title: [Clinical effects of the circumcision stapler, foreskin cerclage, and traditional circumcision: A comparative study].
abstract: OBJECTIVE
  To compare the clinical effects of the circumcision stapler, circumcision cerclage, and traditional circumcision in the treatment of phimosis and redundant prepuce.
  
  
  METHODS
  Using the circumcision stapler (group A), foreskin cerclage (group B), and traditional circumcision (group C), we treated 276 patients with phimosis or redundant prepuce. We made comparisons among the three groups in the operation time, intraoperative blood loss, intraoperative and 24-hour postoperative pain scores, and incidence of postoperative complications. Results: The operation time, intraoperative blood loss, and intraoperative pain score were (6.52 ± 2.45) min, (1.93 ± 0.82) ml, and 1.37 ± 0.68 in group A and (7.24 ± 1.86) min, (1.51 ± 0.72) ml, and 1.20 ± 0.79 in group B, all significantly lower than (28. 36 ± 4.22) min, (9.52 ± 3.29) ml, and 3.06 ± 0.75 in group C (P <0.05). The 24-hour postoperative pain score was remarkably higher in group B than in A and C (3. 18 ± 0. 82 vs 1. 85 ± 0. 63 and 1. 82 ± 0. 75, P <0. 05). The incidence rate of postoperative complications was markedly lower in group A than in B (5. 43% vs 14. 13%, P < 0.05), but with no significant differences between either A and C or B and C (P >0.05).
  
  
  CONCLUSIONS
  The circumcision stapler, with its advantages of simple operation, minimal invasiveness, fewer complications, and better cosmetic result, deserves a wider clinical application.
authors.forename: Hui-dong
authors.initials: HD
authors.lastname: Miao
authors.forename: Jia-wei
authors.initials: JW
authors.lastname: Lu
authors.forename: Fu-nian
authors.initials: FN
authors.lastname: Lu
authors.forename: Feng
authors.initials: F
authors.lastname: Shen
authors.forename: Xiao-lin
authors.initials: XL
authors.lastname: Yuan
authors.forename: Hai-yong
authors.initials: HY
authors.lastname: Liu
mesh_terms: D016063:Blood Loss, Surgical; D002944:Circumcision, Male / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D052816:Foreskin; D006801:Humans; D015994:Incidence; D008297:Male; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis; D010413:Penis / Q000002:abnormalities*; D010688:Phimosis / Q000628:therapy*; D011183:Postoperative Complications; D011184:Postoperative Period