Epinephrine in the tumescent technique for hypospadia surgery

Main Authors: Prasetyono, Theddeus O.H., Putri, Nandita M.
Format: Article info application/pdf eJournal
Bahasa: eng
Terbitan: Faculty of Medicine Universitas Indonesia , 2012
Online Access: http://mji.ui.ac.id/journal/index.php/mji/article/view/495
http://mji.ui.ac.id/journal/index.php/mji/article/view/495/485
Daftar Isi:
  • The use of tumescent technique, which contains epinephrine, in penile surgery has not been reported previously. Two patients with hypospadias had reconstructive operation using tumescent technique with a ”One-per-Mil” tumescent solution containing epinephrine intra-operatively. The results was a clear operation field, almost bloodless during dissection, and no complication on the penis after epinephrine injection with minimal edema. Apparently, the “One-per-Mil” tumescent solution acts as a natural hydro-dissector creating avascular anatomic tissue planes for easier and more rapid dissection in surgery for hypospadias. We suggest that epinephrine is safe to be injected in penis as a future area of clinical practice. (Med J Indones. 2012;21:175-8)Keywords: Epinephrine, hypospadia, tumescent technique