{
    "abstract": "To investigate the clinical effects of circumcision by surgical plane positioning with a disposable circumcision suture device in the treatment of phimosis and redundant prepuce.\nFrom September 2016 to June 2017, we treated 250 patients with phimosis or redundant prepuce, 127 by conventional circumcision (the control group) and the other 123 by surgical plane positioning with a disposable circumcision suture device (the observation group). We compared the operation time, intra-operative bleeding, preputial frenulum alignment, postoperative ecchymosis, and postoperative penile appearance between the two groups of patients.\nCompared with the controls, the patients in the observation group showed significantly longer operation time (\uff3b4.48 \u00b1 1.18\uff3d vs \uff3b7.17 \u00b1 1.42\uff3d min, P<0.05), lower rates of intra-operative frenulum bleeding (15.0% \uff3b19/127\uff3d vs 4.1% \uff3b5/123\uff3d, P<0.05) and frenulum misalignment (26.8% \uff3b34/127\uff3d vs 0.8% \uff3b1/123\uff3d, P<0.05), higher incidence of postoperative ecchymosis (41.7% \uff3b53/127\uff3d vs 21.1% \uff3b26/123\uff3d, P<0.05), and higher satisfaction of the patients with the postoperative penile appearance (92.9% \uff3b18/127\uff3d vs 98.4% \uff3b121/123\uff3d, P<0.05). However, no statistically significant difference was found between the control and observation groups in intra-operative non-frenulum bleeding (4.7% \uff3b6/127\uff3d vs 1.6% \uff3b2/123\uff3d, P = 0.164).\nCircumcision by surgical plane positioning with a disposable circumcision suture device can effectively avoid preputial frenulum misalignment, reduce intra-operative bleeding, and improve postoperative penile appearance.\n\u76ee\u7684\uff1a \u89c2\u5bdf\u4f7f\u7528\u5b9a\u4f4d\u5207\u5272\u5e73\u9762\u7684\u7f1d\u5408\u5668\u5f0f\u5305\u76ae\u73af\u5207\u672f\u6cbb\u7597\u5305\u830e\u548c\u5305\u76ae\u8fc7\u957f\u7684\u4e34\u5e8a\u7597\u6548\u3002 \u65b9\u6cd5\uff1a 250\u4f8b\u60a3\u8005\u968f\u673a\u5206\u4e3a\u4e24\u7ec4\uff0c\u89c2\u5bdf\u7ec4123\u4f8b\uff0c\u91c7\u7528\u5b9a\u4f4d\u5207\u5272\u5e73\u9762\u7684\u7f1d\u5408\u5668\u5f0f\u5305\u76ae\u73af\u5207\u672f\u6cbb\u7597\uff1b\u5bf9\u7167\u7ec4127\u4f8b\uff0c\u91c7\u7528\u5e38\u89c4\u7f1d\u5408\u5668\u5f0f\u5305\u76ae\u73af\u5207\u672f\u6cbb\u7597\uff0c\u89c2\u5bdf\u4e24\u79cd\u5305\u76ae\u73af\u5207\u624b\u672f\u7684\u624b\u672f\u65f6\u95f4\u3001\u672f\u4e2d\u51fa\u8840\u3001\u7cfb\u5e26\u5bf9\u5408\u3001\u672f\u540e\u7600\u6591\u3001\u672f\u540e\u5916\u89c2\u6ee1\u610f\u7a0b\u5ea6\uff0c\u5e76\u8fdb\u884c\u7edf\u8ba1\u5206\u6790\u3002 \u7ed3\u679c\uff1a \u89c2\u5bdf\u7ec4\u548c\u5bf9\u7167\u7ec4\u624b\u672f\u65f6\u95f4\u5206\u522b\u4e3a\uff087.17\u00b11.42\uff09 min\u548c\uff084.48\u00b11.18\uff09 min\uff1b\u672f\u4e2d\u7cfb\u5e26\u5904\u51fa\u8840\u5206\u522b\u4e3a4.1%\uff085/123\uff09\u548c15.0%\uff0819/127\uff09\uff0c\u7cfb\u5e26\u5bf9\u5408\u4e0d\u826f\u5206\u522b\u4e3a0.8%\uff081/123\uff09\u548c26.8%\uff0834/127\uff09\uff0c\u672f\u540e\u7600\u6591\u5206\u522b\u4e3a21.1%\uff0826/123\uff09\u548c41.7%\uff0853/127\uff09\uff0c\u672f\u540e\u5916\u89c2\u6ee1\u610f\u7a0b\u5ea6\u5206\u522b\u4e3a98.4%\uff08121/123\uff09\u548c92.9%\uff08118/127\uff09\uff0c\u4ee5\u4e0a\u5dee\u5f02\u5747\u5177\u6709\u7edf\u8ba1\u5b66\u610f\u4e49\uff08P<0.05\uff09\uff1b\u89c2\u5bdf\u7ec4\u548c\u5bf9\u7167\u7ec4\u672f\u4e2d\u975e\u7cfb\u5e26\u5904\u51fa\u8840\u5206\u522b\u4e3a1.6%\uff082/123\uff09\u548c4.7%\uff086/127\uff09\uff0c\u5dee\u5f02\u65e0\u7edf\u8ba1\u5b66\u610f\u4e49\uff08P=0.164\uff09\u3002 \u7ed3\u8bba\uff1a \u5b9a\u4f4d\u5207\u5272\u5e73\u9762\u7684\u7f1d\u5408\u5668\u5f0f\u5305\u76ae\u73af\u5207\u672f\u53ef\u4ee5\u5728\u672f\u4e2d\u5b9e\u73b0\u7406\u60f3\u7684\u5207\u5272\uff0c\u4fdd\u8bc1\u7cfb\u5e26\u7684\u51c6\u786e\u5bf9\u5408\uff0c\u51cf\u5c11\u672f\u4e2d\u51fa\u8840\uff0c\u63d0\u9ad8\u672f\u540e\u5916\u89c2\u6ee1\u610f\u5ea6\uff0c\u4e34\u5e8a\u6548\u679c\u826f\u597d\uff0c\u6709\u63a8\u5e7f\u5e94\u7528\u4ef7\u503c\u3002.",
