Circumcision With Use of Thermocautery and Histopathological Changes

Study Overview
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Brief Summary
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Histo pathological changes that occurs in thermo cautery circumcision and the range of damage prepuce from thermal effect in comparison with scalpel circumcision

Detailed Description
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Circumcision is one of the most commonly performed surgical procedures worldwide. It is known that more than one million children are circumcised annually in the USA alone . Moreover, the WHO has begun to recommend circumcision on the basis of studies indicating its positive effects on human health and especially its role in protection from AIDS . Because of this, thousands of people have been circumcised by many migratory circumcision teams, especially in Africa. Considering that 1 200 000 children are born annually in Turkey and 51% of them are male, on the basis of data from the Turkish Institute of Statistics, it may be speculated that about 60 000 circumcisions are performed annually in Turkey. However, the circumcision procedure cannot be performed in health institutions as a routine procedure because of health regulations. When the Social Security Institute incorporated circumcision into the social insurance coverage in 2007, it led to circumcision being performed in the health institutions. Health institutions that were already burdened cannot meet the demands for circumcision. Thus, the search has begun for faster and reliable circumcision techniques with fewer complications. The present study aimed to compare bipolar thermal cautery-assisted circumcision technique, considered to be capable of meeting such demands, with the classical circumcision technique. Aim of Work This study is aiming to assess the outcome of using thermo cautery in circumcision Surgical Steps: small skin incision over prepuce by thermo cautery stitching if there is bleeding Insertion of a urinary catheter if suspect uretheral injury

Official Title
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Histopathological Changes and Surgical Complications in Thermocautery Circumcision

Conditions
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Circumcision

Intervention / Treatment
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* Procedure: Thermocautery circumcision


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all male gender Exclusion Criteria: females micro penis hypospedias epispedias ambigilious genitalia

Ages Eligible for Study
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Minimum Age: 40 Days

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: male infant presented for Circumcision
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Thermocautery VS scalpel circumcision<br>Thermocautery circumcision in comparison to circumcision with traditional scalpel | Procedure: Thermocautery circumcision<br>* Histopathological changes from thermocautery circumcision<br>* Other names: scalpel circumcision;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| early wound complications | wound infection (with or without removal of the mesh) wound necrosis wound hematoma bleeding | 1 week | 
| late wound complications | wound infection (with or without removal of the mesh) wound necrosis wound hematoma | 1 month |