British journal of urology · 1994
Use of a eutectic mixture of local anaesthetics in the release of preputial adhesions: is it a worthwhile alternative?
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Lim A, Saw Y, Wake P N, Croton R S
Аннотация
OBJECTIVE: To see if a eutectic mixture of local anaesthetics (EMLA) could be used effectively for the release of preputial adhesions as a day case procedure.
PATIENTS AND METHODS: A total of 36 consecutive symptomatic children had their preputial adhesions separated under local anaesthetic with EMLA.
RESULTS: The procedure was successful in 27 children. Of these, 16 remained symptom free at 9 to 12 months follow up although five children had slight recurrence of adhesions. The other 11 children were listed for circumcision at 2 weeks following the procedure because of marked recurrence of adhesions.
CONCLUSION: EMLA cream is a good alternative to general anaesthetics in the separation of preputial adhesions. The technique is operator-dependent and better results were obtained when one person was using it regularly. Separation of adhesions is a worthwhile procedure in boys with symptomatic non-retractile foreskins.
PATIENTS AND METHODS: A total of 36 consecutive symptomatic children had their preputial adhesions separated under local anaesthetic with EMLA.
RESULTS: The procedure was successful in 27 children. Of these, 16 remained symptom free at 9 to 12 months follow up although five children had slight recurrence of adhesions. The other 11 children were listed for circumcision at 2 weeks following the procedure because of marked recurrence of adhesions.
CONCLUSION: EMLA cream is a good alternative to general anaesthetics in the separation of preputial adhesions. The technique is operator-dependent and better results were obtained when one person was using it regularly. Separation of adhesions is a worthwhile procedure in boys with symptomatic non-retractile foreskins.