Objective   To compare the clinical curative effects of orthodox circumcision

sleeve circumcision and holy-loop circumcision on the treatment of phimosis and redundant prepuce.    Methods   From January 2008 to April 2010

289 patients underwent circumcision in our department. They were classified into 3 groups

86 patients undergoing orthodox circumcision (orthodox group)

82 patients undergoing sleeve circumcision (sleeve group) and 130 patients undergoing holy-loop circumcision (holy-loop group). All the cases were studied prospectively and comparatively. The operating duration

blood lose

postoperative pain duration and complications among the 3 groups were compared.    Results   In orthodox group

postoperative painful duration (47.62±13.05 h) was longer than the other 2 groups (P0.05)

and postoperative infection rate (6.9%)

hematoma rate (15.1%) and malformation rate (8.1%) were higher than those of the other groups (P0.05). In sleeve group

the operating duration (44.21±10.55 min) was longer than the other 2 groups (P0.05) and intraoperative hemorrhagic amount (11.02±2.44 ml) was larger than the other 2 groups (P0.05). In holy-loop group

the operating duration (4.37±1.33 min) was shorter than the other 2 groups (P0.05)

intraoperative hemorrhagic amount (0.79±0.20 ml) was fewer than the other 2 groups (P0.05)

and postoperative dropsy rate (44.6%) was much higher than the other 2 groups (P0.05). The difference between preoperative international index of erectile function (IIEF) score and postoperative IIEF score was significant in orthodox group (P0.05)

but not in sleeve group and holy-loop group (P0.05). The difference between preoperative treatment satisfaction scale (TSS) and postoperative TSS score was significant in sleeve group and holy-loop group (P0.05)

but not in orthodox group (P0.05).    Conclusion   Holy-loop circumcision is relatively simple to perform

and requires minimal tissue manipulation. It is quicker

safer and fairly advanced than the other 2 kinds of circumcisions.