Tuncer Ahmet Ali, Deger Mutlu
Afyon Kocatepe University, Medical Faculty, Department of Pediatric Surgery, Afyonkarahisar, Turkey.
Yuksekova State Hospital, Clinic of Urology, Hakkari, Turkey.
Urol J. 2018 Nov 17;15(6):359-364. doi: 10.22037/uj.v0i0.4296.
This study aimed to examine the short- and long-term complications of thermocautery-assisted circumcisions.
A total of 1780 children who consecutively underwent thermocautery-assisted circumcisions from May 2014 to May 2016 in Yuksekova State Hospital in Turkey were included in this study. Thesechildren were classified into perioperative, early postoperative, and long-term complication groups. In addition, the age groups were compared in terms of complications.
The patient age and surgical duration means were 4.16 ± 3.805 years old and 6.14 ± 1.703 minutes, respectively. Complications were observed in twelve patients, or 0.6% of the whole observation set. One patient exhibited bleeding and was included in the perioperative complications group. Four patients were included in the early postoperative complications group; three of them had bleeding and one had an infection. Finally, three patients had trapped penises, two patients had meatitis, one patient had a delayed wound healing issue, and one hada glans-skin bridge. These seven patients fell into the long-term complications group. The patients younger than 3 years old had significantly higher complication rates when compared to the older patients, and this comparison was statistically significant (P = 0.001).
The results showed that thermocautery-assisted circumcision is a safe and efficient surgical technique for use in children.
本研究旨在探讨热灼环切术的短期和长期并发症。
本研究纳入了2014年5月至2016年5月在土耳其尤克谢科瓦州立医院连续接受热灼环切术的1780名儿童。这些儿童被分为围手术期、术后早期和长期并发症组。此外，还对不同年龄组的并发症情况进行了比较。
患者的平均年龄和手术时长分别为4.16±3.805岁和6.14±1.703分钟。共有12名患者出现并发症，占整个观察组的0.6%。1名患者出现出血，被纳入围手术期并发症组。4名患者被纳入术后早期并发症组，其中3名出血，1名感染。最后，3名患者出现阴茎绞窄，2名患者出现尿道口炎，1名患者伤口愈合延迟，1名患者出现龟头-皮肤桥接。这7名患者属于长期并发症组。3岁以下患者的并发症发生率显著高于年龄较大的患者，且该比较具有统计学意义（P=0.001）。
结果表明，热灼环切术是一种用于儿童的安全有效的手术技术。
