ORIGINAL ARTICLE
Year : 2014  |  Volume : 16  |  Issue : 3  |  Page : 453-456

Disposable circumcision suture device: clinical effect and patient satisfaction


1 The First Affiliated Hospital of Zhejiang University, Zhejiang, Hangzhou, China
2 Department of Urology, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China
3 Department of Urology, People's Hospital of Anji County, Huzhou, China
4 Department of Urology, Traditional Chinese Medical Hospital of Deqing County, Huzhou, China
5 Department of Urology, Traditional Chinese Medical Hospital of Tongxiang County, Jiaxing, China

Correspondence Address:
Jie Zhang
Department of Urology, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou
China
Zhao-Dian Chen
The First Affiliated Hospital of Zhejiang University, Zhejiang, Hangzhou
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1008-682X.127816

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In our experience patients undergoing circumcision are mostly concerned about pain and penile appearances. We conducted a prospective randomized trial to assess the benefits of a new disposable circumcision suture device (DCSD). A total of 942 patients were equally divided into three groups (conventional circumcision, Shang ring and disposable suture device group). Patients in the DCSD group were anesthetized with compound 5% lidocaine cream, the others with a 2% lidocaine penile block. Operation time, intra-operative blood loss, incision healing time, intra-operative and post-operative pain, the penile appearance and overall satisfaction degree were measured. Operation time and intra-operative blood loss were significantly lower in the Shang ring and suture device groups compared to the conventional group (P < 0.001). Intra-operative pain was less in the suture device group compared with the other two groups (P < 0.001); whereas post-operative pain was higher in the conventional group compared to the other two groups (P < 0.001). Patients in the suture device (80.57%) and Shang ring (73.57%) groups were more satisfied with penile appearances compared with the conventional circumcision group (20.06%, P < 0.05). Patients in suture device group also healed markedly faster than the conventional group (P < 0.01). The overall satisfaction rate was better in the suture device group (78.66%) compared with the conventional (47.13%) and Shang ring (50.00%) groups (P < 0.05). The combination of DCSD and lidocaine cream resulted in shorter operation and incision healing times, reduced intra-operative and post-operative pain and improved patient satisfaction with the cosmetic appearances.


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