Prospective randomized trial comparing dissection with Plastibell® circumcision
| Autor: | José Murillo Bastos Netto, José Gonçalves de Araújo, Marcos Flávio de Almeida Noronha, Bruno Rezende Passos, José de Bessa, André Avarese Figueiredo |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Dorsum
Male medicine.medical_specialty Adolescent Urology Post surgery law.invention Postoperative Complications Plastibell Randomized controlled trial law Medicine Humans Child Intraoperative Complications Plastibell circumcision Penile block business.industry Infant Mean age Phimosis Surgery Dissection Circumcision Male Child Preschool Pediatrics Perinatology and Child Health business Penis |
| Zdroj: | Journal of pediatric urology. 6(6) |
| ISSN: | 1873-4898 |
| Popis: | To compare and evaluate dissection and Plastibell(®) circumcision techniques for the treatment of phimosis.In 2006-2007, 125 children were submitted to circumcision by the same surgeon. The children were randomly divided into two groups (PD: Plastibell(®) and DC: dissection). In both groups the surgery was performed under general anesthesia and dorsal penile block. The dissection circumcision used the double circular incision technique. Follow-up was done on days 15, 45 and 90 after surgery.Sixty-eight patients were included in DC and 57 in PD. The mean age at surgery was 71.76 ± 31.56 months for DC and 70.95 ± 31.73 months for PD. There was no difference in Kayaba's classification for phimosis or indication for surgery between the groups. Surgical time for DC was 14.64 ± 1.93 min and for PD 3.29 ± 1.48 min (P 0.001). The incidence of immediate complications was similar, but late complications, especially adhesions, were greater in DC (P 0.01). The use of pain medication (paracetamol) was similar during the first 2 days after surgery, but was greater in PD from the 3rd day after surgery (P 0.05).Plastibell(®) circumcision has a shorter surgical duration with fewer late complications, but requires more analgesic medication after the 3rd day post surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect