Circumcision: how do urologists do it?

Abstract

The sleeve technique of resection should be more widely used. Analgesic practice could be improved with greater use of regional anaesthetics. Most urologists promote no specific care after discharge. There is probably a place for increasing the use of alternative procedures to circumcision.

Paediatric sutureless circumcision and modified circumcision: Video demonstration

“…Circumcision is one of the most commonly performed operations and can be undertaken using a variety of surgical techniques [1]. For the procedure to be successful, it should be easy to perform, avoid excessive haemorrhage, and achieve a good cosmetic and functional result with minimal postoperative care.…”

Paediatric sutureless circumcision—an alternative to the standard technique

“…It should provide the patient with both a satisfactory cosmetic and functional result with minimal, comparable complication rates to the standard technique. A variety of techniques exist for circumcisions, including the sleeve technique, a free hand method and the use of diathermy [2]. Initially the use of a tissue adhesive for child circumcisions was not well accepted, yet the use of a tissue adhesive for facial lacerations was common practice [3,4].…”

Bipolar scissors circumcision is a safe, fast, and bloodless procedure in children

“…About 1 in 6 boys and men in the world has been circumcised [1]. Despite the reasons involved for the indication of the procedure, multiple surgical methods have been reported, from the traditional methods reported in the ancient cultures to those using appliances in newborns (Plastibell device, Gomco and Mogen clamps) and the modern conventional scalpel/ suture techniques [2][3][4]. Statistics on complications of circumcision are sparse, but available data suggest that the overall complication rate of this procedure ranges from 0.2% to 5% [5].…”