均出血量为（5．0±1．0）ml，平均手术时间平均为（21±4）min，术后24 h患者VAS疼痛评分为（3．15±0．90）分，平均性交时间（7．0±1．5）min，外观满意度为90．9％，性生活满意度为93．6％。主要并发症的发生率为：切口裂开2．7％，切口感染4．1％，包皮中、重度水肿5．4％，出现龟头麻木感6．8％，无ED发生，未发现严重并发症。结论商环微创术治疗早泄合并包皮过长安全可行，具有手术时间短、创伤小、出血少、操作简单、并发症少、美容效果好、患者满意度高等优点。

Objective To investigate the efficacy and safety of Shang Ring microsurgery in the treatment of prosper -mia patients with redundant prepuce .Methods A total of 73 prospermia patients with redundant prepuce were included into the current study .Their data about surgical duration , complication , satisfaction of the appearance , quality of sexual life, and erectile dysfunction were retrospectively analyzed .Results All patients underwent Shang Ring microsurgery successfully.The average bleeding volume was （5.0 ±1.0） ml.The average surgical duration was （21 ±4） min.The VAS pain score was （3.15 ±0.90） min 24 h after surgery.The average duration of sexual life was （7.0 ±1.5） min. The satisfaction of the appearance was 90.9%, while the quality of sexual life was 93.6%.The main complications in-cluded wound dehiscence （2.7%）, infection （4.1%）, moderate and severe edema （5.4%）, and glans numbness were （6.8%）.No erectile dysfunction and other serious complications were reported .Conclusion Shang Ring microsurgery is safe and effective to treat prospermia patients with redundant prepuce , with advantages such as a short operation time , less bleeding , little trauma, fewer complications , higher satisfaction and acceptance , and good cosmetic effects .