Circumcision wound dressing with octylcyanoacrylate tissue adhesive
Weida Lau1, Chang Peng Colin Teo1
1Khoo Teck Puat Hospital, Urology, 90 Yishun Central, 768828, SG, Singapore.
Journal of Wound Care
|February 3, 2023
Summary
Octylcyanoacrylate tissue adhesive offers superior patient satisfaction for circumcision wound dressing compared to traditional paraffin gauze. This innovative approach provides better cosmetic outcomes with no increase in complications.
Area of Science:
- Urology
- Wound Management
- Surgical Innovation
Background:
- Traditional paraffin gauze dressings are standard for circumcision wounds.
- Octylcyanoacrylate tissue adhesive is emerging as a wound closure and dressing option.
Purpose of the Study:
- To compare patient-reported dressing satisfaction between tissue adhesive and paraffin gauze dressings for circumcision wounds.
- To evaluate secondary outcomes including operation time, pain, and cosmetic satisfaction.
Main Methods:
- Randomized controlled trial involving 40 adult male patients undergoing circumcision.
- Patients were assigned to either tissue adhesive (study) or paraffin gauze (control) dressing groups.
- Follow-up at two weeks and two months post-surgery.
Main Results:
- Tissue adhesive dressing showed significantly higher patient-reported dressing satisfaction (4.53 vs. 3.20, p<0.001).
- Patient-reported cosmetic satisfaction was also significantly better with tissue adhesive (4.58 vs. 4.00, p<0.05).
- No significant differences were observed in operation time, pain, complications, or surgeon-reported outcomes.
Conclusions:
- Octylcyanoacrylate tissue adhesive is a viable and preferred alternative to paraffin gauze for circumcision wound dressing.
- This advanced wound care option should be considered for all patients undergoing circumcision.
