Circumcision in north of IRAN: The results of operation by experienced and inexperienced operators

Background: Circumcision is the most common surgical procedure that is performed in the world today. In some countries non-surgeon person is performed this procedure. The aim of this study was to assessment and comparison of circumcision results in different group of experience and inexperienced operators. methods: In a randomized study, 1000 children less than 12 years old were studied for circumcision outcome. In this study, Symmetry of the skin and mucous and any other forms of abnormal appearance was recorded. The association of morbidity with techniques and operator were evaluated. Results: The age range from one month to 12 years (4.5 years ±3.1) and the maximum age at circumcision 1 to 12 months (63.5%) and neonatal period (28%), respectively. Procedure quality in 79 % of patients was satisfied and 21 % of patients had complications. These complications were mainly cosmetic and including excess mucosa (6.1%), asymmetric skin-mucosa junction (3.5%), Excessive residual foreskin (1.3%), Excessive foreskin removal (1.3%) and penile adhesion (1.3%). The rate of complications in the plastibell device group was less significantly (P<0.05). As well as the complication rate in the surgeon operator was lower than non surgeon operator (P <0.05), but this difference is not seen for the time using plastibell method. Conclusion: The complication rate in the surgeons group was significantly lower than nonsurgeon operators. The best technique of surgery in mass circumcision and inexperience operator is plastibell method. However, it seems doing of this operation by non- specialists need to reassessment.

Seyed Abdollah Mousavi, Seyed Jaber Mousavi and Mehdi Majidai
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