Abstract

Objective: To observe the clinical effect and safety of circumcision stapler in children with phimosis and redundant prepuce. Methods: From July 2013 to July 2017, 40 children were prospectively randomized and assigned to experiment group (circumcision stapler n = 20) or control group (conventional circumcision, n = 20). Outcomes were operation time, intraoperative blood loss and postoperative complications. Results: There was significant difference between the two groups for operation time (5.35 min vs 30.30 min, P < 0.05) and intraoperative blood loss (2.56 ml vs 10.40 ml, P < 0.05) respectively. Conclusion: Circumcision staplers are superior to conventional circumcision for the advantages of shorter operation time and fewer blood losses.

Highlights

  • Phimosis and redundant prepuce is the common diseases with incidence of 8% in 4 - 7 years old boys [1]

  • Circumcision staplers are superior to conventional circumcision for the advantages of shorter operation time and fewer blood losses

  • The outer ring is placed over the inner ring to sandwich the foreskin

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Summary

Introduction

Phimosis and redundant prepuce is the common diseases with incidence of 8% in 4 - 7 years old boys [1]. The benefits of circumcision were highlighted, including reduced risk of penile cancer and reduced risk of human immunodeficiency virus infection [2]. The conventional circumcision as a golden standard surgery is widely performed. It still has such disadvantages including adverse complications, inevitably suturing the incision, and cumbersome surgical procedure. The circumcision stapler is widely used across the world for circumcision in adult and is associated with the advantages of a short operating time, an obvious effect and few complications.

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