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Abstract

Volume 15, Issue 3 (May 2013) 15, 364–367; 10.1038/aja.2012.164

The penile tourniquet

Brian A Parsons1, Odunayo Kalejaiye2, Mustafa Mohammed1 and Raj A Persad1

1 Bristol Urological Institute, Southmead Hospital, Bristol BS10 5NB, UK
2 Plymouth Hospitals NHS Trust, Plymouth, UK

Correspondence: BA Parsons, (brianaparsons@hotmail.com)

Received 18 November 2012; Accepted 20 December 2012 Advance online publication 1 April 2013

Abstract

Tourniquets are commonly used in penile surgery to achieve a bloodless operating field or produce artificial erections intraoperatively. Several techniques have been described, but there is a paucity of data and a lack of guidelines to direct their safe use. In penile surgery, it is the local rather than systemic effects of tourniquet use that are the main concern. Tourniquet time should be kept to a minimum, as the limited data available suggests that reperfusion injury can occur even after short periods of ischaemia. High risk groups such as diabetics and arteriopaths are at particular risk. Further studies are needed to determine safe tourniquet times and pressures.


Keywords:hypospadia; ischaemia; penile surgery; reperfusion injury; tourniquet

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