Abstract
ABSTRACTIntroduction To evaluate the safety and efficacy of a novel penile circumcision suturing devices PCSD and Shang ring (SR) for circumcision in an adult population.Materials and Methods A total of 124 outpatients were randomly assigned to receive PCSD (n=62) or SR (n=62). Patient characteristics, operative time, blood loss, return to normal activities time (RNAT), visual analogue scale (VAS), scar width, wound healing time, cosmetic result, and complications were recorded.Results There were no significant differences in blood loss, RNAT, or complications between the two groups. There were no significant differences in the VAS scores at the operation, at 6 or 24 hours after surgery (P>0.05). The wound scar width was wider in the SR group than in the PCSD group (P<0.01). Patients in the SR group had significantly longer wound healing time compared with those in the PCSD group (P<0.01). Patients who underwent PCSD were significantly more satisfied with the cosmetic results (P<0.01).Conclusions SR and PCSD are safe and effective minimally invasive techniques for adult male circumcision. Compared with SRs, PCSDs have the advantages of faster postoperative incision healing and a good effect on wound cosmetics.
Highlights
To evaluate the safety and efficacy of a novel penile circumcision suturing devices PCSD and Shang ring (SR) for circumcision in an adult population
The accumulated evidence demonstrates that male circumcision is capable of preventing other sexually-transmitted infections (STIs), for example, circumcision reduces the possibility of males infecting or transmitting genital ulcer disease (GUD), trichomonads and gonococcus, and decreases the risks of infection with human papillomavirus (HPV) and herpes simplex virus-2 (HSV-2) [4,5,6]
Baseline characteristics From February 2014 to October 2014, a total of 132 outpatients were included in this study, Eight patients did not meet the inclusion criteria based on preliminary assessments, These patients included 1 case who was ruled out because he was a mentally disabled patient, 1 case was rejected for penis glans inflammation, 1 patient desired a second circumcision, and 5 patients preferred traditional surgery rather than being randomly assigned to one of the two types of surgical equipment
Summary
To evaluate the safety and efficacy of a novel penile circumcision suturing devices PCSD and Shang ring (SR) for circumcision in an adult population. Operative time, blood loss, return to normal activities time (RNAT), visual analogue scale (VAS), scar width, wound healing time, cosmetic result, and complications were recorded. Compared with SRs, PCSDs have the advantages of faster postoperative incision healing and a good effect on wound cosmetics. The results of 3 large-scale random control tests in Africa indicate that male circumcision (MC) reduces the risks of sexually-transmitted HIV infection by 50%-60% [1,2,3]. The data regarding the clinical effects of novel penile circumcision suturing devices (PCSD) for adult male circumcision are insufficient. This study will compare the clinical effects and safety of two operation methods for male circumcision in an adult population through a randomized controlled trail
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