Disposable circumcision suture device: clinical effect and patient satisfaction.
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.
Bo-Dong
BD
Lv
Shi-Geng
SG
Zhang
Xuan-Wen
XW
Zhu
Department of Urology, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Jie
J
Zhang
Gang
G
Chen
Min-Fu
MF
Chen
Hong-Liang
HL
Shen
Zai-Jun
ZJ
Pei
The First Affiliated Hospital of Zhejiang University, Zhejiang, Hangzhou, China.
Zhao-Dian
ZD
Chen
D000293:Adolescent; D000328:Adult; D002944:Circumcision, Male / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control; D017060:Patient Satisfaction; D010688:Phimosis / Q000601:surgery; D011446:Prospective Studies; D013536:Suture Techniques / Q000009:adverse effects / Q000295:instrumentation*; D055815:Young Adult