Comparative effect of dorsal slit circumcision and disposable circumcision suture device

Objective To compare the safety and effectiveness of disposable circumcision suture device (DCSD) with conventional circumcision in surgical treatment of phimosis and redundant prepuce. Methods One hundred and sixty one patients with phimosis or redundant prepuce were randomly assigned to be treated by circumcision using disposable circumcision suture device (DCSD group, n=89) or conventional circumcision (CC group, n=72), respectively. Results The operation time was (3.8±0.5)min in DCSD group and (31.6±2.7)min in CC group (F=71.21, P=0.000), blood loss was 1.0(0.9, 1.2)ml in DCSD group and 6.2(5.7, 7.0)ml in CC group (Z=-10.90, P=0.000). There were no significant differences in intraoperative pain score (1.4±0.6 vs. 2.9±0.8, F=2.08, P=0.151) and wound healing time [(14.0±1.3) vs. (16.8±2.1) d, F=0.10, P=0.754] between two groups. There was no need to change the dressing for patients in DSCD group 3 days after the operation, while patients in CC group changed dressing 3 times after the operation. No significant differences in postoperative complication rate [10%(9/89) vs. 4%(3/72), χ2=2.04, P=0.153] and satisfaction rate with the penile appearance [98%(87/89) vs. 94%(68/72), χ2=0.47, P=0.494] were found between two groups. Conclusion DCSD exhibits superiority over CC for shorter operation time and less blood loss in circumcision. Key words: Circumcision, male; Phimosis; Surgical stapling