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Page 24
May 24-25, 2018
London, UK
Vascular Surgery 2018
3
rd
Edition of World Congress & Exhibition on
Vascular Surgery
Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482
D
espite topical anesthetic blockage for penile surgeries
has been substantially reported in the medical literature,
a heavy intravenous sedation is unexceptionally used. We
sought to report an acupuncture assisted pure local anesthesia
on the ambulatory basis under several methods of topical
blocks. From 1989 to 2017, 3223 men (ages 19 to 91 years)
received our ambulatory penile vascular surgeries. They
were categorized into the venous (n= 2867), patch (n= 323),
and arterial groups (n= 33) in accordance with penile venous
stripping, penile autologous venous patches, and penile arterial
reconstruction surgery respectively. The chosen acupoints
involve Hegu (LI4), Shou San Li (LI10), Quchi (LI11) , and either
Waiguan (SJ5) or Neiguan (PC6). In tandem with our advanced
penile anatomy, the topical blocks include proximal dorsal nerve
block, peripenile infiltration, bilateral crural blockage and topical
infiltration. These blockages are sufficient local anesthesia for
patients with varied vascular surgeries unless a penile implant
which requires bilateral cavernous nerve block. The anesthetic
effects when a visual analog scale of 100 mm was used, and
postoperative results were satisfactory. Common immediate
side effects included puncture of the corpus spongiosum or the
deep dorsal vein as well as the innominate vessel, subcutaneous
ecchymosis, transient palpitations, and acceptable low level of
pain. There were no significant late complications. A booster
injection is advised by 4 hours before the patient registers
pain again. Overall 2635 men (81.5%) require 1 to 2 booster
injections. In recent three years, 23 American and European
males have successfully received this acupuncture-aided local
anesthesia despite they insisted general anesthesia in threads
of internet consultations before their attendances. Topical nerve
blockades proved to be reliable, simple, and safe, with minimal
complications. They offer the advantages of less morbidity,
reduced effects of anesthesia, protection of privacy, and a rapid
return to preoperative daily activity.
Recent Publications
1. Hsu GL. Hsieh CH. Wen HS. Hsieh JT and Chiang HS
(2003) Outpatient surgery for penile venous patch
with the patient under local anesthesia. Journal of
Andrology 24:35-39.
2. Hsieh CH, Liu SP, Hsu GL Chen HS, Molodysky E, Chen
YH, Yu HJ. (2012) Advances in our understanding of
mammalian penile evolution, human penile anatomy
and human erection physiology: Clinical implications
for physicians and surgeons Medical Science Monitor
18: RA118-125.
3. Hsu GL, Molodysky E, Liu SP, Hsieh CH, Chen HC, Chen
YH (2013) A Combination of Penile Venous Stripping,
Tunical Surgery and Varicocelectomy for Patients
with Erectile Dysfunction, Penile Dysmorphology and
Varicocele under Acupuncture-aided Local Anesthesia
on Ambulatory Basis. Surgery: current research S12:008.
4. Hsu GL UX, Hsieh CH, Huang SJ (2013) Acupuncture
assisted regional anesthesia for penile surgeries.
Acupuncture aided local anesthesia for penile vascular
surgeries
Chun Kai Hsu
1
and Geng Long Hsu
2, 3
1
Taipei Tzu chi Hospital, Taiwan
2
Hsu’s Andrology, Taiwan
3
National Taiwan University, Taiwan
Chun Kai Hsu et al., J Vasc Endovasc Therapy 2018, Volume 3
DOI: 10.21767/2573-4482-C1-002