FEWER KNOTS IN CIRCUMCISION ARE ASSOCIATED WITH LESS POSTOPERATIVE PAIN: A RETROSPECTIVE COMPARATIVE STUDY

• DOI: 10.24061/2413-4260.xiii.1.47.2023.4
• Publication Date: 2023-05-05T13:20:57Z
• Authors: Süleyman Sağır; Mustafa Azizoğlu; Müslüm Ergün
• Keywords: Foreskin

Male circumcision is the most frequently performed surgical procedure among Muslim and Jewish communities, mainly for medical, religious, traditional reasons (1-4). In USA, cosmetic purposes. Although it seen as a simple procedure, quite prone to complications like other procedures. The early long-term of are well known overall complication rate has been reported between 0.2% 3.9%. Common associated with acute bleeding, pain, edema, wound infection, unnecessary foreskin. Rare include meatal stenosis, urethral fistula, partial total glandular amputations, necrosis, penile curvature, rotation. addition, keloid formation scar hypertrophy some rare that cause poor appearance.The aim paper: Our in this study was investigate effect number sutures placed during on postoperative bleeding amount, analgesic need children.Materials methods: A 715 patients who applied our hospital requests November 2019 January 2022 were retrospectively analyzed. randomly divided into three groups according knots used procedure: Group 1 (8 sutures), group 2 (6 3 (4 sutures). evaluated terms whether they needed analgesics period (1-hour), status, re-intervention.Results: average age participants 4.06±2.51 years, weight 18.66±7.07 kg. operation completed using 8 (group 1) 47.5%, 6 2) 27.7%, 4 3) 24.9% patients. Postoperative infection developed 2.8% participants, observed 25.1%. analgesia first hour after 66.8%. median value pain scale 5 (range: 1-9), those 5-9 65.5%. There no significant difference age, weight, development (p>0.05). Analgesia 88.7% 1, 69.9% 2, 21.6% (p<0.001). score (MPOS) or higher found 86.8% 71% 18.6% (p<0.001).Conclusions: showed sutures) achieved lower scores, less consumption, agitation scores compared groups.