Hazardous Effects of Electrocautery on Penile Arteries: An Experimental Study

Objective: Urethral arteries may be affected during electrocauterization The present study aims to investigate whether urethral artery spasm induced by electrocauterization during penile surgery causes pudendal nerve injury. Method: Eighteen male New Zealand rabbits were allocated into control (G-I,...

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Main Authors: Binali Fırıncı (Author), Remzi Arslan (Author), Özgür Çağlar (Author), Ali Ahıskalıoğlu (Author), Mehmet Dumlu Aydın (Author)
Format: Book
Published: Galenos Publishing House, 2023-12-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Binali Fırıncı  |e author 
700 1 0 |a Remzi Arslan  |e author 
700 1 0 |a Özgür Çağlar  |e author 
700 1 0 |a Ali Ahıskalıoğlu  |e author 
700 1 0 |a Mehmet Dumlu Aydın  |e author 
245 0 0 |a Hazardous Effects of Electrocautery on Penile Arteries: An Experimental Study 
260 |b Galenos Publishing House,   |c 2023-12-01T00:00:00Z. 
500 |a 2822-4469 
500 |a 10.4274/jbuch.galenos.2023.56255 
520 |a Objective: Urethral arteries may be affected during electrocauterization The present study aims to investigate whether urethral artery spasm induced by electrocauterization during penile surgery causes pudendal nerve injury. Method: Eighteen male New Zealand rabbits were allocated into control (G-I, n=5), penile surgery without electrocauterization (SHAM group, G-II, n=6) and monopolar cauterization under general anesthesia (study group, G-III, n=9) groups. The animals were followed up for three weeks and then sacrificed. Vasospasm index values (VSI: wall ring surface value/lumen surface value) of urethral arteries and degenerated neuron densities (DNDs) of pudendal nerve dorsal root ganglia at sacral-3 level (S3) were examined using stereological methods. Results were compared using the one-way ANOVA test. Results: Neuronal angulation, cytoplasmic condensation, nuclear shrinkage, and condensed nuclei were detected in the pudendal nerve ganglia. The mean VSI values of urethral arteries and DNDs of pudendal ganglia (n/mm3) were estimated as 1.012+-0.024 vs. 4+-1 in GI; 1.082+-0.323 vs. 28+-7 in GII and 2.54+-0.0621 vs. 137+-14 in GIII, respectively. Statistical significance values (p-values) in terms of VSI, and DND for the differences between GI and GII (p<0.01 vs. p<0.005), GII and GIII (p<0.001 vs. p<0.0001)- and GI and GIII (p<0.0001 vs. p<0.0001) were as indicated. Conclusion: Electrocautery during penile surgery should not be used because of retrograde degeneration of the pudendal nerve and ganglia secondary to the injury to urethral taste bud-like structures. 
546 |a EN 
690 |a urethral arteries 
690 |a pudendal ganglia 
690 |a electrocautery 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Journal of Behçet Uz Children's Hospital, Vol 13, Iss 3, Pp 192-197 (2023) 
787 0 |n https://jag.journalagent.com/z4/download_fulltext.asp?pdir=behcetuz&un=BUCHD-56255 
787 0 |n https://doaj.org/toc/2822-4469 
856 4 1 |u https://doaj.org/article/0b09cf8b477b4113bcd8a24dd7d5e18c  |z Connect to this object online.