title: [Clinical effect of circumcision stapler in the treatment of phimosis and redundant prepuce].
abstract: OBJECTIVE
  To observe the clinical effect and safety of circumcision stapler in the treatment of phimosis and redundant prepuce.
  
  
  METHODS
  We treated 120 patients with redundant prepuce or phimosis using circumcision stapler and another 60 by conventional dorsal-incision circumcision. We observed intraoperative blood loss, operation time, postoperative pain, wound healing time, cosmetic appearance of the penis, and postoperative complications and compared them between the two groups of patients.
  
  
  RESULTS
  Stapler circumcision showed obvious advantages over the conventional method in intraoperative blood loss ([2. 3 ± 1. 3] vs [15.6 ± 2.9] ml), operation time ([7.1 ± 1.4] vs [22.6 ± 4.6] min), wound healing time ([12.0 ± 2.9] as [16.3 ± 3. 1] d), postoperative pain score (1. 9 ± 1. 3 vs 5. 2 ± 1. 7), incision edema, and cosmetic appearance of the penis (all P <0. 05). Besides, stapler circumcision exempted the patients from stitch-removal pain. However, the incidence rate of postoperative local ecchymosis was significantly higher in the circumcision stapler group than in the conventional circumcision group (20. 8% vs 8. 3% , P <0. 05).
  
  
  CONCLUSIONS
  Circumcision stapler, with its advantages of easier manipulation, shorter operation time, better cosmetic penile appearance, less pain, and fewer complications, is superior to conventional circumcision in the treatment of phimosis and redundant prepuce.
authors.forename: Zhong-chao
authors.initials: ZC
authors.lastname: Huo
authors.forename: Gang
authors.initials: G
authors.lastname: Liu
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Da-guang
authors.initials: DG
authors.lastname: He
authors.forename: Hai
authors.initials: H
authors.lastname: Yu
authors.forename: Wen-ju
authors.initials: WJ
authors.lastname: Fan
authors.forename: Zheng
authors.initials: Z
authors.lastname: Zhong
mesh_terms: D016063:Blood Loss, Surgical; D002944:Circumcision, Male / Q000295:instrumentation* / Q000379:methods; D004438:Ecchymosis / Q000209:etiology; D006801:Humans; D008297:Male; D010149:Postoperative Pain; D010413:Penis / Q000002:abnormalities*; D010688:Phimosis / Q000628:therapy*; D011183:Postoperative Complications; D011184:Postoperative Period; D013528:Surgical Staplers / Q000009:adverse effects; D014945:Wound Healing