Clinical application of the disposable circumcision suture device in male circumcision.
- Author:
Sheng LI
;
Lei ZHANG
;
Da-Wen WANG
;
Sen YANG
;
Hai-Qi MU
;
Cun-Jin NAN
;
Tie-Lin WU
;
Shi-Jian ZHU
;
Ying-He CHEN
- Publication Type:Journal Article
- MeSH: Circumcision, Male; instrumentation; Disposable Equipment; Follow-Up Studies; Humans; Male; Phimosis; surgery; Surgical Staplers; Treatment Outcome
- From: National Journal of Andrology 2014;20(9):816-819
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the safety and efficiency of the disposable circumcision suture device (DCSD) in the surgical treatment of phimosis and redundant prepuce.
METHODSWe randomly assigned 249 outpatients with phimosis or redundant prepuce to be treated with DCSD (n = 129) and by conventional circumcision (CC, n = 120), respectively. Then we compared the safety and efficiency of the two strategies.
RESULTSComparisons between DCSD and CC showed that the operation time was (4.02 +/- 0.69) vs (30.8 +/- 4.05) min, blood loss was (1.07 +/- 1.29) vs (8.72 +/- 2.15) ml, intraoperative pain score was 0.81 +/- 0.81 vs 2.42 +/- 1.15, 24-hour postoperative pain score was 1.84 +/- 1.02 vs 4.99 +/- 1.36, postoperative complication rate was 13. 95% (18/129) vs 9.17% (11/120), wound healing time was (13.99 +/- 9.06) vs (17.48 +/- 3.49) d, satisfaction with the penile appearance was 98.4% (127/129) vs 95% (109/120), and treatment cost was (2215.62 +/- 17.67) vs (576.47 + 15.58) Y RMB. DCSD exhibited obvious superiority over CC for shorter operation time, less blood loss, milder intraoperative pain, sooner wound healing, and better penile appearance, but it also had a higher rate of postoperative complications (P > 0.05) and involved more treatment cost than the latter (P < 0.05).
CONCLUSIONThe disposable circumcision suture device affords ideal clinical effects and therefore deserves clinical popularization.