    "authors": [
        {
            "affiliation": "Department of Andrology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China.",
            "firstname": "You-Feng",
            "initials": "YF",
            "lastname": "Han"
        },
        {
            "affiliation": "Department of Andrology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China.",
            "firstname": "He-Song",
            "initials": "HS",
            "lastname": "Jiang"
        },
        {
            "affiliation": "Department of Andrology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China.",
            "firstname": "Jiu-Lin",
            "initials": "JL",
            "lastname": "Wang"
        },
        {
            "affiliation": "Department of Andrology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China.",
            "firstname": "Wu",
            "initials": "W",
            "lastname": "Chong"
        },
        {
            "affiliation": "Department of Andrology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China.",
            "firstname": "Hai",
            "initials": "H",
            "lastname": "Chen"
        },
        {
            "affiliation": "Department of Andrology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China.",
            "firstname": "Zhi-Peng",
            "initials": "ZP",
            "lastname": "Xu"
        },
        {
            "affiliation": "Department of Andrology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China.\nDepartment of Andrology, Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu 210029, China.",
            "firstname": "Yun",
            "initials": "Y",
            "lastname": "Chen"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": null,
    "journal": "Zhonghua nan ke xue = National journal of andrology",
    "keywords": [
        "circumcision suture device",
        "modified technique",
        "preputial frenulum",
        "circumcision"
    ],
    "methods": null,
    "publication_date": "2018-09-02",
    "pubmed_id": "30171754",
    "results": "Compared with the controls, the patients in the observation group showed significantly longer operation time (\uff3b4.48 \u00b1 1.18\uff3d vs \uff3b7.17 \u00b1 1.42\uff3d min, P<0.05), lower rates of intra-operative frenulum bleeding (15.0% \uff3b19/127\uff3d vs 4.1% \uff3b5/123\uff3d, P<0.05) and frenulum misalignment (26.8% \uff3b34/127\uff3d vs 0.8% \uff3b1/123\uff3d, P<0.05), higher incidence of postoperative ecchymosis (41.7% \uff3b53/127\uff3d vs 21.1% \uff3b26/123\uff3d, P<0.05), and higher satisfaction of the patients with the postoperative penile appearance (92.9% \uff3b18/127\uff3d vs 98.4% \uff3b121/123\uff3d, P<0.05). However, no statistically significant difference was found between the control and observation groups in intra-operative non-frenulum bleeding (4.7% \uff3b6/127\uff3d vs 1.6% \uff3b2/123\uff3d, P = 0.164).",
    "title": "[Surgical plane positioning with a disposable circumcision suture device for the treatment of phimosis and redundant prepuce].",
    "xml": "<Element 'PubmedArticle' at 0x788504d5ee80>"
}