Download - Sirkumsisi
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Kurnia Penta Seputra
SMF Urologi
RSUD Dr Saiful Anwar
Malang
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Definisi
Sirkumsisi adalah mengangkat prepusium penis sehingga glans penis menjadi terbuka
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Tujuan
Ritual
Medik Menjaga higiene penis dari smegma
dan sisa-sisa urineMencegah terjadinya infeksi pada glans
atau prepusium penis Mencegah karsinoma penis
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Indikasi
Fimosis atau parafimosisBalanitis rekurenKondiloma akuminataKarsinoma skuamosa pada prepusium.
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Kontra indikasi
o Hipospadiao Epispadiao Kordeo Megalouretrao Webbed penis o Kelainan pembekuan darah
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Prinsip dasar
AsepsisPengangkatan kulit prepusium
Hemostasis Kosmetik
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Teknik operasi
DisinfeksiAnestesiHigiene glans dan prepusiumPangangkatan / diseksi prepusiumHemostasisPenjahitan
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Anestesi lokal
Anestesi blok pada pangkal penis dengan
lidokain
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Dilatasi meatus uretra eksternum Membersihkan smega dan membebaskan preputitium dari glans
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Teknik diseksi prepusium
SleeveGulotinDorsal slitGomco
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Dorsal slit
Prepusisium dipotong pada :
Dorsal midlineMelingkar sejajar
sulkus koronarius
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Gulotin
Prepusisium :Dijepit dengan
klem lengkung 1-2 cm distal dari sulkus koronarius
Diiris merapat dengan klem
Hemostasis
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Penjahitan
Setelah hemostasis, luka sirkumsisi dijahit secara simpul dengan memakai benang yang mudah diserap
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Penyulit
Perdarahan Infeksi Amputasi glans / batang penis Fistula uretrokutan Nekrosis penis
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