Novel penile circumcision suturing devices versus the shang ring for adult male circumcision: a prospective study.
BACKGROUND
To evaluate the safety and efficacy of a novel penile circumcision suturing devices PCSD and Shang ring (SR) for circumcision in an adult population.


METHODS
A total of 124 outpatients were randomly assigned to receive PCSD (n=62) or SR (n=62). Patient characteristics, operative time, blood loss, return to normal activities time (RNAT), visual analogue scale (VAS), scar width, wound healing time, cosmetic result, and complications were recorded.


RESULTS
There were no significant differences in blood loss, RNAT, or complications between the two groups. There were no significant differences in the VAS scores at theduring operation, and 6 or 24 hours after surgery (P>0.05). The wound scar width was wider in the SR group than in the PCSD group (P<0.01). Patients in the SR group had significantly longer wound healing time compared with those in the PCSD group (P<0.01). Patients who underwent PCSD wereere significantly more satisfied with the cosmetic results (P<0.01).


CONCLUSIONS
SR and PCSD are safe and effective minimally invasive techniques for adult male circumcision. Compared with SRs, PCSDs have the advantages of faster postoperative incision healing and a good effect on wound cosmetics.
Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Hu
H
Han
Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Da-Wei
DW
Xie
Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Xiao-Guang
XG
Zhou
Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Xiao-Dong
XD
Zhang
D000293:Adolescent; D000328:Adult; D000368:Aged; D002944:Circumcision, Male / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain; D010688:Phimosis / Q000601:surgery*; D011446:Prospective Studies; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D016896:Treatment Outcome; D055815:Young Adult
Circumcision, Male; Penis; Surgical Procedures, Operative