A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture Device
Introduction: A novel type of a disposable circumcision suture device (DCSD) has been proved to be effective and safe; however, a few cases of severe bleeding took place after circumcisions. Aim: To evaluate the effectiveness of a modified double-layer pressure dressing to avoid severe bleeding afte...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Oxford University Press
2021-04-01
|
| Series: | Sexual Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2050116120301756 |
| _version_ | 1797766150148325376 |
|---|---|
| author | Wei Jiang, MD Jia-li Fu Wen-liang Guo, MD Zai-chun Yan, MD Ru-qiang Zheng, MD Ji-ru Lu, MD Xiao-dong Lai, MD |
| author_facet | Wei Jiang, MD Jia-li Fu Wen-liang Guo, MD Zai-chun Yan, MD Ru-qiang Zheng, MD Ji-ru Lu, MD Xiao-dong Lai, MD |
| author_sort | Wei Jiang, MD |
| collection | DOAJ |
| description | Introduction: A novel type of a disposable circumcision suture device (DCSD) has been proved to be effective and safe; however, a few cases of severe bleeding took place after circumcisions. Aim: To evaluate the effectiveness of a modified double-layer pressure dressing to avoid severe bleeding after circumcision with the DCSD, in our department in a prospective randomized controlled study, and discuss the mechanism of bleeding with DCSD. Methods: Patients with redundant foreskin or phimosis were included between September 2018 and November 2019 and divided into 2 groups: In group A, the conventional pressure dressing was performed; in group B, an modified double-layer pressure dressing was performed. Main Outcome Measure: The main outcomes and complications (surgical time, incidence of glans ischemia, severe bleeding rate, infection rate, pain level, total cost, and overall satisfaction) were collected and analyzed. Results: A total of 624 patients were recruited for this study. There was no difference in the average age and body mass index between 2 groups. No patient suffered obvious glans ischemia. In group B, lower pain level, lower incidences of severe bleeding, and better satisfaction were recorded. Conclusion: The mechanism of bleeding with the DCSD was discussed in this study, and the modified pressure dressing was proved effective, safe, and easy to perform.W Jiang, J-li Fu, W-l Guo, et al. A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture Device. Sex Med 2021;9:100288. |
| first_indexed | 2024-03-12T20:20:06Z |
| format | Article |
| id | doaj.art-143f28b833ad4eea9fcbe57efe63704c |
| institution | Directory Open Access Journal |
| issn | 2050-1161 |
| language | English |
| last_indexed | 2024-03-12T20:20:06Z |
| publishDate | 2021-04-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Sexual Medicine |
| spelling | doaj.art-143f28b833ad4eea9fcbe57efe63704c2023-08-02T00:58:28ZengOxford University PressSexual Medicine2050-11612021-04-0192100288A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture DeviceWei Jiang, MD0Jia-li Fu1Wen-liang Guo, MD2Zai-chun Yan, MD3Ru-qiang Zheng, MD4Ji-ru Lu, MD5Xiao-dong Lai, MD6Department of Urology, Dongying People's Hospital, Dongying, China; Corresponding Author: Wei Jiang, MD, Department of Urology, Dongying People's Hospital, #317 Nan Yi Road, Dongying 257077, China. Tel: 086-18366910841; Fax: 0546-8901111Department of Urology, Dongying People's Hospital, Dongying, ChinaSurgery Department, Health Center of Qingzhou Economic Development Zone, Qingzhou, ChinaDepartment of Urology, Dongying People's Hospital, Dongying, ChinaDepartment of Urology, Dongying People's Hospital, Dongying, ChinaDepartment of Urology, Dongying People's Hospital, Dongying, ChinaDepartment of Urology, Dongying People's Hospital, Dongying, ChinaIntroduction: A novel type of a disposable circumcision suture device (DCSD) has been proved to be effective and safe; however, a few cases of severe bleeding took place after circumcisions. Aim: To evaluate the effectiveness of a modified double-layer pressure dressing to avoid severe bleeding after circumcision with the DCSD, in our department in a prospective randomized controlled study, and discuss the mechanism of bleeding with DCSD. Methods: Patients with redundant foreskin or phimosis were included between September 2018 and November 2019 and divided into 2 groups: In group A, the conventional pressure dressing was performed; in group B, an modified double-layer pressure dressing was performed. Main Outcome Measure: The main outcomes and complications (surgical time, incidence of glans ischemia, severe bleeding rate, infection rate, pain level, total cost, and overall satisfaction) were collected and analyzed. Results: A total of 624 patients were recruited for this study. There was no difference in the average age and body mass index between 2 groups. No patient suffered obvious glans ischemia. In group B, lower pain level, lower incidences of severe bleeding, and better satisfaction were recorded. Conclusion: The mechanism of bleeding with the DCSD was discussed in this study, and the modified pressure dressing was proved effective, safe, and easy to perform.W Jiang, J-li Fu, W-l Guo, et al. A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture Device. Sex Med 2021;9:100288.http://www.sciencedirect.com/science/article/pii/S2050116120301756CircumcisionDisposable Circumcision Suture DeviceSuperficial Dorsal VeinDCSDPressure DressingBleeding |
| spellingShingle | Wei Jiang, MD Jia-li Fu Wen-liang Guo, MD Zai-chun Yan, MD Ru-qiang Zheng, MD Ji-ru Lu, MD Xiao-dong Lai, MD A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture Device Sexual Medicine Circumcision Disposable Circumcision Suture Device Superficial Dorsal Vein DCSD Pressure Dressing Bleeding |
| title | A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture Device |
| title_full | A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture Device |
| title_fullStr | A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture Device |
| title_full_unstemmed | A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture Device |
| title_short | A Modified Pressure Dressing to Avoid Severe Bleeding After Circumcision With a Disposable Circumcision Suture Device and a Discussion on the Mechanism of Bleeding With the Disposable Circumcision Suture Device |
| title_sort | modified pressure dressing to avoid severe bleeding after circumcision with a disposable circumcision suture device and a discussion on the mechanism of bleeding with the disposable circumcision suture device |
| topic | Circumcision Disposable Circumcision Suture Device Superficial Dorsal Vein DCSD Pressure Dressing Bleeding |
| url | http://www.sciencedirect.com/science/article/pii/S2050116120301756 |
| work_keys_str_mv | AT weijiangmd amodifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT jialifu amodifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT wenliangguomd amodifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT zaichunyanmd amodifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT ruqiangzhengmd amodifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT jirulumd amodifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT xiaodonglaimd amodifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT weijiangmd modifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT jialifu modifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT wenliangguomd modifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT zaichunyanmd modifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT ruqiangzhengmd modifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT jirulumd modifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice AT xiaodonglaimd modifiedpressuredressingtoavoidseverebleedingaftercircumcisionwithadisposablecircumcisionsuturedeviceandadiscussiononthemechanismofbleedingwiththedisposablecircumcisionsuturedevice |