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[Clinical effectiveness of disposable circumcision suture in children: a prospective randomized controlled trial]
Hui Xia1, Hehua Wu1, Kangyi Xue1
1Department of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China.
Insights
The disposable circumcision suture device (DCSD) offers a more effective and less painful circumcision procedure for children compared to conventional methods. This innovative device leads to quicker recovery and higher patient satisfaction.
Area of Science:
- Pediatric Surgery
- Urology
- Medical Devices
Context:
- Circumcision is a common surgical procedure in children.
- Phimosis and redundant prepuce are common indications for pediatric circumcision.
- Evaluating novel surgical devices is crucial for improving patient outcomes.
Purpose:
- To evaluate the clinical effectiveness of the disposable circumcision suture device (DCSD) in pediatric circumcision.
- To compare DCSD with conventional circumcision (CC) techniques.
Summary:
- A prospective study randomized 236 boys into DCSD and CC groups.
- Key metrics included anesthesia use, operative time, blood loss, pain scores, aesthetic satisfaction, complications, healing time, and overall satisfaction.
- The DCSD group demonstrated significant improvements across all measured outcomes.
Impact:
- The DCSD facilitates shorter operative times and better tolerance to local anesthesia.
- It is associated with reduced pain, faster recovery, and improved cosmetic results in pediatric circumcision.
- This device represents a promising advancement in pediatric surgical care, enhancing patient and parent satisfaction.
Objective:
To assess the clinical efficacy of disposable circumcision suture device (DCSD) in children receiving circumcision.
Methods:
Children with phimosis and redundant prepuce undergoing circumcision in our hospital were prospectively enrolled in this study hospital and randomized into DCSD group and conventional circumcision (CC) group. A total of 236 boys were enrolled, including 132 in DCSD group and 104 in CC group. The use of local anesthesia, operation time, intraoperative blood loss, intraoperative and postoperative pain scores, penile appearance satisfaction rates, postoperative complications, healing time of the incision, and the overall satisfaction rate were compared between the two groups.
Results:
Compared with CC group, DCSD group had a significantly higher proportion of local anesthesia (P < 0.01), shorter operative time (P < 0.001), less intraoperative blood loss (P < 0.001), lower intraoperative and postoperative pain scores (P < 0.001), higher penile appearance satisfaction rates (P=0.03), less postoperative complications (P=0.04), shorter healing time (P < 0.001), and a higher overall satisfaction rate (P < 0.005).
Conclusions:
The use of DCSD can shorten the operative time and is associated with good tolerance of local anesthesia, less pain, quick recovery, and higher penile appearance satisfaction rates in children receiving circumcision.
