[A novel disposable ring versus the suture device in circumcision]

Area of Science:

• Urology
• Surgical Innovation
• Pediatric Surgery

Background:

• Circumcision is a common procedure for redundant prepuce and phimosis.
• Traditional methods like the suture device (SD) have associated drawbacks.
• Novel surgical devices aim to improve patient outcomes and procedural efficiency.

Purpose of the Study:

• To compare the clinical efficacy of a novel disposable ring (DR) against the suture device (SD) for circumcision.
• To evaluate key metrics including operation time, blood loss, pain, healing, complications, and aesthetic outcomes.

Main Methods:

• A randomized controlled trial involving 470 male patients with redundant prepuce or phimosis.
• Patients were assigned to either the disposable ring (DR group, n=235) or suture device (SD group, n=235).
• Outcomes measured included operation time, intraoperative blood loss, pain scores, wound healing, postoperative complications, and penile appearance.

Main Results:

• The DR group demonstrated significantly shorter operation times (3.83 ± 0.42 min vs 7.49 ± 1.84 min) and less intraoperative blood loss (2.41 ± 1.01 ml vs 3.34 ± 2.59 ml) compared to the SD group.
• Patients in the DR group reported lower intraoperative and 6-hour postoperative pain scores, and experienced faster wound healing (7.79 ± 1.65 days vs 12.05 ± 2.80 days).
• The DR group had significantly lower rates of postoperative glans congestion/edema, dysuria, and bleeding/hematoma, with higher patient satisfaction regarding penile appearance.

Conclusions:

• The novel disposable ring offers significant advantages over the suture device in circumcision.
• Benefits include reduced operation time, minimized bleeding and pain, improved safety, and enhanced aesthetic results.
• The disposable ring is a clinically superior and recommendable option for circumcision procedures.