Novel penile circumcision suturing devices versus the shang ring for adult male circumcision: a prospective study

Vol. 43 (4): 736-745, July – August, 2017

doi: 10.1590/S1677-5538.IBJU.2016.0204


ORIGINAL ARTICLE

Hu Han 1, Da-wei Xie 1, Xiao-guang Zhou 1, Xiao-dong Zhang 1
1 Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China

 

ABSTRACT

Introduction: To evaluate the safety and efficacy of a novel penile circumcision sutur­ing devices PCSD and Shang ring (SR) for circumcision in an adult population.

Materials and Methods: A total of 124 outpatients were randomly assigned to receive PCSD (n=62) or SR (n=62). Patient characteristics, operative time, blood loss, return to normal activities time (RNAT), visual analogue scale (VAS), scar width, wound healing time, cosmetic result, and complications were recorded.

Results: There were no significant differences in blood loss, RNAT, or complications between the two groups. There were no significant differences in the VAS scores at theduring operation, and 6 or 24 hours after surgery (P>0.05). The wound scar width was wider in the SR group than in the PCSD group (P<0.01). Patients in the SR group had significantly longer wound healing time compared with those in the PCSD group (P<0.01). Patients who underwent PCSD wereere significantly more satisfied with the cosmetic results (P<0.01).

Conclusions: SR and PCSD are safe and effective minimally invasive techniques for adult male circumcision. Compared with SRs, PCSDs have the advantages of faster postoperative incision healing and a good effect on wound cosmetics.

Keywords:  Circumcision, Male; Penis; Surgical Procedures, Operative

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