Circumcision With a Novel Disposable Device in Chinese Children: a Hospital-based Randomized Controlled Trail

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01477593
Recruitment Status : Completed
First Posted : November 22, 2011
Last Update Posted : April 10, 2013
Information provided by (Responsible Party):
Feng Pan, Nanjing Medical University

Brief Summary:

Circumcision, a removal of the foreskin, is performed commonly at any age in male worldwide. Globally over 25% of men are circumcised. In the Middle East, circumcision is even performed routinely in every male newborn. The benefits from it vastly outweigh the risks. Gradually, more and more Chinese male are willing to undergo it with themselves and their sons. But there are also some complications with circumcision, such as pain, edema, infection, and hemorrhage. Considering of that, physicians continually manage to improve their surgical methods and analgesic techniques.

In the study of Peng, a disposable minimally invasive circumcision anastomosis device named Shenghuan (China Wuhu Snnda Medical Treatment Application Technology Co. Ltd.) (ShD) was introduced to be applied in circumcision. And they concluded that method was quicker, safer and less pain than the conventional techniques of incision. In present study, we carry out a randomized controlled trail, using a different method as Peng introduced with this device in children's circumcision (Yan's), compared with the method as Peng used and the conventional technique in our hospital, and then observe the outcomes.

Condition or disease Intervention/treatment Phase
Circumcision Procedure: circumcision with Shenghuan in Yan's method Procedure: circumcision with Shenghuan in Peng's method Procedure: conventional method with incision Phase 4

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 120 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Study Start Date : July 2009
Actual Primary Completion Date : June 2011
Actual Study Completion Date : June 2011

Arm Intervention/treatment
Experimental: Group I Procedure: circumcision with Shenghuan in Yan's method
The foreskin is first separated from the glans.Then the inner ring is placed between them and over the glans. After adjusting the position of inner ring to retain 0.5cm inner foreskin, the operator install the outer ring over the foreskin and combine them together. Removal of excess foreskin is then performed upon the device.

Active Comparator: Group II Procedure: circumcision with Shenghuan in Peng's method
The foreskin is first separated from the glans. Then the inner ring is placed on the outer layer of foreskin. Next, the rim of the foreskin is clamped with blood vessel forceps at the 3, 6, 9 and 12 o'clock points. An urologist and an assistant each hold two clamps to widen the opening of the foreskin, and pull it over the inner ring. After the inner and outer layers of the foreskin and the frenulum are symmetrically positioned, the assistant install the outer ring over the foreskin and gently combine it together. Removal of excess foreskin is then performed below the device.

Active Comparator: Group III Procedure: conventional method with incision
The procedure of conventional circumcision involve transection of the excess foreskin with reservation of 0.5cm inner foreskin, haemostasis by electrocautery and suture of skin edges with 4-0 absorption sutures.

Primary Outcome Measures :
  1. operation time [ Time Frame: within operation ]

Secondary Outcome Measures :
  1. pain score [ Time Frame: within operation ]

Information from the National Library of Medicine

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Ages Eligible for Study:   3 Years to 11 Years   (Child)
Sexes Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Children with phimosis or redundant prepuce

Exclusion Criteria:

  • Children with genital tract infection or deformity,
  • congenital diseases,
  • hematological diseases,
  • or other general diseases

Responsible Party: Feng Pan, Clinical Attending Doctor, Nanjing Medical University Identifier: NCT01477593     History of Changes
Other Study ID Numbers: NMU-124
First Posted: November 22, 2011    Key Record Dates
Last Update Posted: April 10, 2013
Last Verified: April 2013

Keywords provided by Feng Pan, Nanjing Medical University:
circumcision, chinese children, pain