OBJECTIVES: To compare the outcomes and complications of three methods of circumcision in a Chinese pediatric population. METHODS: A total of 120 children were randomly assigned to three groups. Group I was submitted to circumcision using the Shenghuan disposable device according to Yan's method; group II was submitted to circumcision using the same device, but according to Peng's methods; group III was operated on by using the conventional scalpel/suture technique. The three groups were compared mainly by the following outcomes: duration of surgery, intraoperative bleeding, postoperative pain, cosmetic effect, and the rates of edema, dehiscence, scarring, adhesion and infection. RESULTS: Groups I and II had less intraoperative bleeding. In terms of the duration of surgery, group I was the quickest. Pain scores in using the Shenghuan disposable device were higher at 6 h after surgery compared with the conventional scalpel/suture technique. The percentage of patients using paracetamol in group II was higher than that in group III at 12 h after surgery. Other complications were similar, and all three groups had successful outcomes. CONCLUSIONS: Circumcision using the Shenghuan disposable device represents a safer and time-saving option compared with the conventional scalpel/suture technique, with better cosmetic outcomes. Yan's method seems to be better than Peng's method when using the Shenghuan disposable device for circumcision in children.
RCT Entities:
OBJECTIVES: To compare the outcomes and complications of three methods of circumcision in a Chinese pediatric population. METHODS: A total of 120 children were randomly assigned to three groups. Group I was submitted to circumcision using the Shenghuan disposable device according to Yan's method; group II was submitted to circumcision using the same device, but according to Peng's methods; group III was operated on by using the conventional scalpel/suture technique. The three groups were compared mainly by the following outcomes: duration of surgery, intraoperative bleeding, postoperative pain, cosmetic effect, and the rates of edema, dehiscence, scarring, adhesion and infection. RESULTS: Groups I and II had less intraoperative bleeding. In terms of the duration of surgery, group I was the quickest. Pain scores in using the Shenghuan disposable device were higher at 6 h after surgery compared with the conventional scalpel/suture technique. The percentage of patients using paracetamol in group II was higher than that in group III at 12 h after surgery. Other complications were similar, and all three groups had successful outcomes. CONCLUSIONS: Circumcision using the Shenghuan disposable device represents a safer and time-saving option compared with the conventional scalpel/suture technique, with better cosmetic outcomes. Yan's method seems to be better than Peng's method when using the Shenghuan disposable device for circumcision in children.
Authors: Quentin D Awori; Richard K Lee; Phillip S Li; Jared N Moguche; Dan Ouma; Betsy Sambai; Marc Goldstein; Mark A Barone Journal: J Int AIDS Soc Date: 2017-07-12 Impact factor: 5.396
Authors: Mark A Barone; Philip S Li; Richard K Lee; Daniel Ouma; Millicent Oundo; Mukhaye Barasa; Jairus Oketch; Patrick Otiende; Nixon Nyangweso; Mary Maina; Nicholas Kiswi; Betty Chirchir; Marc Goldstein; Quentin D Awori Journal: Asian J Androl Date: 2019 Jul-Aug Impact factor: 3.285