urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2026-14-1-106-111urovest-1192Research ArticleОБМЕН ПРАКТИЧЕСКИМ ОПЫТОМEXCHANGE OF PRACTICAL EXPERIENCEОсложнения после рассечения подвешивающей связки полового членаComplications following division of the penile suspensory ligamenthttps://orcid.org/0000-0002-8814-4361ГулузадеК. С.GuluzadeK. S.

Кянан Сафарович Гулузаде

Москва

Kanan S. Guluzade

Moscow

kanansafarovich@gmail.comhttps://orcid.org/0000-0002-9128-2714ГамидовС. И.GamidovS. I.

Сафар Исраилович Гамидов — д-р мед. наук, профессор

Москва

Gamidov Safar.I. — Dr.Sc.(Med), Full Prof.

Moscow

safargamidov@yandex.ruhttps://orcid.org/0000-0002-3902-9236ШатылкоТ. В.ShatylkoT. V.

Тарас Валерьевич Шатылко — канд. мед. наук

Москва

Taras.V. Shatylko — Cand.Sc.(Med)

Moscow

dialectic.law@gmail.comПервый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)РоссияSechenov First Moscow State Medical University (Sechenov University)Russian FederationПервый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет); Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. академика В.И. КулаковаРоссияSechenov First Moscow State Medical University (Sechenov University); Kulakov National Medical Research CentreRussian FederationНациональный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. академика В.И. КулаковаРоссияKulakov National Medical Research CentreRussian Federation202605042026141106111Copyright © Гулузаде К.С., Гамидов С.И., Шатылко Т.В., 20262026Гулузаде К.С., Гамидов С.И., Шатылко Т.В.Guluzade K.S., Gamidov S.I., Shatylko T.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/1192Введение

Введение. Рассечение подвешивающей связки полового члена (лигаментотомия) представляет собой хирургическое вмешательство, направленное на удлинение свободной части полового члена. Своевременное выявление осложнений операции, их регистрация и классификация позволяют объективизировать хирургические риски и сравнивать результаты между клиниками.

Цель исследования

Цель исследования. Оценить частоту и структуру послеоперационных осложнений у пациентов, перенёсших лигаментотомию.

Материалы и методы

Материалы и методы. Проанализированы частота и характер осложнений у 66 пациентов, которым было выполнено рассечение подвешивающей связки полового члена в комбинации с различными методами кожной пластики. Для этих целей использовали универсальную шкалу Clavien-Dindo, применимую в разных областях хирургии, включая урологию.

Результаты

Результаты. Наиболее часто встречающимися осложнениями у данной когорты пациентов являются: отёк полового члена, серома, поверхностные раневые осложнения, грубое рубцевание, в основном I и II степени тяжести по классификации Clavien-Dindo.

Заключение

Заключение. При лигаментотомии тяжёлые осложнения встречаются редко. Преобладают состояния лёгкой и средней степени тяжести, не требующие повторных хирургических вмешательств. Применение классификации Clavien-Dindo позволяет объективно стратифицировать риски и может быть рекомендовано к использованию в клинической практике при оценке исходов аугментационной хирургии полового члена.

Introduction

Introduction. Division of the penile suspensory ligament (ligamentotomy) is a surgical procedure aimed at lengthening the visible part of the penis. This operation is widely used in aesthetic and reconstructive surgery for patients who are dissatisfied with the size of their penis or suffer from psychosexual discomfort. As with any surgical treatment, ligamentotomy also carries risks of complications.

Objective

Objective. To evaluate the frequency and structure of postoperative complications in patients who have undergone penile suspensory ligament division.

Materials & methods

Materials & methods. We analyzed the frequency and type of complications in 66 patients who underwent division of the suspensory ligament of the penis in combination with various skin plasty techniques.

Results

Results. The most common complications in this cohort of patients are seroma, penile edema, gross scarring, and superficial wound complications. Complications were mainly classified as grade I and II according to the ClavienDindo classification.

Conclusions

Conclusions. Serious complications are rare during ligamentotomy. Mild and moderate conditions predominate, requiring no additional surgical interventions. The Clavien–Dindo classification allows for objective risk stratification and may be recommended for use in clinical practice when assessing the outcomes of penile augmentation surgery.

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The authors declare that there are no conflicts of interest present.