Comparison of the Efficacy of"Sleeve Method"Circumcision Plastic Surgeryand Disposable Circumcision Anastomat in the Treatment of Redundant Prepuce and Phimosis
Objectives Toexplore the clinical efficacy of disposable circumcision anastomatand"sleeve method"circumcision in the treatment of redundant prepuce and phimosis,and to provide a basis for the selection of clinical circumcision.Methods From December 2017 to April 2020,a total of 160 patients with redundant prepuce and phimosis who underwent circumcision surgery in the Urology Department of our hospital were selected.According to the patients'preoperative surgical wishes,they were divided into control group and observation group,with 80 cases in each group.The control group received disposable circumcision anastomat,while the observation group received"sleeve method"circumcision plastic surgery.The clinical indicators(operation cost,operation time,incision healing time)of the two groups were compared.The intraoperative and postoperative pain of the two groups were compared by VAS score.The surgical complications,adverse outcomes and incision appearance satisfaction of the two groups were compared.Results The incidence of complications in the control group was 20.00%,which was the significantly higher than the 3.75%in the observation group,and the difference was statistically significant(P＜0.05).At various time points during and after surgery,there was no significant difference in VAS score between the two groups of patients(P＞0.05).The total cost of the observation group was significantly lower than that of the control group,and the surgical duration of the observation group was significantly longer than that of the control group(P＜0.05).The difference in incision healing time between the observation group and the control group was not significant(P＞0.05).There was no significant difference in the total satisfaction rate of incision appearance between the two groups(P＞0.05).Conclusions Disposable circumcision anastomat has a short surgical time and certain time advantages in surgical selection.However,the overall cost of"sleeve method"circumcision plastic surgery is lower,and there was no obvious complications.The surgical method is suitable for patients with redundant prepuce and phimosis in different situations and different age,and has a wider clinical application value.
Disposable circumcision anastomat"Sleeve Method"circumcision and plastic surgeryRedundant prepucePhimosis
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