A prospective randomized controlled trial measuring satisfaction and parents stress after Gomco and Plastibell infant circumcision
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In brief
In brief
This prospective RCT compared Gomco clamp versus Plastibell device for infant circumcision in 190 patients, measuring physician and parental satisfaction. While physician satisfaction was similar between methods, parents reported significantly higher satisfaction with Gomco (92% vs 72%), despite longer operative time.
Written by the GCMD Library team from the article.
Abstract
Purpose
To compare the physician and parental satisfactions between the two types of circumcision maneuvers used in our units, Gomco and Plastibell circumcision.
Methodology
This study was performed from 2019 to 2021. A total of 190 children were circumcised either by Gomco or Plastibell procedure. Each child was evaluated during the procedure, immediately after the operation, and 1, 2, and 3 weeks after the procedure. Data were collected, statistically analyzed using SPSS version 25.
Results
A total of 190 children underwent circumcision from 2019 to 2021. Of the total 190, 98 children (51.6%) underwent circumcision by Gomco, while 92 (48.4%) underwent circumcision by Plastibell. Bleeding was significantly higher in Plastibell method, while excess skin was significantly higher in Gomco method (p value 0.048). Physician evaluation results show no significant difference between both methods in late physician evaluation. 23/92 (28%) of parents were not satisfied after Plastibell circumcision, compared to 8/98 (8.2%) of parents who were not satisfied with the results of Gomco circumcision (p value 0.002).
Conclusion
Gomco needs a longer operative time, and Plastibell circumcision is less preferable by parents. There is no significant difference in physician satisfaction between the two procedures, but parents are less satisfied with Plastibell circumcision.