Neurovascular bundle mobilization (NVBm) requires experience to avoid injury of the dorsal nerves and arteries of the penis. This work described Shaeer’s Hydro-Inflation Technique for Neurovascular Bundle Mobilization (S-NVBm), whereby infiltration of the neurovascular bundle with saline is performed to increase safety and speed of NVBm. S-NVBm was performed in 50 cases: 21 cases of corporal rotation for congenital curvature, and 29 cases of penile prosthesis implantation with slitting of the tunica albuginea for correction of Peyronie’s disease deformity (S-NVBm group). A matching group was operated upon with “classic” NVBm, without hydro-inflation (C-NVBm group, n = 32). In S-NVBm cases, hydro-inflation of Buck’s fascia was performed prior to NVBm using 80% saline and 20% xylocaine (without adrenaline). The mixture was injected into Buck’s fascia with the blunt nozzle of a 20 ml syringe, superficially applied to the surface. Average duration for NVBm in the S-NVBm group was 3.5 min ± 1.4 (range 1.2–7), compared to a duration of 7.3 ± 2 (range 4–11.2) in the C-NVBm group (p < 0.001); a 51.8% difference. No arterial injury was witnessed with S-NVBm group, compared to 1 case of minor unilateral arterial injury in the C-NVBm group. Sensitivity score was 10.2% higher in the S-NVBm group (mean 4.7 ± 0.5, range 3–5) compared to a mean of 4.3 ± 1 (range 2–5) in the C-NVBm group (p < 0.001). Biosthesiometry detected a mild sensory deficit in 1/50 cases of the S-NVBm group (2%) compared to 3/32 in the C-NVBm group (9.4%). Average post-operative pain score was 46% lower (2.5 ± 1.4, range 1–6) in the S-NVBm group compared to 4.6 ± 1.3 (range 2–7) in the C-NVBm group(p < 0.001). The findings herein demonstrate that Hydro-Inflation technique allows mobilization of the neurovascular bundle in a shorter time, with less post-operative pain, and with a lower risk for sensory deficit.

神经血管束动员 （NVBm） 需要经验来避免阴茎背神经和动脉损伤。这项工作描述了 Shaeer 的神经血管束动员水充气技术 （S-NVBm），其中用盐水浸润神经血管束以提高 NVBm 的安全性和速度。在 50 例病例中进行了 S-NVBm：21 例因先天性弯曲而进行体旋转，29 例假体植入并切开白膜以矫正佩罗尼氏病畸形（S-NVBm 组）。匹配组使用“经典”NVBm 进行手术，没有水充气（C-NVBm 组，n = 32）。在 S-NVBm 病例中，在 NVBm 之前使用 80% 生理盐水和 20% 赛洛卡因（不含肾上腺素）对 Buck 筋膜进行水充气。用 20 毫升注射器的钝喷嘴将混合物注射到 Buck 的筋膜中，表面涂抹在表面。S-NVBm 组 NVBm 的平均持续时间为 3.5 分钟± 1.4（范围 1.2-7），而 C-NVBm 组的平均持续时间为 7.3 ± 2（范围 4-11.2）（p < 0.001）;相差 51.8%。S-NVBm 组未见动脉损伤，C-NVBm 组为 1 例轻微单侧动脉损伤。 S-NVBm 组的敏感性评分（平均值 4.7±0.5，范围 3-5）高出 10.2%，而 C-NVBm 组的平均敏感性评分为 4.3±1（范围 2-5）（p < 0.001）。生物测量法检测到 S-NVBm 组 1/50 病例 （2%） 的轻度感觉缺陷，而 C-NVBm 组为 3/32 （9.4%）。S-NVBm 组的平均术后疼痛评分降低 46%（2.5±1.4，范围 1-6），而 C-NVBm 组为 4.6±1.3（范围 2-7）（p < 0.001）。本文的研究结果表明，Hydro-Inflation 技术可以在更短的时间内动员神经血管束，减少术后疼痛，并降低感觉缺陷的风险。