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Abstract

Volume 16, Issue 3 (May 2014) 16, 453–456; 10.4103/1008-682X.127816

Disposable circumcision suture device: clinical effect and patient satisfaction

Bo-Dong Lv1,*, Shi-Geng Zhang2,*, Xuan-Wen Zhu1, Jie Zhang2, Gang Chen2, Min-Fu Chen3, Hong-Liang Shen4, Zai-Jun Pei5, Zhao-Dian Chen1

1The First Affiliated Hospital of Zhejiang University, Zhejiang, Hangzhou; 2Departments of Urology, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou; 3Department of Urology, People’s Hospital of Anji County, Huzhou; 4Department of Urology, Traditional Chinese Medical Hospital of Deqing County, Huzhou; 5Department of Urology, Traditional Chinese Medical Hospital of Tongxiang County, Jiaxing, China.
*These authors contributed equally to this work.

Correspondence: Dr. J Zhang (zzzjjj39@sina.com) or Dr. ZD Chen (zhangsg_zj@tom.com)

Received: 06 August 2013; Revised: 27 September 2013; Accepted: 06 January 2014

Abstract

In our experience patients undergoing circumcision are mostly concerned about pain and penile appearances. We conducted a prospective randomized trial to assess the benefits of a new disposable circumcision suture device (DCSD). A total of 942 patients were equally divided into three groups (conventional circumcision, Shang ring and disposable suture device group). Patients in the DCSD group were anesthetized with compound 5% lidocaine cream, the others with a 2% lidocaine penile block. Operation time, intra-operative blood loss, incision healing time, intra-operative and post-operative pain, the penile appearance and overall satisfaction degree were measured. Operation time and intra-operative blood loss were significantly lower in the Shang ring and suture device groups compared to the conventional group (P < 0.001). Intra-operative pain was less in the suture device group compared with the other two groups (P < 0.001); whereas post-operative pain was higher in the conventional group compared to the other two groups (P < 0.001). Patients in the suture device (80.57%) and Shang ring (73.57%) groups were more satisfied with penile appearances compared with the conventional circumcision group (20.06%, P < 0.05). Patients in suture device group also healed markedly faster than the conventional group (P < 0.01). The overall satisfaction rate was better in the suture device group (78.66%) compared with the conventional (47.13%) and Shang ring (50.00%) groups (P < 0.05). The combination of DCSD and lidocaine cream resulted in shorter operation and incision healing times, reduced intra-operative and post-operative pain and improved patient satisfaction with the cosmetic appearances.

Keywords: circumcision; disposable circumcision suture device; patient satisfaction; penis appearance; pre-operative and post-operative pain; Shang ring

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