Prepuce diseases are very common conditions in urology and andrology, and quite a few cases need to be treated by surgery. Preputial edema is a common complication after prepuce surgery, with a higher incidence rate in children than in adults. Although preputial edema is just moderate symptom and does not affect urination, it worries or even distresses the patient both physically and psychologically. In recent years, rapid achievements have been made in prepuce surgery, as in prepuce circumcision, preputial neoplasm excision, and penile degloving repair, which can now be accomplished with shorter time and higher efficiency. Despite constant improvement in the methods and techniques for prepuce surgery, postoperative edema remains difficult to be totally prevented. Pathogenic factors for postoperative preputial edema vary from disturbance of blood circulation to inflammatory factor-induced change in capillary permeability, lymphatic circulation disorders, and neurogenic edema. Elimination of the pathogenic factors and precautionary measures after surgery count significantly to the prevention and management of postoperative preputial edema. This review focuses on the pathogenesis, prevention and treatment of edema after prepuce surgery.
包皮疾患是泌尿、男科常见疾病，不少患者需要手术治疗。包皮水肿是包皮术后常见并发症，小儿较成人更易发生。包皮水肿虽然症状相对较轻，不影响排尿等，但仍给患者带来生理和心理的忧虑，甚至引起恐慌和不安。包皮手术的发展已经非常迅速，包括包皮环切术、包皮新生物切除术、阴茎脱套修复等，手术耗时短并且效率高，给患者带来了方便。虽然目前包皮手术的方法、技巧很多，但临床上仍无法完全避免术后水肿的发生。具体原因包括：术后引起的血液循环障碍得不到及时的重建、炎症因子等引起毛细血管通透性的改变、淋巴循环障碍以及神经源性水肿等。消除病因是消除水肿的根本，而包皮术后的预防处理对减轻水肿也有着十分重要的作用。本文就包皮术后水肿发生机制及预防处理方法作一具体综述。.
Keywords: postoperative edema; prepuce; prepuce surgery.