关键词: 包皮环切缝合器, 改良, 包皮环切, 包皮过长, 并发症

Abstract: Objective To compare the clinical efficacy of modified disposable circumcision stapler and conventional circumcision in the treatment of redundant prepuce. Methods 300 patients with redundant prepuce or phimosis from May 2014 to May 2016 with who underwent modified disposable circumcision stapler (n=209) or traditional circumcision (n=91) were reviewed retrospectively. Comparisons were made between the two groups in the operation time, blood loss, postoperative pain score, time of wound healing, post-circumcision bleeding and postoperative satisfaction with penile appearance. Results The disposable circumcision stapler group showed great advantages over the traditional circumcision group in mean operation time, blood loss, postoperative visual analog scale (VAS) score for pain, time to wound healing and postoperative satisfaction with the penile appearance (P<0.05). However, there were no significant difference in post-circumcision bleeding, and other complications (P>0.05). Conclusion The disposable circumcision stapler is of convenience, safety and efficacy with shorter operation time, less pain and less complication. However, we should improve operative skills and avoid postoperative complications.

Key words: Disposable circumcision stapler, Modified, Conventional circumcision, Redundant prepuce, Complications