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Adult Male Circumcision with a Circular Stapler Versus Conventional Circumcision: A Prospective Randomized Clinical Trial

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Date 2015 Apr 2
PMID 25831203
Citations 6
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Abstract

Male circumcision is the most frequently performed procedure by urologists. Safety and efficacy of the circumcision procedure requires continual improvement. In the present study, we investigated the safety and efficacy of a new male circumcision technique involving the use of a circular stapler. In total, 879 consecutive adult male patients were randomly divided into 2 groups: 441 underwent stapler circumcision, and 438 underwent conventional circumcision. The operative time, pain score, blood loss volume, healing time, treatment costs, and postoperative complications were compared between the two groups. The operative time and blood loss volume were significantly lower in the stapler group than in the conventional group (6.8 ± 3.1 vs 24.2 ± 3.2 min and 1.8 ± 1.8 vs 9.4 ± 1.5 mL, respectively; P<0.01 for both). The intraoperative and postoperative pain scores were significantly lower in the stapler group than in the conventional group (0.8 ± 0.5 vs 2.4 ± 0.8 and 4.0 ±0.9 vs 5.8 ± 1.0, respectively; P<0.01 for both). Additionally, the stapler group had significantly fewer complications than the conventional group (2.7% vs 7.8%, respectively; P<0.01). However, the treatment costs in the stapler group were much higher than those in the conventional group (US$356.60 ± 8.20 vs US$126.50 ± 7.00, respectively; P<0.01). Most patients (388/441, 88.0%) who underwent stapler circumcision required removal of residual staple nails. Overall, the present study has shown that stapler circumcision is a time-efficient and safe male circumcision technique, although it requires further improvement.

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References
1.
Shah T, Raistrick J, Taylor I, Young M, Menebhi D, Stevens R . A circumcision service for religious reasons. BJU Int. 1999; 83(7):807-9. DOI: 10.1046/j.1464-410x.1999.00000.x. View

2.
Morris B, Bailis S, Wiswell T . Circumcision rates in the United States: rising or falling? What effect might the new affirmative pediatric policy statement have?. Mayo Clin Proc. 2014; 89(5):677-86. DOI: 10.1016/j.mayocp.2014.01.001. View

3.
Yue C, Ze-Jun Y, Wu K, Su X, Hu J, Ma J . A randomized clinical study of circumcision with a ring device versus conventional circumcision. J Urol. 2012; 188(5):1849-54. DOI: 10.1016/j.juro.2012.07.048. View

4.
Sheldon W, Nhemachena T, Blanchard K, Chipato T, Ramjee G, Trussell J . Male circumcision for HIV prevention: clinical practices and attitudes among healthcare providers in South Africa and Zimbabwe. Sex Transm Dis. 2012; 39(7):567-75. PMC: 3377943. DOI: 10.1097/OLQ.0b013e31824f9eaf. View

5.
Wilcken A, Keil T, Dick B . Traditional male circumcision in eastern and southern Africa: a systematic review of prevalence and complications. Bull World Health Organ. 2010; 88(12):907-14. PMC: 2995181. DOI: 10.2471/BLT.09.072975. View