Abstract：
OBJECTIVE: To compare the physician and parental satisfactions between the two types of circumcision maneuvers used in our units, Gomco and Plastibell circumcision.
METHODS: 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).
CONCLUSIONS: 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.
METHODS: 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).
CONCLUSIONS: 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.
摘要：
目的：比较我们单位使用的两种类型的包皮环切术之间的医生和父母满意度，Gomco和Plastibell包皮环切术。
方法：本研究于2019年至2021年进行。共有190名儿童通过Gomco或Plastibell手术进行了包皮环切术。每个孩子都在手术过程中接受了评估，手术后立即，以及手术后1、2和3周。收集数据,使用SPSS25版进行统计分析。
结果：从2019年到2021年，共有190名儿童接受了包皮环切术。在190名儿童中，98名儿童（51.6%）接受了Gomco的包皮环切术，92例（48.4％）接受了Plastibell包皮环切术。在Plastibell方法中出血明显较高，而Gomco方法中多余的皮肤明显更高（p值0.048）。医师评估结果显示，两种方法在后期医师评估中没有显着差异。23/92（28％）的父母在包皮环切术后不满意，与8/98（8.2％）对Gomco包皮环切术结果不满意的父母相比（p值0.002）。
结论：Gomco需要更长的手术时间，而Plastibell包皮环切术则不太受父母的欢迎。两种程序在医生满意度上没有显着差异，但是父母对Plastibell包皮环切术不太满意。
方法：本研究于2019年至2021年进行。共有190名儿童通过Gomco或Plastibell手术进行了包皮环切术。每个孩子都在手术过程中接受了评估，手术后立即，以及手术后1、2和3周。收集数据,使用SPSS25版进行统计分析。
结果：从2019年到2021年，共有190名儿童接受了包皮环切术。在190名儿童中，98名儿童（51.6%）接受了Gomco的包皮环切术，92例（48.4％）接受了Plastibell包皮环切术。在Plastibell方法中出血明显较高，而Gomco方法中多余的皮肤明显更高（p值0.048）。医师评估结果显示，两种方法在后期医师评估中没有显着差异。23/92（28％）的父母在包皮环切术后不满意，与8/98（8.2％）对Gomco包皮环切术结果不满意的父母相比（p值0.002）。
结论：Gomco需要更长的手术时间，而Plastibell包皮环切术则不太受父母的欢迎。两种程序在医生满意度上没有显着差异，但是父母对Plastibell包皮环切术不太满意。
