Disposable circumcision suture device: clinical effect and patient satisfaction

• Main Authors: Bo-Dong Lv, Shi-Geng Zhang, Xuan-Wen Zhu, Jie Zhang, Gang Chen, Min-Fu Chen, Hong-Liang Shen, Zai-Jun Pei, Zhao-Dian Chen
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-06-01
• Series: Asian Journal of Andrology
• Subjects: circumcision; disposable circumcision suture device; patient satisfaction; penis appearance; pre-operative and post-operative pain; Shang ring
• Online Access: http://www.ajandrology.com/article.asp?issn=1008-682X;year=2014;volume=16;issue=3;spage=453;epage=456;aulast=Lv

In our experience patients undergoing circumcision are mostly concerned about pain and penile appearances. We conducted a prospective randomized trial to assess the benefits of a new disposable circumcision suture device (DCSD). A total of 942 patients were equally divided into three groups (conventional circumcision, Shang ring and disposable suture device group). Patients in the DCSD group were anesthetized with compound 5% lidocaine cream, the others with a 2% lidocaine penile block. Operation time, intra-operative blood loss, incision healing time, intra-operative and post-operative pain, the penile appearance and overall satisfaction degree were measured. Operation time and intra-operative blood loss were significantly lower in the Shang ring and suture device groups compared to the conventional group (P < 0.001). Intra-operative pain was less in the suture device group compared with the other two groups (P < 0.001); whereas post-operative pain was higher in the conventional group compared to the other two groups (P < 0.001). Patients in the suture device (80.57%) and Shang ring (73.57%) groups were more satisfied with penile appearances compared with the conventional circumcision group (20.06%, P < 0.05). Patients in suture device group also healed markedly faster than the conventional group (P < 0.01). The overall satisfaction rate was better in the suture device group (78.66%) compared with the conventional (47.13%) and Shang ring (50.00%) groups (P < 0.05). The combination of DCSD and lidocaine cream resulted in shorter operation and incision healing times, reduced intra-operative and post-operative pain and improved patient satisfaction with the cosmetic appearances.