Volume 4, Issue 2 (Fall & Winter 2020)
J Res Urol 2020, 4(2): 87-91 |
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Mehrabi S, Banouei F, Mohammadsoori B. Comparison of the Early Consequences of Ring Circumcision in Two Groups of Children Under One Year and One to Three years in Shahid Beheshti Hospital and Sheikho Al-Rais Clinic in Hamadan Between 2017 and 2020. J Res Urol 2020; 4 (2) :87-91
URL: http://urology.umsha.ac.ir/article-1-79-en.html
URL: http://urology.umsha.ac.ir/article-1-79-en.html
1- Assistant Professor, Urology & Nephrology Research Center, Hamadan University of Medical Science, Hamadan, Iran
2- Urology Resident, Urology & Nephrology Research Center, Hamadan University of Medical Science, Hamadan, Iran ,farshadbanouei90@gmail.com
3- Resident of Urology, Urology & Nephrology Research Center, Hamadan University of Medical Science, Hamadan, Iran
2- Urology Resident, Urology & Nephrology Research Center, Hamadan University of Medical Science, Hamadan, Iran ,
3- Resident of Urology, Urology & Nephrology Research Center, Hamadan University of Medical Science, Hamadan, Iran
Abstract: (3856 Views)
Background and Objective: Circumcision is one of the most important and well-known surgical procedures in the world. This clinical trial was performed to evaluate the advantages and disadvantages of ring circumcision in two groups: under one year and over one year.
Material and methods: In this study, 1904 children were circumcised during the years 1396 to 1399 in Shahid Beheshti Hospital in Hamadan and Sheikh Al-Rais Clinic. These children were divided into two groups: under one year and one to three years( 952 cases in each group). Local anesthesia with 2% lidocaine was used in all children. The two groups were visited on the second day and the second week after circumcision in terms of complications and beauty of the surgery site. Parents were also justified in terms of complications and necessary actions.
Results: In this study, there was no case of Meatal stricture in these patients. In the group under one year, three cases of infection occurred (0.003%) which improved with antibiotic treatment. In both groups under one year and one to three years, a total of 5 cases (three cases in under one year and two cases in one to three years group) of bleeding occurred, which were controlled by the initial measures of bleeding. The average ring fall time in children under one year was 8±1 days and in children one to three years was 9±1 days. Also, five cases of glans edema( two cases in under one year group and three cases in one to three group) were seen, which were quickly removed by cutting on the fibrin ring at 3, 6 ,9 and 12 ochr('39')clock.
Conclusion: Awareness of the complications of circumcision and its treatment methods are important factors in the success of this method.
Material and methods: In this study, 1904 children were circumcised during the years 1396 to 1399 in Shahid Beheshti Hospital in Hamadan and Sheikh Al-Rais Clinic. These children were divided into two groups: under one year and one to three years( 952 cases in each group). Local anesthesia with 2% lidocaine was used in all children. The two groups were visited on the second day and the second week after circumcision in terms of complications and beauty of the surgery site. Parents were also justified in terms of complications and necessary actions.
Results: In this study, there was no case of Meatal stricture in these patients. In the group under one year, three cases of infection occurred (0.003%) which improved with antibiotic treatment. In both groups under one year and one to three years, a total of 5 cases (three cases in under one year and two cases in one to three years group) of bleeding occurred, which were controlled by the initial measures of bleeding. The average ring fall time in children under one year was 8±1 days and in children one to three years was 9±1 days. Also, five cases of glans edema( two cases in under one year group and three cases in one to three group) were seen, which were quickly removed by cutting on the fibrin ring at 3, 6 ,9 and 12 ochr('39')clock.
Conclusion: Awareness of the complications of circumcision and its treatment methods are important factors in the success of this method.
Type of Study: Applicable |
Subject:
Pediatric Urology
Received: 2021/06/25 | Accepted: 2021/08/1 | Published: 2021/09/3
Received: 2021/06/25 | Accepted: 2021/08/1 | Published: 2021/09/3
References
1. Nasha F. Hypospadias, Comprehensive book of Iranian urology. Comprehensive book of Iranian urology. 2 ed. Tehran: Teimourzadeh; 2016
2. Gee WF, Ansell JS. Neonatal circumcision: a ten-year overview: with comparison of the Gomco clamp and the Plastibell device. Pediatrics. 1976;58(6):824-7.
3. Gee WF, Ansell JS. Neonatal circumcision: a ten-year overview: with comparison of the Gomco clamp and the Plastibell device. Pediatrics. 1976;58(6):824-7.
4. Simforoosh N. Advantages of Neonatal Circumcision:Review on Past and Present. Journal of Islamic and Iranian Traditional Medicine. 2011;2(2):123-30.
5. Arbabi A. circumcision in the newborns by plastibell device, advantages and complications. Razi J Medl Sci. 2000;7(21):165-9.
6. Kurtis PS, DeSilva HN, Bernstein BA, Malakh L, Schechter NL. A comparison of the Mogen and Gomco clamps in combination with dorsal penile nerve block in minimizing the pain of neonatal circumcision. Pediatrics. 1999;103(2):E23.
7. Erickson SS. A model for teaching newborn circumcision. Obstet Gynecol. 1999;93(5 Pt 1):783-4.
8. Wan J. Gomco circumcision clamp: an enduring and unexpected success. Urology. 2002;59(5):790-4. [DOI:10.1016/S0090-4295(01)01320-6]
9. Horowitz M, Gershbein AB. Gomco circumcision: when is it safe? Journal of pediatric surgery. 2001;36(7):1047-9. [DOI:10.1053/jpsu.2001.24739]
10. Harel L, Straussberg R, Jackson S, Amir J. Influence of circumcision technique on frequency of urinary tract infections in neonates. The Pediatric infectious disease journal. 2002;21(9):879-80. [DOI:10.1097/00006454-200209000-00020]
11. Amir M, Raja M, Niaz WA. Neonatal circumcision with Gomco clamp-a hospital-based retrospective study of 1000 cases. J Pak Med Assoc. 2000;50(7):224-7.
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