Comparison of the Early Consequences of Ring Circumcision in Two Groups of Children Under One Year and One to Three years in Shahid Beheshti Hospital and Sheikho Al-Rais Clinic in Hamadan Between 2017 and 2020

Circumcision is one of the most important and well-known surgical procedures in the world. This clinical trial was performed to evaluate the advantages and disadvantages of ring circumcision in two groups: under one year and over one year.

In this study, 1904 children were circumcised during the years 1396 to 1399 in Shahid Beheshti Hospital in Hamadan and Sheikh Al-Rais Clinic. These children were divided into two groups: under one year and one  to three years( 952 cases in each group). Local anesthesia with 2% lidocaine was used in all children. The two groups were visited on the second day and the second week after circumcision in terms of complications and beauty of the surgery site. Parents were also justified in terms of complications and necessary actions.

In this study, there was no case of Meatal stricture in these patients. In the group under one year, three cases of infection occurred (0.003%) which improved with antibiotic treatment. In both groups under one year and one to three years, a total of 5 cases (three cases in under one year and two cases in one to three years group) of bleeding occurred, which were controlled by the initial measures of bleeding. The average ring fall time in children under one year was 8±1 days and in children one to three years was 9±1 days. Also, five cases of glans edema( two cases in under one year group and three cases in one to three group)  were seen, which were quickly removed by cutting on the fibrin ring at 3, 6 ,9 and 12 ochr(chr('39')39chr('39'))clock.

Awareness of the complications of circumcision and its treatment methods are important factors in the success of this method.