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. 2016 Nov 7;2016(11):CD011426. doi: 10.1002/14651858.CD011426.pub2

Gough 1990b.

Methods 2‐arm quasi‐randomised controlled trial. Clean/contaminated (class 2) surgery
Participants 210 boys with medical indications for circumcision including persistent painful micturition with phimosis, > 2 episodes of balanoposthitis, true phimosis after 10 years of age and balanitis xerotica obliterans.
Exclusion criterion: non‐retracting prepuce under the age of 10 without symptoms
Setting: boys with medical indication for circumcision at a children's hospital in Manchester, UK
Interventions Intervention: sofretulle dressing tied in place with sutures after wound closure. Sutures were released at 24 h to allow dressing to fall away spontaneously.
Comparative intervention: paraffin tulle dressing tied in place with sutures after wound closure. Sutures were released at 24 h to allow dressing to fall away spontaneously.
Outcomes Wound healing (0‐3 scale, 3 = healed) assessed at 1 week
Notes Definition of wound healing: self‐devised 4‐point clinical scale
Concurrent illness: none reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Quote: "Patients were allocated alternatively to paraffin tulle or sofratulle dressing."
Allocation concealment (selection bias) High risk Comment: allocation concealment was not reported. Alternate allocation would allow prediction of sequence.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Comment: blinding was not reported.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Comment: blinding of outcome assessor was not reported.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: outcome data were presented for all participants.
Selective reporting (reporting bias) Unclear risk Comment: outcome data were presented for all outcomes listed in methods section. Study protocol was not available for identification of any unreported outcomes.
Other bias Low risk Comment: none were identified.