包皮手術比較: 傳統與雷射手術的臨床差異
蔣孟哲, 林佑樺, 廖俊厚, 歸家豪
新店耕莘醫院 泌尿外科
The Clinical Differences of Holmium: YAG laser and Conventional Circumcision
Meng-Che Chiang1, Yu-Hua Lin1, Chun-Hou Liao1, Chia-Hao Kuei1
1 Division of Urology, Department of Surgery, Cardinal Tien Hospital, New
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.