title: Parental evaluation of postoperative outcome of circumcision with Plastibell or conventional dissection by dorsal slit technique: a randomized controlled trial.
abstract: OBJECTIVE
  To evaluate and compare parental satisfaction after Plastibell and conventional dissection circumcision.
  
  
  METHODS
  198 children were randomly and equally allocated to two groups (PD: Plastibell and CDS: dissection) for circumcision. Follow-up was done at 7th, 15th and 90th day after surgery. Written questionnaires were given to parents at the time of discharge to complete and return at the 15th and 90th day follow-up visits.
  
  
  RESULTS
  Both groups were balanced with respect to various demographic factors, indications for surgery and Kayaba's classification of the prepuce. Surgical duration was significantly shorter for the PD as compared to the CDS group (5.91 ± 1.74 min vs. 23.52 ± 5.94 min; p < 0.0001 H.S.). Swelling, dysuria and infection were the prominent problems reported in both groups in the first 7 days. The Plastibell separated earlier in younger children (p < 0.0001). Postoperatively, children in the PD group required 2.79 fold more analgesic than those in the CDS group. 97.9% of parents in the PD group and 80.2% of parents in the CDS group claimed satisfactory aesthetic results. The PD group parents were statistically significantly more concerned about swelling.
  
  
  CONCLUSIONS
  Plastibell use has comparable outcomes to the conventional dissection technique for paediatric circumcision and has an obvious advantage of shorter surgical duration. However, it is less comfortable in the postoperative period due to swelling, and requires greater use of analgesics.
authors.affiliation: Pediatric Surgery Unit, Department of Surgery, Government Medical College, Nagpur, India. nileshngn74@yahoomail.co.in
authors.forename: Nilesh G
authors.initials: NG
authors.lastname: Nagdeve
authors.forename: Harish
authors.initials: H
authors.lastname: Naik
authors.forename: Pravin D
authors.initials: PD
authors.lastname: Bhingare
authors.forename: Suresh M
authors.initials: SM
authors.lastname: Morey
mesh_terms: D002648:Child; D002675:Child, Preschool; D002944:Circumcision, Male / Q000295:instrumentation / Q000379:methods*; D004210:Dissection / Q000379:methods; D006801:Humans; D008297:Male; D010149:Postoperative Pain / Q000517:prevention & control; D010290:Parents; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Circumcision; Conventional dissection; Paediatric; Plastibell device