title: Circumcision with a novel disposable device in Chinese children: a randomized controlled trial.
abstract: OBJECTIVE
  To compare the outcomes and complications of three methods of circumcision in a Chinese pediatric population.
  
  
  METHODS
  A total of 120 children were randomly assigned to three groups. Group I was submitted to circumcision using the Shenghuan disposable device according to Yan's method; group II was submitted to circumcision using the same device, but according to Peng's methods; group III was operated on by using the conventional scalpel/suture technique. The three groups were compared mainly by the following outcomes: duration of surgery, intraoperative bleeding, postoperative pain, cosmetic effect, and the rates of edema, dehiscence, scarring, adhesion and infection.
  
  
  RESULTS
  Groups I and II had less intraoperative bleeding. In terms of the duration of surgery, group I was the quickest. Pain scores in using the Shenghuan disposable device were higher at 6 h after surgery compared with the conventional scalpel/suture technique. The percentage of patients using paracetamol in group II was higher than that in group III at 12 h after surgery. Other complications were similar, and all three groups had successful outcomes.
  
  
  CONCLUSIONS
  Circumcision using the Shenghuan disposable device represents a safer and time-saving option compared with the conventional scalpel/suture technique, with better cosmetic outcomes. Yan's method seems to be better than Peng's method when using the Shenghuan disposable device for circumcision in children.
authors.affiliation: Department of Urology, Affiliated Drum Tower Hospital, Nanjing University, School of Medicine, Nanjing, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Pan
authors.forename: Lianjun
authors.initials: L
authors.lastname: Pan
authors.forename: Aixia
authors.initials: A
authors.lastname: Zhang
authors.forename: Yong
authors.initials: Y
authors.lastname: Liu
authors.forename: Fenglei
authors.initials: F
authors.lastname: Zhang
authors.forename: Yutian
authors.initials: Y
authors.lastname: Dai
mesh_terms: D016063:Blood Loss, Surgical / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D002681:China; D002944:Circumcision, Male / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D004209:Disposable Equipment / Q000706:statistics & numerical data*; D004311:Double-Blind Method; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods; D010149:Postoperative Pain / Q000453:epidemiology / Q000503:physiopathology; D011183:Postoperative Complications / Q000503:physiopathology / Q000517:prevention & control; D011446:Prospective Studies; D018570:Risk Assessment; D018709:Statistics, Nonparametric; D013525:Surgical Instruments; D013536:Suture Techniques; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology