Cargando…

Adult male circumcision with a circular stapler versus conventional circumcision: A prospective randomized clinical trial

Male circumcision is the most frequently performed procedure by urologists. Safety and efficacy of the circumcision procedure requires continual improvement. In the present study, we investigated the safety and efficacy of a new male circumcision technique involving the use of a circular stapler. In...

Descripción completa

Detalles Bibliográficos
Autores principales: Jin, X.D., Lu, J.J., Liu, W.H., Zhou, J., Yu, R.K., Yu, B., Zhang, X.J., Shen, B.H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Brasileira de Divulgação Científica 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4470318/
https://www.ncbi.nlm.nih.gov/pubmed/25831203
http://dx.doi.org/10.1590/1414-431X20154530
_version_ 1782376748529221632
author Jin, X.D.
Lu, J.J.
Liu, W.H.
Zhou, J.
Yu, R.K.
Yu, B.
Zhang, X.J.
Shen, B.H.
author_facet Jin, X.D.
Lu, J.J.
Liu, W.H.
Zhou, J.
Yu, R.K.
Yu, B.
Zhang, X.J.
Shen, B.H.
author_sort Jin, X.D.
collection PubMed
description Male circumcision is the most frequently performed procedure by urologists. Safety and efficacy of the circumcision procedure requires continual improvement. In the present study, we investigated the safety and efficacy of a new male circumcision technique involving the use of a circular stapler. In total, 879 consecutive adult male patients were randomly divided into 2 groups: 441 underwent stapler circumcision, and 438 underwent conventional circumcision. The operative time, pain score, blood loss volume, healing time, treatment costs, and postoperative complications were compared between the two groups. The operative time and blood loss volume were significantly lower in the stapler group than in the conventional group (6.8 ± 3.1 vs 24.2 ± 3.2 min and 1.8 ± 1.8 vs 9.4 ± 1.5 mL, respectively; P<0.01 for both). The intraoperative and postoperative pain scores were significantly lower in the stapler group than in the conventional group (0.8 ± 0.5 vs 2.4 ± 0.8 and 4.0 ±0.9 vs 5.8 ± 1.0, respectively; P<0.01 for both). Additionally, the stapler group had significantly fewer complications than the conventional group (2.7% vs 7.8%, respectively; P<0.01). However, the treatment costs in the stapler group were much higher than those in the conventional group (US$356.60 ± 8.20 vs US$126.50 ± 7.00, respectively; P<0.01). Most patients (388/441, 88.0%) who underwent stapler circumcision required removal of residual staple nails. Overall, the present study has shown that stapler circumcision is a time-efficient and safe male circumcision technique, although it requires further improvement.
format Online
Article
Text
id pubmed-4470318
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Associação Brasileira de Divulgação Científica
record_format MEDLINE/PubMed
spelling pubmed-44703182015-07-02 Adult male circumcision with a circular stapler versus conventional circumcision: A prospective randomized clinical trial Jin, X.D. Lu, J.J. Liu, W.H. Zhou, J. Yu, R.K. Yu, B. Zhang, X.J. Shen, B.H. Braz J Med Biol Res Clinical Investigation Male circumcision is the most frequently performed procedure by urologists. Safety and efficacy of the circumcision procedure requires continual improvement. In the present study, we investigated the safety and efficacy of a new male circumcision technique involving the use of a circular stapler. In total, 879 consecutive adult male patients were randomly divided into 2 groups: 441 underwent stapler circumcision, and 438 underwent conventional circumcision. The operative time, pain score, blood loss volume, healing time, treatment costs, and postoperative complications were compared between the two groups. The operative time and blood loss volume were significantly lower in the stapler group than in the conventional group (6.8 ± 3.1 vs 24.2 ± 3.2 min and 1.8 ± 1.8 vs 9.4 ± 1.5 mL, respectively; P<0.01 for both). The intraoperative and postoperative pain scores were significantly lower in the stapler group than in the conventional group (0.8 ± 0.5 vs 2.4 ± 0.8 and 4.0 ±0.9 vs 5.8 ± 1.0, respectively; P<0.01 for both). Additionally, the stapler group had significantly fewer complications than the conventional group (2.7% vs 7.8%, respectively; P<0.01). However, the treatment costs in the stapler group were much higher than those in the conventional group (US$356.60 ± 8.20 vs US$126.50 ± 7.00, respectively; P<0.01). Most patients (388/441, 88.0%) who underwent stapler circumcision required removal of residual staple nails. Overall, the present study has shown that stapler circumcision is a time-efficient and safe male circumcision technique, although it requires further improvement. Associação Brasileira de Divulgação Científica 2015-03-27 /pmc/articles/PMC4470318/ /pubmed/25831203 http://dx.doi.org/10.1590/1414-431X20154530 Text en http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Investigation
Jin, X.D.
Lu, J.J.
Liu, W.H.
Zhou, J.
Yu, R.K.
Yu, B.
Zhang, X.J.
Shen, B.H.
Adult male circumcision with a circular stapler versus conventional circumcision: A prospective randomized clinical trial
title Adult male circumcision with a circular stapler versus conventional circumcision: A prospective randomized clinical trial
title_full Adult male circumcision with a circular stapler versus conventional circumcision: A prospective randomized clinical trial
title_fullStr Adult male circumcision with a circular stapler versus conventional circumcision: A prospective randomized clinical trial
title_full_unstemmed Adult male circumcision with a circular stapler versus conventional circumcision: A prospective randomized clinical trial
title_short Adult male circumcision with a circular stapler versus conventional circumcision: A prospective randomized clinical trial
title_sort adult male circumcision with a circular stapler versus conventional circumcision: a prospective randomized clinical trial
topic Clinical Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4470318/
https://www.ncbi.nlm.nih.gov/pubmed/25831203
http://dx.doi.org/10.1590/1414-431X20154530
work_keys_str_mv AT jinxd adultmalecircumcisionwithacircularstaplerversusconventionalcircumcisionaprospectiverandomizedclinicaltrial
AT lujj adultmalecircumcisionwithacircularstaplerversusconventionalcircumcisionaprospectiverandomizedclinicaltrial
AT liuwh adultmalecircumcisionwithacircularstaplerversusconventionalcircumcisionaprospectiverandomizedclinicaltrial
AT zhouj adultmalecircumcisionwithacircularstaplerversusconventionalcircumcisionaprospectiverandomizedclinicaltrial
AT yurk adultmalecircumcisionwithacircularstaplerversusconventionalcircumcisionaprospectiverandomizedclinicaltrial
AT yub adultmalecircumcisionwithacircularstaplerversusconventionalcircumcisionaprospectiverandomizedclinicaltrial
AT zhangxj adultmalecircumcisionwithacircularstaplerversusconventionalcircumcisionaprospectiverandomizedclinicaltrial
AT shenbh adultmalecircumcisionwithacircularstaplerversusconventionalcircumcisionaprospectiverandomizedclinicaltrial