ARE CIRCUMCISERS WELL TRAINED? "RESULTS: The overall response rate to the survey was 76%. From those, 85% were Family Doctors and Pediatricians, while the remaining 15% were Pediatric General Surgeons and Urologists. The circumcisions were carried out with the Gomco clamp and the plastibell at a rate of 62·5% and 37·5%, respectively. No surveyed-physician admitted to learning the procedure through a structured training course. 43% of the non-surgeons learned to perform a circumcision from a non-surgeon colleague. 31% of the participants were happy to perform a circumcision in a child born with a concealed penis, where circumcision is contraindicated. With respect to the early complications post-circumcision, 100% of the surgeons vs. 63% of non-surgeons felt comfortable dealing with bleeding (p=0.046). 87.5% of the surgeons vs. 35% of non-surgeons were comfortable in dealing with urinary retention (p=0·01). 100% of surgeons vs. 53% of the non-surgeons were comfortable in dealing with a wound dehiscence (p=0·02). Moreover, 75% of the surgeons and ten percent of the non-surgeons were comfortable managing meatal stenosis (p
Posted on: Mon, 26 Aug 2013 04:53:04 +0000
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