Evidence map›Paper›PMID 26797875›Full record

ArticleInternational urology and nephrology2016

Application of a novel disposable suture device in circumcision: a prospective non-randomized controlled study.

Zheng Zhang, Baibing Yang, Wen Yu, Youfeng Han, Zhipeng Xu, Hai Chen, Yun Chen, Yutian Dai

Abstract readControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. Article
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Zheng ZhangDepartment of Andrology, Drum Tower Hospital, Affiliated to School of Medicine, Nanjing University, #321 Zhong Shan Road, Nanjing, 210008, China.
Baibing YangDepartment of Andrology, Drum Tower Hospital, Affiliated to School of Medicine, Nanjing University, #321 Zhong Shan Road, Nanjing, 210008, China.
Wen YuDepartment of Andrology, Drum Tower Hospital, Affiliated to School of Medicine, Nanjing University, #321 Zhong Shan Road, Nanjing, 210008, China.
Youfeng HanDepartment of Andrology, Drum Tower Hospital, Affiliated to School of Medicine, Nanjing University, #321 Zhong Shan Road, Nanjing, 210008, China.
Zhipeng XuDepartment of Andrology, Drum Tower Hospital, Affiliated to School of Medicine, Nanjing University, #321 Zhong Shan Road, Nanjing, 210008, China.
Hai ChenDepartment of Andrology, Drum Tower Hospital, Affiliated to School of Medicine, Nanjing University, #321 Zhong Shan Road, Nanjing, 210008, China.
Yun ChenDepartment of Andrology, Drum Tower Hospital, Affiliated to School of Medicine, Nanjing University, #321 Zhong Shan Road, Nanjing, 210008, China.
Yutian DaiDepartment of Andrology, Drum Tower Hospital, Affiliated to School of Medicine, Nanjing University, #321 Zhong Shan Road, Nanjing, 210008, China. 13913957628@163.com.
Nanjing Drum Tower Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the surgical effects and postoperative complications and patient experience of two circumcision methods (novel disposable suture device and conventional suture approach) in Chinese excess foreskin or phimosis patients performed in our Andrology centre in a prospective non-randomized controlled study.

methodsA total of 520 cases of excess foreskin and 62 phimosis patients that underwent circumcision between June 2014 and June 2015 in a single center using novel disposable device (n = 295; mean age 30.4 years, range 18-44 years) and conventional suture approach (n = 287; mean age 28.6 years, range 16-41 years) were documented. The main surgical outcomes (surgical time, intraoperative blood loss, incision healing time) and postoperative complications and patient experience (postoperative pain score, satisfaction rate of postoperative penile cosmetic appearance, recovery duration) were collected and analyzed. A multivariate logistic regression with likelihood ratio test was also used to observe the possible determinants of edema occurrence postoperatively.

resultsThe novel disposable suture device group had shorter operation time, lower pain score and rapid recovery and a higher satisfaction rate of penile cosmetic appearance when compared to the conventional circumcision group. Besides, the incidence of complications (hematoma and incision bleeding and infection) was significantly lower in the novel disposable suture device group. A multivariate logistic regression with likelihood ratio test revealed that phimosis was the significant predictor of edema occurrence postoperatively (Chi square of likelihood ratio = 9.88, df = 1, p = 0.025).

conclusionsCircumcision using this novel disposable suture device is associated with short operative time, rapid recovery, less pain experience, less complications (hematoma and incision bleeding and infection) and high satisfaction rate of penile appearance. This new approach should be of value for future application. Phimosis patients should be notified that they had a great possibility to develop edema postoperatively regardless of the surgical options.

Indexed as

Disposable EquipmentPatient SatisfactionSuturesAdolescentAdultCircumcision, MaleEquipment DesignForeskinHumansMaleOperative TimePhimosisProspective StudiesSuture TechniquesTreatment OutcomeWound HealingCircumcisionEdemaExcess foreskinNovel disposable suture devicePhimosis

Identifiers

PMID26797875
OpenAlexW2286570624

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.