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Electrosurgical Pencil

Standard monopolar electrosurgical handpiece — the workhorse for fascial incision, subcutaneous dissection, and non-critical hemostasis.

Design​

  • Active electrode tip (blade, needle, or ball — interchangeable)
  • Hand-held handpiece with button-controlled cut and coagulation modes
  • Requires grounding pad on the patient for the circuit return

Modes​

  • Cut — continuous waveform; vaporizes tissue with minimal coagulation
  • Coagulation — interrupted waveform; heat-induced vessel sealing
  • Blend — intermediate settings for simultaneous cutting and hemostasis

Key Uses​

  • Skin and fascial incision
  • Subcutaneous and deep tissue dissection
  • Non-critical hemostasis

Cautions in Reconstructive Urology​

  • Avoid near critical structures (ureter, nerve, penile neurovascular bundle) — lateral thermal spread extends well beyond the visible cut
  • Prefer bipolar or Colorado tip for delicate fields

See also: Colorado Tip.