Novel penile circumcision suturing devices versus the shang ring for adult male circumcision: a prospective study

Int Braz J Urol. 2017 Jul-Aug;43(4):736-745. doi: 10.1590/S1677-5538.IBJU.2016.0204.

Abstract

Introduction: 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 theduring operation, and 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 wereere 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.

Keywords: Circumcision, Male; Penis; Surgical Procedures, Operative.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Circumcision, Male / instrumentation*
  • Circumcision, Male / methods
  • Humans
  • Male
  • Middle Aged
  • Operative Time
  • Pain, Postoperative
  • Phimosis / surgery*
  • Prospective Studies
  • Suture Techniques / instrumentation*
  • Sutures
  • Treatment Outcome
  • Young Adult