Thursday, July 21, 2005

FYI: Avoiding woodies is key to penile surgery recovery

File it under no Scheisse, Sherlock: Doctors in Turkey note that erections can strain the sutures on newly operated johnsons.

Following penile surgery, erections are painful and may prejudice the result, because the sutures may not withstand a rigid erection. Therefore, prevention of erection and management of pain are extremely important following hypospadias repair, especially in adult patients.

They randomly assigned 20 patients undergoing wang repair to either receive epidural analgesia (group I) or not (group II).

Pain management was found to be more effective in group I. No erections occurred in group I, but the erection rate in group II was mean +/- s.d. = 1.7 +/- 0.2. The differences were found to be statistically significant (P<0.05). We highly recommend the technique described here, which offers efficient analgesia and control of erection in adult hypospadias patients.

Here's some free advice: banning porn from the room helps keep things down, as well.

Found this article while searching PubMed for regional anesthesia vs. general anesthesia outcomes. See what goodies you get if you cast your net wide enough?