The comparison of surgical and thermocautery-assisted techniques used in neonatal circumcision
The comparison of surgical and thermocautery-assisted techniques used in neonatal circumcision
Neonatal circumcision is a frequent procedure performed all around the globe, and it has a low complication rate when performed by trained experts. Our aim is to evaluate the outcomes and potential complications of two neonatal circumcision techniques. Fifteen hundred twenty-one infants who underwent neonatal circumcision at Hisar Intercontinental Hospital between 2010 and 2020, were evaluated retrospectively. Patients who had surgical procedures were classified as Group 1, whereas those who underwent thermocautery-assisted technique were classified as Groups 2. The outcomes and complications of both groups were compared. Group 1 had 758 patients, whereas Group 2 had 763. Both groups were aged 13.69±7.45 days and 13,44±7.70 days (p=0.1). Although there was no significant difference between the two groups when the complications were examined individually, there was a significant difference when all complications were considered, and the complication rate was greater in group 2 (p=0.01). While the hemorrhage rate was higher in Group 1 (p
___
- 1. Kazem MM, Mehdi AZ, Golrasteh KZ, et al. Comparative evaluation of two techniques of hemostasis in neonatal circumcision using the Plastibell device. J Pediatr Urol. 2010;6:258-60.
- 2. Niku SD, Stock JA, Kaplan GW. Neonatal circumcision. Urol Clin North Am. 1995;22:57-65.
- 3. Sencan A, Cayirli H, Sencan A. Circumcision techniques. J Celal Bayar University Health Sci Inst. 2015;2:86-90.
- 4. Rickwood AMK. Medical Indications for circumcision. BJU Int. 1999; 83:45–51.
- 5. Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States. Prevalence, prophylactic effects and sexual practice. JAMA. 1997 2;277:1052-7.
- 6. Cao D, Liu L, Hu Y et al. A systematic review and meta-analysis of circumcision with Shang Ring vs conventional circumcision. Urol. 2015;85:799-804.
- 7. Oral A, Bahadır GB, Guven A. Childhood Circumcision Complications and Prevention. TAF Preventive medicine Bulletin. 2011;10.
- 8. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205-13.
- 9. Morgan M, Smith N, Thomas K, et al. Is Clavien the new standard for reporting urological complications? BJU Int. 2009;104:434-6.
- 10. Olcucu MT, Teke K. Evaluation of Short-term Postoperative Complications According to the Clavien-Dindo Classification System in Thermocauteryassisted Circumcision Cases. J Urological Surg. 2020;7:218.
- 11. Cakiroglu B, Gozukucuk A, Arda E, et al. Reliability of thermocauteryassisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status. Ther Adv Urol. 2019 13;11:1756287219882598.
- 12. Karakaya AE, Guler AG, Dogan AB. Rapid circumcision: an epidemiological and technical investigation. J Pediatr Surg. 2017;31:108-12.
- 13. Pippi Salle JL, Jesus LE, Lorenzo AJ et al. Glans amputation during routine neonatal circumcision: mechanism of injury and strategy for prevention. J Pediatr Urol. 2013;9:763-8.
- 14. Ozkan A. Retrospective analysis of complications in nineteen hundereds circumcision cases. Konuralp Med J. 2012;4:8-12.
- 15. Wiswell TE, Geschke DW. Risks from circumcision during the first month of life compared with those for uncircumcised boys. Pediatrics. 1989;83:1011-5.
- 16. Akyuz O, Coban S, Bodakci MN et al. Every aspect of circumcision regarding contemporary literature. New J Urol. 2018;13:70-6.
- 17. Cathcart P, Nuttall M, van der Meulen J et al. Trends in paediatric circumcision and its complications in England between 1997 and 2003. Br J Surg. 2006;93:885-90.
- 18. Polat F, Tuncel A, Balci M, et al. Comparison of local anesthetic effects of lidocaine versus tramadol and effect of child anxiety on pain level in circumcision procedure. J Pediatr Urol. 2013;9:670-4.
- 19. Senel FM, Demirelli M, Oztek S. Minimally invasive circumcision with a novel plastic clamp technique: a review of 7,500 cases. Pediatr Surg Int. 2010;26:739-45.
- 20. Buwembo DR, Musoke R, Kigozi G, et al. Evaluation of the safety and efficiency of the dorsal slit and sleeve methods of male circumcision provided by physicians and clinical officers in Rakai, Uganda. BJU Int. 2012;109:104-8.
- 21. Tuncer AA, Deger M. Incidence of Complications Following Thermocautery-assisted Circumcisions. Urol J. 2018 17;15:359-64.
- 22. Arslan D, Kalkan M, Yazgan H et al. Collective circumcision performed in Sudan: evaluation in terms of early complications and alternative practice. Urol. 2013;81:864-7.
- 23. Méndez-Gallart R, Estévez E, Bautista A, et al Bipolar scissors circumcision is a safe, fast, and bloodless procedure in children. J Pediatr Surg. 2009;44:2048-53.
- 24. Pieretti RV, Goldstein AM, Pieretti-Vanmarcke R. Late complications of newborn circumcision: a common and avoidable problem. Pediatr Surg Int. 2010;26:515-8.
- 25. Young MR, Bailey RC, Odoyo-June E, et al. Safety of over twelve hundred infant male circumcisions using the Mogen clamp in Kenya. PLoS One. 2012;7:e47395.
- 26. Saracoglu M, Ozturk H, Zengin T, et al. Comparison of thermal cauteryassisted circumcision with the conventional technique. Human Andrology. 2014:4;34-7.
- 27. Brisson PA, Patel HI, Feins NR. Revision of circumcision in children: Report of 56 cases. J Pediatr Surg. 2002;37:1343-6.
- 28. Morris BJ, Moreton S, Krieger JN. Meatal stenosis: getting the diagnosis right. Res Rep Urol. 2018 3;10:237-9.
- 29. Krill AJ, Palmer LS, Palmer JS. Complications of circumcision. ScientificWorldJournal. 2011;11:2458-68.