Disposable circumcision suture device: clinical effect and patient satisfaction.

Area of Science:

• Urology
• Surgical Innovation
• Patient Outcomes

Background:

• Patient concerns regarding pain and cosmetic results are paramount in circumcision.
• Conventional circumcision techniques may lead to prolonged healing and patient dissatisfaction.

Purpose of the Study:

• To evaluate the efficacy and patient satisfaction of a novel disposable circumcision suture device (DCSD).
• To compare the DCSD with conventional circumcision and the Shang ring device.

Main Methods:

• A prospective randomized trial involving 942 patients divided into three groups: conventional, Shang ring, and DCSD.
• Anesthesia varied: compound 5% lidocaine cream for DCSD, 2% lidocaine penile block for others.
• Key metrics included operation time, blood loss, healing time, pain (intra-operative and post-operative), penile appearance, and overall satisfaction.

Main Results:

• DCSD and Shang ring showed significantly reduced operation time and blood loss versus conventional methods (P < 0.001).
• The DCSD group experienced less intra-operative pain (P < 0.001) and the conventional group had higher post-operative pain (P < 0.001).
• Improved penile appearance satisfaction was noted in DCSD (80.57%) and Shang ring (73.57%) groups compared to conventional (20.06%, P < 0.05). DCSD also demonstrated faster healing (P < 0.01) and higher overall satisfaction (78.66%, P < 0.05).

Conclusions:

• The disposable circumcision suture device (DCSD), particularly with lidocaine cream, offers significant advantages.
• These benefits include shorter operation and healing times, reduced pain, and enhanced patient satisfaction with cosmetic results.
• The DCSD represents a promising advancement in circumcision procedures, addressing key patient concerns effectively.