Spinal anesthesia for penile curvature surgery

This is an automatically translated article.

The article was consulted with Specialist Doctor I Nguyen Duc Thong - Anesthesiologist - General Surgery Department - Vinmec Danang International General Hospital.
When the axis of the penis makes an angle greater than 0 degrees with the horizontal plane of the body, it is considered a penile curvature. Depending on the curvature to determine the danger level, if the curvature of the penis is over 20 degrees or there is a deformity, burning pain, difficulty in sexual intercourse... it is a serious condition, requiring surgery.

1. When is it considered a curvature of the penis?

Normally the penis when erect will have a straight axis, which means that the origin and the tip are on the same plane.
If the curvature of the penis is over 20 degrees or there is a deformity, obvious symptoms such as: burning pain, tightness, difficulty in sexual intercourse... the patient needs surgery. Penile curvature can occur at any age, but is more common in men aged 40 years and older.

2. The cause of the penis is bent

Having cavernous sclerosis: This is a benign disease, appearing because the fibrous plaques develop between the two layers of the cavernous body, causing it to contract and stick firmly, making the genitals curved and deformed. Cavernous sclerosis can be caused by autoimmune disorders of the body or genetic causes, disorders of collagen synthesis, and side effects of drugs in the treatment of the disease. In addition, abnormal fibrous response can also occur when the patient masturbates too much, uses his hands to break the penis, is bent during intercourse... Due to trauma Due to genetic factors.

Trắc nghiệm: Dương vật của bạn có bình thường không?

Sức khỏe “cậu nhỏ” là điều được nhiều nam giới chú ý và quan tâm. Liệu bạn đã biết được tình trạng dương vật của mình có đang ở mức bình thường hay không? Hãy cùng tìm hiểu thông qua các câu trắc nghiệm nhanh sau đây nhé.

Bài dịch từ: webmd.com

3. Consequences of a curved penis

Difficulty in having sex, reducing the feeling of pleasure. Penile curvature causes pain during intercourse, discomfort reduces libido
If the penis is bent in a downward direction, it often affects urination such as: Difficulty urinating, frequent urination, incomplete urination... This condition increases the risk of urinary tract infections.
If left untreated for a long time, it can lead to erectile dysfunction.

4. Spinal anesthesia what is penile curvature surgery?


Gây tê tủy sống phẫu thuật chỉnh hình cong dương vật là kỹ thuật gây tê vùng, nhằm giúp giảm đau trong quá trình phẫu thuật
Gây tê tủy sống phẫu thuật chỉnh hình cong dương vật là kỹ thuật gây tê vùng, nhằm giúp giảm đau trong quá trình phẫu thuật
Spinal anesthesia for penile curvature surgery is a regional anesthetic technique that is performed by injecting local anesthetic into the subarachnoid space to temporarily inhibit nerve conduction through the spinal cord to meet the need for anesthesia for surgery. surgery and analgesia.
Performing analgesia to relieve pain during penile curvature surgery.
4.1 Contraindication Spinal anesthesia method of penile curvature surgery is contraindicated in patients:
Allergic to anesthetic Inflammation of needle puncture area Lack of adequate circulating volume, shock Severe coagulopathy Discontinue current anticoagulants without sufficient time Mitral stenosis, severe aortic regurgitation Increased intracranial pressure. 4.2 Person performing 1 doctor, nurse in anesthesiology and resuscitation department.
4.3 What the patient needs to diagnose before surgery The patient has been examined by the doctor before surgery, heard the doctor explain to the patient an overview of the surgical method for cooperation. Clean the anesthetic area. To perform spinal anesthesia, penile curvature surgery will place the patient in a sitting or lying position. Sitting position: The patient sits with his back bent, head bowed, chin resting on his chest, legs stretched out on the operating table or feet on the chair. Lying position: The patient lies on his side with his back bent, knees pressed to the abdomen, chin pressed to the chest. Disinfect the puncture site 3 times with an antiseptic solution and cover with a sterile tissue. 4.4 Anesthesia equipment, tools and anesthetics for spinal anesthesia for penile curvature surgery Syringes of all sizes, gloves, sterile gauze, pince, antiseptic alcohol, sterile hole towels, anesthetic needles spinal cord sizes...
Local anesthetics: Bupivacaine, levobupivacaine, ropivacaine... can be combined with morphine drugs (morphine 100 mcg; fentanyl 22-30 mcg, sufentanil 2-5mcg)
Dosage based on weight , height and body condition of the patient: Bupivacaine dose from 3-12mg; levobupivacaine from 5-12mg; ropivacaine dose from 5-20mg; Reduce dose for people > 60 years old, anemia.
4.5 Performing spinal anesthesia for penile curvature surgery Spinal anesthesia technique: Point the bevel of the anesthetic needle parallel to the patient's spine Insert the needle until a sensation of loss of resistance due to the needle is achieved. epidural passage Check for cerebrospinal fluid oozing, turn the bevel of the needle toward the patient's head and inject the anesthetic.

5. Prevention of penile curvature


Nên lựa chọn tư thế quan hệ phù hợp tránh có nguy cơ làm cong dương vật
Nên lựa chọn tư thế quan hệ phù hợp tránh có nguy cơ làm cong dương vật
Limit masturbation, give up the habit of breaking the penis. When the penis is bent, limit palpation or manipulation. Choose an appropriate sexual position. When you see any abnormal symptoms, you need to see a doctor for timely treatment. At Vinmec Hospital, before conducting spinal anesthesia, the anesthesiologist will ultrasound evaluate the spine and mark it to make it easier to puncture the spinal needle, avoid poking and poking many times, causing pain for the patient. In addition, we use a blunt needle (Pencil point) to avoid wide perforation of the spinal cord causing headache after spinal anesthesia. The spinal anesthesia procedure is performed in absolute sterility to ensure patient safety. Before - during and after spinal anesthesia, patients were closely monitored for feeling of block, pulse, blood pressure, electrocardiogram, respiratory rate, arterial blood oxygen saturation, antiemetic, heating; in order to promptly adjust the complications that may occur during spinal anesthesia.

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