lcole7465
Expert
I'm not really sure how to capture the penile torsion on this one.
Meatotomy was performed. To do this, the meatus was crushed at the 6 o'clock position with a well lubricated curved hemostat. The crushed tissue was excised, opening the meatus generously. The opposing skin and mucosal edges were reapproximated with interrupted 5 0 Monocryl suture.
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Next, attention was turned to the penile torsion. Six French catheter was placed well lubricated into the bladder, the bladder was drained of clear amber urine. The catheter was left in place for the remainder of the case. Six 0 Vicryl stay suture was placed to the glans penis. A subcoronal circumferential skin incision was made through the old circumcision scar.
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With sharp and cautery dissection, the skin and dartos were dissected down to the base of the penis to degloved the penis completely. This provided nearly complete correction of the penile torsion.
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The remainder of the penile torsion was corrected by reapproximating the skin and dartos edges with interrupted 5 0 Monocryl suture in a somewhat staggered fashion. The remainder of skin edges were reapproximated as well with Exofin.
*
At request of anesthesia service to provide postoperative analgesia I applied 3 mL 0.5% plain Marcaine subcutaneous and dorsal penile nerve block. The catheter was withdrawn
Thank you
Meatotomy was performed. To do this, the meatus was crushed at the 6 o'clock position with a well lubricated curved hemostat. The crushed tissue was excised, opening the meatus generously. The opposing skin and mucosal edges were reapproximated with interrupted 5 0 Monocryl suture.
*
Next, attention was turned to the penile torsion. Six French catheter was placed well lubricated into the bladder, the bladder was drained of clear amber urine. The catheter was left in place for the remainder of the case. Six 0 Vicryl stay suture was placed to the glans penis. A subcoronal circumferential skin incision was made through the old circumcision scar.
*
With sharp and cautery dissection, the skin and dartos were dissected down to the base of the penis to degloved the penis completely. This provided nearly complete correction of the penile torsion.
*
The remainder of the penile torsion was corrected by reapproximating the skin and dartos edges with interrupted 5 0 Monocryl suture in a somewhat staggered fashion. The remainder of skin edges were reapproximated as well with Exofin.
*
At request of anesthesia service to provide postoperative analgesia I applied 3 mL 0.5% plain Marcaine subcutaneous and dorsal penile nerve block. The catheter was withdrawn
Thank you