Cochrane · systematic review · CD012250

Circumcision devices versus standard surgical techniques in adolescent and adult male circumcisions

Hohlfeld, A, Ebrahim, S, Shaik, MZ, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

UrologyAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 4 · 57.1%Moderate 2 · 28.6%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Circumcision devices compared to standard surgical techniques in adolescent and adult male circumcisions

Population: adolescent and adult male circumcisions
7 questions
OutcomeEffectEvidenceStatus / GRADE
Serious adverse events
Circumcision devices vs standard surgical techniques
no estimate extracted11 studies · 3472 participantsModerate
Downgraded: risk of bias
Moderate adverse events
Circumcision devices vs standard surgical techniques
RR 1.31 [0.55, 3.1]10 studies · 3370 participantsLow
Downgraded: risk of bias, imprecision
Mild adverse events
Circumcision devices vs standard surgical techniques
RR 1.09 [0.44, 2.72]10 studies · 3370 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Operative time (minutes)
Circumcision devices vs standard surgical techniques
no estimate extracted14 studies · 4812 participantsModerate
Downgraded: risk of bias, inconsistency
Pain during the first 24 hours (VAS means)
Circumcision devices vs standard surgical techniques
no estimate extracted9 studies · 3022 participantsLow
Downgraded: risk of bias, inconsistency
Pain during the first 7 days (VAS means)
Circumcision devices vs standard surgical techniques
no estimate extracted4 studies · 1430 participantsLow
Downgraded: risk of bias, inconsistency
Participant satisfaction
Circumcision devices vs standard surgical techniques
RR 1.19 [1.04, 1.37]15 studies · 4501 participantsLow
Downgraded: risk of bias, inconsistency