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 |
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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. |
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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 |
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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. |