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Related Experiment Videos

Postneonatal circumcision with local anesthesia: a cost-effective alternative.

V R Jayanthi1, J E Burns, S A Koff

  • 1Section of Pediatric Urology, Columbus Children's Hospital, Ohio State University, USA.

The Journal of Urology
|March 19, 1999
PubMed
Summary

Postneonatal circumcision using local anesthesia in an office setting is safe, convenient, and significantly more cost-effective than general anesthesia in an operating room. This approach offers substantial savings and avoids the risks associated with general anesthesia.

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Area of Science:

  • Pediatric Surgery
  • Urology
  • Public Health

Background:

  • Neonatal circumcision is common in the US, despite ongoing debate.
  • Physicians often perform postneonatal circumcisions without full awareness of associated costs.
  • Understanding cost factors is crucial for informed medical decisions.

Purpose of the Study:

  • To compare the medical and financial advantages of postneonatal circumcision.
  • To evaluate outcomes using local versus general anesthesia.
  • To analyze cost differences based on anesthesia and location.

Main Methods:

  • Retrospective analysis of 245 postneonatal circumcisions under general anesthesia (OR).
  • Retrospective analysis of 287 infant circumcisions under local anesthesia (office setting).

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  • Comparison of hospital/facility charges, anesthesia fees, and complication rates.

    • Main Results:

    • Circumcision in the OR with general anesthesia averaged $1,805 per procedure.
    • Circumcision in an office with local anesthesia averaged $196 per procedure.
    • Significant cost savings of approximately $461,783 over 30 months were observed with the office/local anesthesia approach; complication rates were similar (1.4% vs. 1.6%).

    Conclusions:

    • Postneonatal circumcision with local anesthesia is safe, effective, and convenient.
    • Parental preference favors local anesthesia due to convenience and avoidance of general anesthesia risks.
    • The substantial cost-effectiveness of local anesthesia in an office setting warrants reevaluation of circumcision timing and location.