Mustafa Aldemir1, Murat Cakan, Berk Burgu. 1. Department of Urology, Atatürk Teaching and Research Hospital, Ankara, Turkey. drmaldemir@mynet.com
Abstract
PURPOSE: To compare the results of a new disposable clamp (SCD) used for routine circumcision in our department, compared with the conventional dissection tecnique (CDT) in infants and children. METHODS: The SCD and CDT were evaluated prospectively, in terms of the duration, complication rate and postoperative pain assesment. The cosmetic result and parents' satisfaction were evaluated after 6 weeks. A total of 200 boys were included in the study (with a median age of 4.45 years). RESULTS AND CONCLUSIONS: The median operative duration was 10 min less for the SCD (18 vs 8 min; P < 0.001). There was no difference in complication rates for both groups. The cosmetic results assessed by a blinded urologist were better for the SCD group (P < 0.001). The parents' satisfaction score for the procedure was similar in both groups, as 8 out of a scale up to 10 filled in by the parents. Circumcision with the SCD is quicker and leads to a better cosmetic results than with the CDT, without increasing morbidity.
PURPOSE: To compare the results of a new disposable clamp (SCD) used for routine circumcision in our department, compared with the conventional dissection tecnique (CDT) in infants and children. METHODS: The SCD and CDT were evaluated prospectively, in terms of the duration, complication rate and postoperative pain assesment. The cosmetic result and parents' satisfaction were evaluated after 6 weeks. A total of 200 boys were included in the study (with a median age of 4.45 years). RESULTS AND CONCLUSIONS: The median operative duration was 10 min less for the SCD (18 vs 8 min; P < 0.001). There was no difference in complication rates for both groups. The cosmetic results assessed by a blinded urologist were better for the SCD group (P < 0.001). The parents' satisfaction score for the procedure was similar in both groups, as 8 out of a scale up to 10 filled in by the parents. Circumcision with the SCD is quicker and leads to a better cosmetic results than with the CDT, without increasing morbidity.
Authors: Mert Ali Karadag; Kursat Cecen; Aslan Demir; Yuksel Kivrak; Murat Bagcioglu; Ramazan Kocaaslan; Mustafa Ari; Fatih Altunrende Journal: Can Urol Assoc J Date: 2015 Jan-Feb Impact factor: 1.862