He Wenfei,Zhang Hongmei,Wang Cheng,et al.Prospective analysis of selecting penile diameter,circumcision stapler and foreskin cerclage in children.[J].Journal of Clinical Pediatric Surgery,,17():358-362.
Prospective analysis of selecting penile diameter,circumcision stapler and foreskin cerclage in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 05
Page:
358-362
Column:
论著
Date of publication:
2018-05-28
- Keywords:
- Penis; Surgical Staplers; Circumcision; Male; Postoperative Complications; Child
- Document code:
- A
- Abstract:
- ObjectiveTo select penile diameter (d) according to the clinical efficacies of circumcision stapler and foreskin cerclage in children.MethodsA total of 358 children with phimosis or redundant prepuce were treated with circumcision stapler (group A) and foreskin cerclage (group B).The median age was 9.0±2.2(4~16) years and the median penile diameter 1.5±0.4(1.2~3.0) cm.The development trend of penile diameter was analyzed.And two groups were compared in terms of incidence and relationship of postoperative complications and/or penile diameter,operative duration,intraoperative blood loss,cost of treatment and 30day followups.ResultsAge was positively correlated with penile diameter (r=0.4,P<0.05).The incidences of postoperative complications of groups A and B were 5.24% (10/191) and 2.4% (4/167).There were no significant statistical differences (P=0.18).For 1.2 cm ≤d<1.5 cm,the perpetual adhesion of postoperative complications were 83.33% (10/12) in group A and 0% (0/25) in group B.There were significant statistical differences (P<0.0001);For 1.5 cm ≤d<2.6 cm,no postoperative complications occurred;For d≥2.6 cm,the postoperative complications was 0% (0/20) in group A versus 25% (4/16) in group B.There were significant statistical differences (P=0.03).The average treatment costs for groups A and B were (2105.81±47.37) and (526.63±24.58) RMB respectively.There were statistical significant differences (P<0.0001).During 30day followups,3.66% (7/191) required broken nail and stick in group A.For 1.2 cm ≤d<1.5 cm,7.19%(12/167) in group B;For d>2.6 cm,there were no significant statistical differences (P=0.16).ConclusionCircumcision stapler and foreskin cerclage have a diameter of penile selectivity in children.Foreskin cerclage is applicable for d<1.5 cm.However,circumcision stapler is suitable for d≥2.6 cm.
Last Update:
2018-05-23