A Modified Disposable Circumcision Suture Device with Application of Plastic Sheet to Avoid Severe Bleeding After Circumcision
Vol. 19 No. 02 (2022),
Purpose: To evaluate the effectiveness of a modified disposable circumcision suture device (DCSD) with application of plastic sheet to avoid severe bleeding after circumcision and compare the surgical effects and other postoperative complications of two DCSDs.
Materials and Methods: A total of 943 excess foreskin patients from January 2018 to January 2020 who underwent circumcision using two different DCSDs were recruited. Preoperative characteristics (patient age, height and weight), main surgical outcomes (surgical time, intraoperative blood loss, incision healing time) and postoperative complications (postoperative hemorrhage and hematoma rate, edema rate, incision infection rate, residual staples rate) were collected and analyzed. Patients' "satisfaction" or "dissatisfaction" was also investigated.
Results: Preoperative characteristics showed no significant statistical difference. The modified DCSD group has
a lower intraoperative bleeding, postoperative hemorrhage or hematoma rate and residual staples rate compared with the conventional group. Incision healing time and incision infection rate between the two groups were similar. Nevertheless, conventional group has a shorter surgical time, a lower edema rate and a higher satisfaction rate.
Conclusion: The modified DCSD with application of plastic sheet can avoid severe bleeding after circumcision
effectively and can be served as a new choice for circumcision.
- Disposable circumcision suture device
- Excess foreskin
How to Cite
Zhang SJ, Zhao YM, Zheng SG, Xiao HW, He YS. Correlation between premature ejaculation and redundant prepuce. Zhonghua Nan Ke Xue. 2006;12:225-7.
Sharma AL, Hokello J, Tyagi M. Circumcision as an Intervening Strategy against HIV Acquisition in the Male Genital Tract. Pathogens. 2021;10.
Smith JS, Backes DM, Hudgens MG, et al. Male Circumcision Reduces Penile HPV Incidence and Persistence: A Randomized Controlled Trial in Kenya. Cancer Epidemiol Biomarkers Prev. 2021;30:1139-48.
Mu J, Fan L, Liu D, Zhu D. A Comparative Study on the Efficacy of Four Types of Circumcision for Elderly Males with Redundant Prepuce. Urol J. 2020;17:301-5.
Senel FM, Demirelli M, Oztek S. Minimally invasive circumcision with a novel plastic clamp technique: a review of 7,500 cases. Pediatr Surg Int. 2010;26:739-45.
Huo ZC, Liu G, Li XY, et al. Use of a disposable circumcision suture device versus conventional circumcision: a systematic review and meta-analysis. Asian J Androl. 2017;19:362-7.
Huang C, Song P, Xu C, Wang R, Wei L, Zhao X. Comparative efficacy and safety of different circumcisions for patients with redundant prepuce or phimosis: A network meta-analysis. Int J Surg. 2017;43:17-25.
Wang J, Zhou Y, Xia S, et al. Safety and efficacy of a novel disposable circumcision device: a pilot randomized controlled clinical trial at 2 centers. Med Sci Monit. 2014;20:454-62.
Hughes K, Chang YC, Sedrak J, Torres A. A clinically practical way to estimate surgical blood loss. Dermatol Online J. 2007;13:17.
Gao Y, Yuan T, Zhan Y, et al. Association between medical male circumcision and HIV risk compensation among heterosexual men: a systematic review and meta-analysis. Lancet Glob Health. 2021;9:e932-e41.
Dogan G. The Effect of Religious Beliefs on the Publication Productivity of Countries in Circumcision: A Comprehensive Bibliometric View. J Relig Health. 2020;59:1126-36.
Akyuz O, Cam K. The Management of Phimosis Seen after Circumcision with Thermocautery. Urol J. 2020;17:50-4.
Muchiri E, Charalambous S, Ginindza S, et al. Description of adverse events among adult men following voluntary medical male circumcision: Findings from a circumcision programme in two provinces of South Africa. PLoS One. 2021;16:e0253960.
Rao JM, Huang H, Chen T, et al. Modified Circumcision Using the Disposable Circumcision Suture Device in Children: A Randomized Controlled Trial. Urology. 2020;143:206-11.
Pozza D, Pozza C, Mosca A, Pozza M. Preputial circumcision performed with a new mechanical stapling tool. The "langhe disposable circumcision suture device". Preliminary experiences. Arch Ital Urol Androl. 2020;91:261-2.
Su Q, Gao S, Chen J, et al. A Comparative Study on the Clinical Efficacy of Modified Circumcision and Two Other Types of Circumcision. Urol J. 2020;18:556-60.
Hinkle LE, Toledo C, Grund JM, et al. Bleeding and Blood Disorders in Clients of Voluntary Medical Male Circumcision for HIV Prevention - Eastern and Southern Africa, 2015-2016. MMWR Morb Mortal Wkly Rep. 2018;67:337-9.
Jiang W, Fu JL, Guo WL, et al. A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture Device. Sex Med. 2021;9:100288.
- Abstract Viewed: 0 times
- 6977/pdf Downloaded: 0 times