Mp43-17 Efficacy and Safety of Two Disposable Circumcision Suture Devices for Circumcision in Adults: A Prospective Comparative Multicenter Study

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology II (MP43)1 May 2024MP43-17 EFFICACY AND SAFETY OF TWO DISPOSABLE CIRCUMCISION SUTURE DEVICES FOR CIRCUMCISION IN ADULTS: A PROSPECTIVE COMPARATIVE MULTICENTER STUDY Carlos Toribio-Vazquez, Alessia Celeste Bocchino, Esaú Esaú Fernández-Pascual, Celeste Manfredi, Guillermo Urdaneta, Carlos Balmori, Claudio Martínez-Ballesteros, Andrea Cocci, Nicola Mondaini, and Juan Ignacio Martínez-Salamanca Carlos Toribio-VazquezCarlos Toribio-Vazquez , Alessia Celeste BocchinoAlessia Celeste Bocchino , Esaú Esaú Fernández-PascualEsaú Esaú Fernández-Pascual , Celeste ManfrediCeleste Manfredi , Guillermo UrdanetaGuillermo Urdaneta , Carlos BalmoriCarlos Balmori , Claudio Martínez-BallesterosClaudio Martínez-Ballesteros , Andrea CocciAndrea Cocci , Nicola MondainiNicola Mondaini , and Juan Ignacio Martínez-SalamancaJuan Ignacio Martínez-Salamanca View All Author Informationhttps://doi.org/10.1097/01.JU.0001008720.96896.83.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To evaluate the efficacy and safety of two different disposable circumcision suture devices (DCSDs) and compare their surgical outcomes. METHODS: A prospective comparative multicenter study was performed between November 2019 and October 2021. Patients underwent circumcision using a DCSD (CircCurer TM or the ZSR device) according to the surgeon preference and device availability. Operative time, need for accessory stitches, complications, spontaneous fall out of the staples, postoperative pain, and patient satisfaction were evaluated. RESULTS: A total of 215 patients were enrolled, 120 underwent circumcision using CircCurer TM (Group A) and 95 patients using ZSR (Group B). No differences were observed in baseline characteristics between the two groups (p>0.05). Mean (SD) operative time was 7.0 (2.5) minutes with no significant difference between the groups (p=0.678). Seven patients (5.8%) in Group A and 2 (2.1%) in Group B required accessory stitches (p=0.156). Four subjects (3.3%) in Group A and 1 (1.1%) in group B presented hematoma (p=0.266). Surgical site infection occurred in 1 (0.8%) in Group A and 2 (2.1%) in Group B (p=0.413). Staples fell out spontaneously in 39 patients (32.5%) of Group A and 47 (49.5%) of Group B (p<0.001). Median (IQR) NRS for postoperative pain was 2.5 (0-4) in Group A and 2.0 (0-4) in Group B (p=0.284). At 2 months, patients of both groups reported a median (IQR) satisfaction of 9 (8-9) points (p=0.469). CONCLUSIONS: DCSDs appear to allow effective and safe circumcision, with short operative times, uncommon and mild complications, and high patient satisfaction. Source of Funding: No funding © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e700 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Carlos Toribio-Vazquez More articles by this author Alessia Celeste Bocchino More articles by this author Esaú Esaú Fernández-Pascual More articles by this author Celeste Manfredi More articles by this author Guillermo Urdaneta More articles by this author Carlos Balmori More articles by this author Claudio Martínez-Ballesteros More articles by this author Andrea Cocci More articles by this author Nicola Mondaini More articles by this author Juan Ignacio Martínez-Salamanca More articles by this author Expand All Advertisement PDF downloadLoading ...