A Comparative Study on the Efficacy of Four Types of Circumcision for Elderly Males with Redundant Prepuce
Vol. 17 No. 3 (2020),
Purpose: Circumcision is a common human urologic surgery performed in males with redundant prepuce to prevent the transmission and reduce the risk of urologic diseases. However, the optimal circumcision method for elderly men remains to be determined. Herein, the current study was conducted to characterize the efficacy of four different kinds of circumcision for elderly males with redundant prepuce.
Methods: This retrospective study included 132 elderly males diagnosed with redundant prepuce who underwent circumcision at the outpatient department. Among them, 38 cases were subjected to traditional surgery (Group A), 23 cases to sleeve circumcision (Group B), and 42 cases to Shang Ring circumcision (Group C) and 29 cases to suturing device circumcision (Group D). Subsequently, the operation time, loss of blood, postoperative pain, complications, wound healing, and the satisfaction were respectively compared and analyzed.
Results: The operation time of these 4 groups was calculated to be 27.3 ± 2.39 min, 30.4 ± 2.23 min, 6.3 ± 1.33 min, 7.6 ± 1.29 min, in Group A, Group B, Group C, Group D, respectively (P < 0.05). Besides, the loss of blood was 15.6 ± 2.84 mL, 11.8 ± 1.73 mL, 1.3 ± 0.44 mL, 3.7 ± 1.41 mL, respectively (P < 0.05). The elderly males who underwent Shang Ring circumcision exhibited the highest postoperative pain score, the longest pain duration, the longest healing time, the lowest recovery satisfaction rate and the highest operation experience satisfaction rate (P < 0.05).
Conclusion: Taken together, all four types of male circumcision present with advantages and drawbacks. The traditional male circumcision and sleeve circumcision led to longer operation time and more bleeding, but no additional medical equipment was needed. Meanwhile, the Shang Ring circumcision caused the shortest operation time and the least bleeding, accompanied by the longest pain duration and recovery time. Therefore, the application of sleeve circumcision or a suturing device was recommended for elderly males suffering from redundant prepuce.
How to Cite
Dunsmuir, W.D. and E.M. Gordon, The history of circumcision. BJU Int, 1999. 83 Suppl 1: p. 1-12.
Tobian, A.A., T. Adamu, J.B. Reed, et al, Voluntary medical male circumcision in resource-constrained settings. Nat Rev Urol, 2015. 12(12): p. 661-70.
Abdulwahab-Ahmed, A. and A. Umar, Dorsal slit-sleeve technique for male circumcision. J Surg Tech Case Rep, 2014. 6(1): p. 46.
Ma, Q., L. Fang, W.Q. Yin, et al, Chinese Shang Ring Male Circumcision: A Review. Urol Int, 2018. 100(2): p. 127-133.
Han, H., D.W. Xie, X.G. Zhou, et al, Novel penile circumcision suturing devices versus the shang ring for adult male circumcision: a prospective study. Int Braz J Urol, 2017. 43(4): p. 736-745.
Hughes, K., Y.C. Chang, J. Sedrak, et al, A clinically practical way to estimate surgical blood loss. Dermatol Online J, 2007. 13(4): p. 17.
Ye, J.J., K.T. Lee, Y.Y. Chou, et al, Assessing Pain Intensity Using Photoplethysmography Signals in Chronic Myofascial Pain Syndrome. Pain Pract, 2018. 18(3): p. 296-304.
Ben, K.L., J.C. Xu, L. Lu, et al, [Male circumcision is an effective "surgical vaccine" for HIV prevention and reproductive health]. Zhonghua Nan Ke Xue, 2009. 15(5): p. 395-402.
Kelly, R., N. Kiwanuka, M.J. Wawer, et al, Age of male circumcision and risk of prevalent HIV infection in rural Uganda. Aids, 1999. 13(3): p. 399-405.
Tobian, A.A., R.H. Gray, and T.C. Quinn, Male circumcision for the prevention of acquisition and transmission of sexually transmitted infections: the case for neonatal circumcision. Arch Pediatr Adolesc Med, 2010. 164(1): p. 78-84.
Tian, Y., R. Wazir, and K. Wang, Male circumcision decreases penile sensitivity as measured in a large cohort. BJU Int, 2013. 112(1): p. E2-3.
Senel, F.M., M. Demirelli, F. Misirlioglu, et al, Adult male circumcision performed with plastic clamp technique in Turkey: results and long-term effects on sexual function. Urol J, 2012. 9(4): p. 700-5.
Lee, D.M., J. Nazroo, D.B. O'Connor, et al, Sexual Health and Well-being Among Older Men and Women in England: Findings from the English Longitudinal Study of Ageing. Arch Sex Behav, 2016. 45(1): p. 133-44.
Wu, X., Y. Wang, J. Zheng, et al, A report of 918 cases of circumcision with the Shang Ring: comparison between children and adults. Urology, 2013. 81(5): p. 1058-63.
Peng, Y.F., B.H. Yang, C. Jia, et al, [Standardized male circumcision with Shang Ring reduces postoperative complications: a report of 351 cases]. Zhonghua Nan Ke Xue, 2010. 16(11): p. 963-6.
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