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首页> 外文期刊>The journal of sexual medicine >Male dyspareunia due to short frenulum: the suture-free, 'pull and burn' method.
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Male dyspareunia due to short frenulum: the suture-free, 'pull and burn' method.

机译：短带状疱疹引起的男性性交困难：无缝合，“拉伤和烧伤”方法。

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INTRODUCTION: The presence of a short frenulum is a common cause for dyspareunia in males, often resulting in painful intercourse and trauma to the frenulum. Most of the described techniques use sutures that may sever the frenular artery and lead to meatal stenosis or leave skin tags that create a poor cosmetic result. AIM: The aim of this study is to describe the "pull and burn" method for the correction of a short frenulum with respect to the anatomy of the glans penis. METHODS: The procedure was performed on 127 young adults presenting with dyspareunia due to short frenulum. Local anesthesia was achieved by application of eutectic mixture of local anesthetic (EMLA) for 15-20 minutes. The point of maximum tension was cut by diathermy and a controlled vertical tear was made on the frenulum by applying gentle but firm retraction on the glans. Minor bleeding was sealed with diathermy. Personal hygiene was advised and no local antiseptics or antibiotics were further used. MAIN OUTCOME MEASURES: Achievement of adequate anesthesia with EMLA cream, use of sutures, complications of the procedure, and final cosmetic and functional result. RESULTS: The application of EMLA for 15-20 minutes was sufficient for local anesthesia. Only one patient with very thick frenulum required further lignocaine infiltration. No sutures were applied except in two cases (1.6%), in which a wide and thick frenulum required approximation of the tear edges for a better cosmesis. At 3 months follow up, no inflammation or meatal stenosis were noted. One patient required further release of a scarry frenulum. Functional and cosmetic results were excellent in all cases. CONCLUSION: The "pull and burn" method is an easy, bloodless, and sutureless procedure for the correction of a short frenulum. Local anesthesia with EMLA is satisfactory, the procedure respects the glans anatomy, and preserves the frenular artery, achieving an excellent functional and cosmetic result.
机译：简介：短系带的存在是男性性交困难的常见原因，通常导致性交疼痛和对系带的伤害。所描述的大多数技术使用的缝线可能会切断腓总动脉并导致肉性狭窄或留下皮肤标签，从而造成不良的美容效果。目的：本研究的目的是就龟头阴茎的解剖结构描述一种用于矫正短带的“拉并烧”方法。方法：对127名因短带状疱疹而导致性交困难的年轻人进行了手术。通过使用局部麻醉剂（EMLA）的低共熔混合物15-20分钟来实现局部麻醉。通过透热疗法切开最大的张力点，通过在龟头上轻柔但牢固地缩回，在系带上形成可控的垂直撕裂。轻微出血被透热疗法封闭。建议个人卫生，不要再使用当地的防腐剂或抗生素。主要观察指标：使用EMLA乳膏可达到足够的麻醉效果，使用缝合线，手术并发症以及最终的美容和功能效果。结果：EMLA应用15-20分钟足以进行局部麻醉。只有一名患者的带状纽带很厚，需要进一步木质素卡因浸润。除了两种情况（1.6％）外，没有缝合线，其中宽而厚的系带需要接近撕裂边缘才能获得更好的美容效果。随访3个月，未发现发炎或狭窄。一名患者需要进一步释放疤痕系带。在所有情况下，功能性和装饰性效果均极佳。结论：“拉并烧”法是一种简便，无流血，无缝合的矫正短en带的方法。 EMLA的局部麻醉效果令人满意，该过程尊重龟头的解剖结构，并保留了腓状动脉，从而获得了出色的功能和美容效果。

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