A comparative study of conventional and sutureless circumcision
Keywords:
circumcision, phimosis, paraphimosis, recurrent balanitis, posthitis, prepucial pearls, redundant foreskin, STD, genital ulcer disease, dorsal slitAbstract
Aims and Objectives: To do comparative study between conventional and suture less circumcision Materials and Methods: The study enrolled 26 cases in total. 13 cases of conventional circumcision and 13 cases of suture less circumcision. The results were compiled and analyzed. Results: Majority of study subjects belonged to age group 26-35 yrs followed by 36-45 yrs. Both groups were compared on basis of - Diagnostic parameters (BXO, congenital phimosis, recurrent balanoposthitis, recurrent UTI, and others).Intra-op parameters (Mean operative time, mean blood loss, mean pain score) Post-op parameters (Mean healing time, mean satisfaction, post-operative stay) We observed that complications such as bleeding, wound dehiscence, oedema and infection were seen in conventional circumcision and no such complications were seen in suture less circumcision. Conclusion- Today is the era of 'Wireless' in technology and here comes era of 'Suture less' in field of surgery. Every surgeon wishes for better wound healing with better cosmesis without complications and early back to activities.All this is possible with use of staplers for circumcision. Stapler circumcision is associated with short operative time, lower blood loss volume, less pain, few post-operative complications and less post-operative stay.
Downloads
References
Albero G, Castellsague X, Giuliano AR, Bosch FX. Male circumcision and genital human papillomavirus: a systematic review and meta-analysis. Sexually transmitted diseases. 2012 Feb 1;39(2):104-13.
Mehta SD, Moses S, Parker CB, Agot K, Maclean I, Bailey RC. Circumcision status and incident herpes simplex virus type 2 infection, genital ulcer disease, and HIV infection. AIDS (London, England). 2012 Jun 1;26(9):1141.
Bailey RC, Moses S, Parker CB, Agot K, Maclean I, Krieger JN, Williams CF, Campbell RT, Ndinya-Achola JO. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial. The lancet. 2007 Feb 24;369(9562):643-56.
Hayashi Y, Kohri K. Circumcision related to urinary tract infections, sexually transmitted infections, human immunodeficiency virus infections, and penile and cervical cancer. International Journal of Urology. 2013 Aug;20(8):769-75.
Larke NL, Thomas SL, dos Santos Silva I, Weiss HA. Male circumcision and penile cancer: a systematic review and meta-analysis. Cancer causes & control. 2011 Aug;22(8):1097-110.
Hargreave T. Male circumcision: towards a World Health Organisation normative practice in resource limited settings. Asian journal of andrology. 2010 Sep;12(5):628.
Ceylan K, Burhan K, Yılmaz Y, Can Ş, Kuş A, Mustafa G. Severe complications of circumcision: an analysis of 48 cases. Journal of pediatric urology. 2007 Feb 1;3(1):32-5.
Wilcken A, Keil T, Dick B. Traditional male circumcision in eastern and southern Africa: a systematic review of prevalence and complications. Bulletin of the World Health Organization. 2010;88:907-14.
Yuea C, Ze-juna Y, Wua KR, Sua XJ, Hua JS, Maa JW, Guoa CM, Fanga HW, Sua R, Zhangb Y, Zhangc QH. A Randomized Clinical Study of Circumcision with a Ring Device Versus Conventional Circumcision (Retraction of vol 188, pg 1849, 2012). JOURNAL OF UROLOGY. 2012 Dec 1;188(6):2443-.
Wu X, Wang Y, Zheng J, Shen W, Yan JA, Ji H, Li X, Zhang H, Zhou Z. A report of 918 cases of circumcision with the Shang Ring: comparison between children and adults. Urology. 2013 May 1;81(5):1058-63.
El Bcheraoui C, Zhang X, Cooper CS, Rose CE, Kilmarx PH, Chen RT. Rates of adverse events associated with male circumcision in US medical settings, 2001 to 2010. JAMA pediatrics. 2014 Jul 1;168(7):625-34.
Kim HH, Goldstein M. High complication rates challenge the implementation of male circumcision for HIV prevention in Africa. Nature Clinical Practice Urology. 2009 Feb;6(2):64-5.
Sheldon WR, Nhemachena T, Blanchard K, Chipato T, Ramjee G, Trussell J, McCulloch CE, Blum M, Harper CC. Male circumcision for HIV prevention: clinical practices and attitudes among healthcare providers in South Africa and Zimbabwe. Sexually transmitted diseases. 2012 Jul;39(7):567.
Sgaier SK, Reed JB, Thomas A, Njeuhmeli E. Achieving the HIV prevention impact of voluntary medical male circumcision: lessons and challenges for managing programs. PLoS medicine. 2014 May 6;11(5):e1001641.
Yuan Y, Zhang Z, Cui W, Gao B, Peng J, Xin Z, Guo Y. Clinical investigation of a novel surgical device for circumcision. The Journal of urology. 2014 May;191(5):1411-5.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
