Sancı Adem, Ergin İsmail Emre, Öztürk Abuzer, Asdemir Aydemir
Etlik City Hospital, Urology, Ankara, Turkey.
Kizilcahamam State Hospital, Ankara, Turkey.
Int Urol Nephrol. 2025 May;57(5):1465-1471. doi: 10.1007/s11255-024-04345-6. Epub 2024 Dec 27.
To assess the impact of a mobile phone application facilitating real-time visual and verbal communication on reducing emergency-room admissions following circumcision.
This prospective observational study included circumcision surgeries performed by one surgeon at our clinic between April and June 2024, after obtaining parental consent. Parents were divided into two groups: one received a mobile app phone number, while the other did not. The mobile app group was based on parents' communication needs, such as distance or socioeconomic factors. Follow-up appointments were scheduled for one week and one month; the mobile app group had follow-ups via the app, while the non-communicating group followed up in person. WhatsApp was used due to its cost-effectiveness and accessibility. Data on emergency visits, communications, and complications were recorded prospectively and analyzed retrospectively using SPSS with t tests and Mann-Whitney U tests (p < 0.05).
A total of 200 patients were enrolled, with 162 meeting the inclusion criteria. The study was divided into two groups: 'Communicating group' (Group 1, 75 patients) had access to the mobile app, while 'Non-communicating group' (Group 2, 87 patients) received routine post-operative instructions. No significant differences in age or weight were found. The most common complications included wound infection, non-healing wounds, swelling, bleeding, and micturition issues. Emergency visits were significantly higher in Group 2 (12.64%) compared to Group 1 (1.33%) (p = 0.01).
The use of a mobile app for post-surgical communication may significantly reduce emergency-room visits following circumcision.
评估一款促进实时视觉和言语交流的手机应用程序对减少包皮环切术后急诊室入院人数的影响。
这项前瞻性观察性研究纳入了2024年4月至6月在我们诊所由一名外科医生进行的包皮环切手术，手术均获得了家长同意。家长被分为两组：一组获得了手机应用程序的电话号码，另一组没有。手机应用程序组是根据家长的沟通需求（如距离或社会经济因素）划分的。安排了一周和一个月的随访预约；手机应用程序组通过应用程序进行随访，而非沟通组则亲自前来随访。由于WhatsApp具有成本效益且易于使用，因此被采用。前瞻性记录了急诊就诊、沟通和并发症的数据，并使用SPSS进行回顾性分析，采用t检验和曼-惠特尼U检验（p < 0.05）。
共纳入200例患者，其中162例符合纳入标准。研究分为两组：“沟通组”（第1组，75例患者）可以使用手机应用程序，而“非沟通组”（第2组，87例患者）接受常规术后指导。在年龄或体重方面未发现显著差异。最常见的并发症包括伤口感染、伤口不愈合、肿胀、出血和排尿问题。第2组的急诊就诊率（12.64%）显著高于第1组（1.33%）（p = 0.01）。
使用手机应用程序进行术后沟通可能会显著减少包皮环切术后的急诊室就诊人数。
