SURGICAL METHOD OF TREATING PHIMOSIS IN CHILDREN USING TISSUE GLUE Russian patent published in 2024 - IPC A61B17/00 A61L24/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to paediatric surgical urology. Synechiae are separated, the cicatricial ring of the preputial sac is dissected, the inner and outer leaves of the foreskin are excised, sutured together and a postoperative dressing is applied. At the same time edges of leaves of foreskin after excision of inner and outer leaves of foreskin are brought together by means of clamps. Frenulum is formed with a single suture; in the stretched state of the penis wound edges are matched, the first layer of tissue glue is applied on the wound, and in 30 seconds the second layer of tissue glue is applied. After that, the penis shaft is immediately bandaged with a strip of an elastic self-fixing bandage in 3 layers: the first layer is applied with a bandage with a width equal to the length of the cavernous bodies in a rest condition, from 2 to 5 cm. Length of the bandage for the first layer of the dressing should be such that it makes three turns around the shaft of the penis. Flat bandage roll is formed from the first round of the bandage by folding first 3 cm of bandage in 4 layers in a clockwise direction, the width of which is 1.0 cm. Roller-bandage is applied in vertical direction to area of dissected frenulum so that projection of frenulum is located in centre of roller-bandage. Penis shaft is bandaged clockwise without bandage tension. 30-second pause is maintained and a second layer of the bandage is applied with a self-fixing counterclockwise bandage 10 to 15 cm long. Third layer of the dressing is made with a self-fixing bandage of the same width in the form of two clockwise rounds of the bandage. Each layer of the dressing is made with different colour bandages. Bandage is applied for 10 days, changing only the last layer of the bandage as it gets dirty.

EFFECT: method does not allow displacement of the middle "suture" of the penis shaft, provides fusion of sensitive nerve fibres, most concentrated in the frenulum, provides reliable adaptation of the edges of the postoperative wound, tightness of postoperative connection of wound edges in combination with elasticity and ability to withstand pressure during erection; use of 3 layers of postoperative dressing with different functional orientation protects against penetration of infection into postoperative wound even in case of wetting and damage, does not require dressings, is a low-traumatic, effective method of treatment, enables to obtain an excellent therapeutic and cosmetic effect.

1 cl, 2 dwg, 1 ex