傳統與鈥雷射割包皮於成年男性之比較：初步經驗
林佑樺1, 廖俊厚1, 歸家豪1
1台灣新北市新店耕莘醫院泌尿外科
Comparison of holmium: YAG laser circumcision with conventional circumcision in adult male: Preliminary experience
Yu-Hua Lin1, Chun-Hou Liao1, Chia-Hao Kuei1
1 Division of Urology, Department of Surgery, Cardinal Tien Hospital, New Taipei City, Taiwan, R.O.C.
Purpose:
To evaluate the use of the holmium: YAG laser versus the conventional dorsal-slit procedure for adult male circumcision.
Materials and Methods:
From January 2016 to December 2016, 60 adult men diagnosed with as having phimosis and received circumcision were enrolled. Patients received either holmium: YAG laser circumcision or conventional circumcision. In this study, we assessed the difference between the groups.
Results:
Although the operative time and blood loss decreased more in the holmium: YAG laser circumcision group than in the conventional circumcision group (p<0.001), a longer short-term delay in wound healing was observed the in laser circumcision group than in the conventional circumcision during the follow-up course (20.0% vs. 3.3%, p=0.04). Our results also demonstrated no significant difference between the two groups in pain control, post-operative prepuce edema, prepuce redundancy, infection, or hematoma occurrence (p>0.05). Microscopy findings of the resected prepuce in the holmium: YAG laser circumcision group demonstrated a high percentage of coagulated small capillaries near the cutting edge.
Conclusion:
The holmium laser seems to be a concrete and feasible option for circumcision. Although patients undergoing holmium laser circumcision benefit from less blood loss and a rapid surgery compared to the conventional procedure, there is a higher risk of poor wound healing.