Evidence map›Paper›PMID 40020146›Full record

Trial reportMedicine2025

Efficacy of triamcinolone acetonide combined with recombinant bovine basic fibroblast growth factor in preventing scar formation after adult circumcision using a stapler device: A randomized controlled trial.

Yang Yuan, Shihao Zhang, Dingli Hu, Bing Wang, Yunlong Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Neomycin sulfate and triamcinolone acetonide suspended ointment designed for transdermal delivery: formulation and in vitro evaluation.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2025
    Article
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

5 authors.

Yang YuanDepartment of Urology, Kunshan First People's Hospital, Affiliated to Jiangsu University, Kunshan, China.ORCID 0009-0003-0197-1976
Shihao ZhangDepartment of Urology, Huaibei First People's Hospital, Huaibei, China.
Dingli HuDepartment of Urology, Kunshan First People's Hospital, Affiliated to Jiangsu University, Kunshan, China.
Bing WangDepartment of Urology, Kunshan First People's Hospital, Affiliated to Jiangsu University, Kunshan, China.
Yunlong LiDepartment of Urology, Kunshan First People's Hospital, Affiliated to Jiangsu University, Kunshan, China.ORCID 0009-0002-8211-6172

Funding

First People's Hospital of Kunshan's Scientific Education and Health Promotion Project CXTD21-D02Jiangsu University Clinical Science and Technology Development Project JLY20180110Kunshan Science and Technology Development Special Project KS18062)
6 · The paper itself

Abstract

backgroundThis randomized controlled trial aimed to investigate the potential benefits of local application of triamcinolone acetonide combined with topical recombinant bovine basic fibroblast growth factor in promoting wound healing and reducing scar formation after circumcision using a stapler device.

methodsA total of 192 patients with phimosis or redundant prepuce were randomly assigned to either the observation group (n = 96) or the control group (n = 96). Both groups underwent circumcision using a stapler device. Postoperatively, the observation group received wet dressings of 2 mg/mL triamcinolone acetonide solution combined with topical recombinant bovine basic fibroblast growth factor until complete wound healing. The control group received saline wet dressings and standard postoperative wound care. Outcome measures included: postoperative edema, time to resolution of swelling at the incision edges, wound exudate, healing time, staple removal time and rate, scar formation, and patient satisfaction with penile cosmesis.

resultsThe observation group demonstrated significantly faster healing times and lower incidence of edema from the seventh postoperative day compared to the control group (P < .05). Furthermore, the observation group exhibited superior outcomes in terms of complete staple removal time, staple detachment rate, scar hypertrophy, and cosmetic scores using the modified Stony Brook Scar Evaluation Scale (P < .05). Patient satisfaction with penile cosmesis was also significantly higher in the observation group (P < .05).

conclusionThis study underscores the principle of "prevention over treatment" in scar management following stapler circumcision. The findings suggest that the combined use of triamcinolone acetonide and recombinant bovine basic fibroblast growth factor may be beneficial in reducing postoperative edema, improving scar formation, and enhancing patient satisfaction. However, further research is warranted to validate these findings, establish optimal treatment protocols, and ultimately assess the long-term efficacy and safety of this combined therapy.

Indexed as

CicatrixCircumcision, MaleFibroblast Growth Factor 2Triamcinolone AcetonideAdultAnimalsCattleHumansMaleMiddle AgedPatient SatisfactionPhimosisRecombinant ProteinsTreatment OutcomeWound HealingYoung AdultFibroblast Growth Factor 2Recombinant ProteinsTriamcinolone Acetonide

Identifiers

PMID40020146
PMCPMC11875566

What OpenQuestion holds

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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.