Department of Urology, Kamkar Hospital, Qom Medical Sciences University, School of Medicine, Qom, Iran.
J Pediatr Urol. 2010 Jun;6(3):258-60. doi: 10.1016/j.jpurol.2009.08.007. Epub 2009 Sep 4.
To evaluate the safety of the Plastibell neonatal circumcision technique and the incidence of complications in Iranian neonates.
MATERIALS & METHODS: In this study, 7510 term neonates born between 2001 and 2006 in Rafsanjan medical centers, with age range of 3-36h, were randomized into two groups. In group A (3760 cases), an incision was made in the dorsal surface of the prepuce and then 3min frenular manual compression was performed with a sponge. In group B (3750 cases), frenular hemostasis was achieved using ophthalmologic thermal cautery. The two groups were compared in terms of complications of hemorrhage, wound infection, urine retention and delayed wound healing.
In group A, bleeding occurred in 15 cases (0.4%), and in group B in two cases (0.05%). The bleeding rate in group A was significantly higher (P=0.002). In group A, urinary retention was seen in 12 cases (0.03%), in comparison to 35 cases (0.9%) in group B. This complication rate was significantly higher in group B (P=0.001). Local or systemic infection was not seen in either group.
Although using thermal cautery we have less bleeding, the total complication rate is increased significantly.
评估 Plastibell 新生儿包皮环切术的安全性及伊朗新生儿并发症的发生率。
本研究中，2001 年至 2006 年间在拉夫桑詹医疗中心出生的 7510 例足月新生儿，年龄 3-36 小时，随机分为两组。A 组（3760 例），在包皮背侧做切口，然后用海绵对系带进行 3 分钟的手动压迫。B 组（3750 例），使用眼科热烧灼法止血。比较两组患儿的出血、伤口感染、尿潴留和伤口愈合延迟等并发症。
A 组 15 例（0.4%）出血，B 组 2 例（0.05%）。A 组出血率明显较高（P=0.002）。A 组 12 例（0.03%）发生尿潴留，B 组 35 例（0.9%）。B 组并发症发生率明显较高（P=0.001）。两组均未见局部或全身感染。
虽然使用热烧灼法我们的出血较少，但总并发症发生率显著增加。
