Circumcision Compressive Dressing (CCD)

Aims: Circumcision is a minor urologic surgery that is widely used in Iran and other Muslim and non-muslin countries. A common complication following this procedure is bleeding. The aim of this study was to compare compressive dressing with no dressing and conventional dressing options for circumcision in point of bleeding after circumcision. Materials Methods: Between October 2010 and July 2016, 126 boys underwent elective circumcision by a single surgeon and in a single center (Beheshti Teaching Hospital, Yasuj University of Medical Sciences, Yasuj, Iran). The patients were allocated in 3 groups by simple randomization method. The method of procedure was the same in 3 groups. In group one (42 boys) conventional dressing, group 2 (42 boys) no dressing, and in group 3 (42 boys) compressive dressing was done. Patients were followed for one week and outcomes were recorded and compared. Data were analyzed by SPSS 19 software using one-way analysis of variance and chi squared tests. Findings: There was a significant difference between the group 3 and the other two groups in terms of post-operative bleeding (p=0.013). There were 15 reattendances for bleeding; 8 patients (19.0%) in group one, 7 patients (16.7%) in group 2 and no patients in group 3, but all had minimal bleeding and no life- threatening bleeding was encountered. Conclusions: Bleeding is less by using compressive dressing compared to no dressing and conventional dressing in circumcision.