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Optimizing treatment strategies for pediatric phimosis and redundant prepuce: a comparative study of traditional
Guoyan Zhang1, Yongliang Luo2, Shangchao Cheng2
1Physical examination and Rehabilitation Department, Kunming City Maternal and Child Health Hospital, Kunming, Yunnan, China.
Insights
Traditional circumcision offers faster healing and less swelling in pediatric patients, while the disposable circumcision stapler provides better hemostasis and easier operation. Both methods have distinct advantages for treating phimosis and redundant prepuce.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Phimosis and redundant prepuce are common conditions in pediatric patients requiring surgical intervention.
- Traditional circumcision and disposable circumcision staplers are two common surgical techniques used for treatment.
Purpose of the Study:
- To compare the surgical outcomes and complication rates of traditional circumcision versus disposable circumcision stapler in pediatric patients.
- To evaluate parameters including operation time, bleeding, pain, wound healing, and aesthetic satisfaction.
Main Methods:
- A retrospective analysis of 301 pediatric patients treated between January 2022 and December 2023.
- Patients were divided into two groups: traditional circumcision (n=146) and disposable circumcision stapler (n=155).
- Comparison of surgical and postoperative outcomes between the two groups.
Main Results:
- The stapler group had significantly shorter operation times, less intraoperative bleeding, and fewer instances of postoperative rebleeding (P < 0.05).
- The traditional circumcision group demonstrated significantly faster wound healing and less severe edge swelling (P < 0.05).
- No significant differences were observed in anesthetic dosage, pain, infection, wound dehiscence, or aesthetic satisfaction between groups (P > 0.05).
Conclusions:
- Traditional circumcision offers benefits in terms of faster recovery and reduced swelling.
- Disposable circumcision staplers provide superior hemostasis and ease of use, suitable for primary care settings.
- Treatment choice should be individualized based on patient condition and circumstances for optimal outcomes.
Objective:
To investigate the surgical outcomes and complication rates of traditional circumcision and disposable circumcision stapler in the treatment of pediatric patients with phimosis and redundant prepuce.
Methods:
A retrospective analysis was conducted on pediatric patients with phimosis or preputial redundancy treated at our pediatric surgery department from January 2022 to December 2023. The patients were divided into two groups: treated with traditional circumcision (control group) and treated with a disposable circumcision stapler (experimental group). Surgical parameters (operation time, intraoperative bleeding), postoperative outcomes (postoperative pain scores, wound healing time, severe edge swelling, wound dehiscence, postoperative rebleeding, postoperative infection, aesthetic satisfaction), were compared between the two groups.
Results:
A total of 301 pediatric patients were included in our study, with 146 in the traditional group and 155 in the stapler group. The stapler group showed significantly lower values in operation time, intraoperative bleeding, and postoperative rebleeding compared to the traditional group (P < 0.05). However, the traditional group had a significant advantage in postoperative wound healing time and the occurrence of severe edge swelling (P < 0.05). There were no significant differences between the two groups in terms of anesthetic drug dosage, postoperative pain level, postoperative infection rate, wound dehiscence, and aesthetic satisfaction (P > 0.05).
Conclusion:
In the treatment of pediatric phimosis and redundant prepuce, the advantage of traditional circumcision lies in faster postoperative recovery and less severe edge swelling. The disposable circumcision stapler excels in thorough hemostasis, easy and safe operation, suitable for primary medical use, but lags behind in postoperative recovery compared to the traditional method. Each treatment approach has its own advantages, and the choice should be based on the actual condition and circumstances of the patient. Personalized treatment decisions should be made collaboratively to achieve the best therapeutic outcomes.
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