A Prospective Randomized Controlled Study of Comparison of Complications Between Sleeve Technique Versus Conventional Dorsal Slit Technique for Circumcision in Children

Abstract

Background: There are several methods of circumcision with its own merits and demerits. Dorsal slit technique is practised all over the world most commonly. The sleeve technique introduced later on which helps in preventing common complications of open technique. Aim: To compare complications of sleeve technique versus conventional dorsal slit technique for circumcision in children. Material and Methods: Total 64 patients were studied by doing comparison of complications between sleeve technique and dorsal slit technique of circumcision allocated randomly. Post-operative pain was evaluated by Visual Analogue Scale (VAS) at 1, 3, 6 and 24 hour. Blood loss, healing time were assessed. Patient was examined on follow up at 1, 2 and 6 week. Results: For Dorsal slit technique, the mean of gauze pieces used was 2.12 pieces and for sleeve technique, the mean of gauze pieces used was 1.71 pieces. For Dorsal slit technique, the mean VAS score was 2.90 and for sleeve technique, the mean VAS score was 2.40. For dorsal slit technique, the mean of healing time was 16 days and for sleeve technique, the mean of healing time was 15.43 days. Post-operatively, 14 and 9 patients of dorsal slit technique and sleeve technique had edema at local site, respectively. Conclusion: Sleeve technique produces a good postoperative result, less bleeding and less postoperative pain as compared to dorsal slit technique. Hence, sleeve technique is recommended for circumcision as compared to dorsal slit technique.