Frenulum Sparing Circumcision: Step-By-Step Approach of a Novel Technique

Shenoy, Sunil Purshotham; Marla, Prashanth K.; Sharma, Pritham; Bhat, Narayana; Rao, Amrith Raj

doi:10.7860/jcdr/2015/14972.6860

Cited by 6 publications

(3 citation statements)

References 16 publications

(16 reference statements)

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“…Another theory states that ischemia after damage to the frenular artery during circumcision, results in poor blood supply to the meatus and subsequent fusion of the ventral sides of the orifice [2]. Shenoy et al mentioned that MS is not seen after circumcision if the frenular artery is protected [23]. These two hypothetical scenarios may explain the etiology in these children.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Complication of newborn circumcision: Meatal stenosis or meatal web?

Özen

Gündoğdu

Taşdemir

et al. 2017

Journal of Pediatric Urology

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Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Complication of newborn circumcision: Meatal stenosis or meatal web?

Özen

Gündoğdu

Taşdemir

et al. 2017

Journal of Pediatric Urology

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“…Bleeding can be avoided if bipolar diathermy with low current is used for coagulating torn frenular area. Frenular area often gets torn while retracting the prepuce and if not coagulated can lead to both immediate and delayed bleeding 12 . In our study 08 patients had post procedure bleeding of which 7 had bleeding from torn frenular area and one boy had had bleeding from cut skin edges.…”

Section: Discussionmentioning

confidence: 99%

Technical Considerations in Plastibell Circumcision in Neonates and Infants

Ghani¹,

Ali²,

Lashari³

et al. 2022

PJMHS

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Aim: To find out efficacy of plastibell circumcision and to establish certain technical considerations to minimize complications. Study design: Cross-sectional Descriptive study Place and duration of study: Department of Surgery, Aero Hospital Hassan Abdal from 1st September 2016 to 31st August 2020. Method: Total of 400 infants and neonates were included in present study. Children was taken upto six months of age and 1% lignocaine was used as a source of local anesthesia. Plastibell was used for circumcision under strict aseptic conditions. Parents were allowed to take child home after half hour of retention in the hospital and follow up done after one week of circumcision. Parents were given telephonic access to surgeon during this week. During follow up baby was examined, results recorded and complications were treated if any. Results: Ring block using 1% lignocaine provided adequate pain relief in neonates and infants. There were 345 boys were brought for circumcision during first month of their life while 55 were infants between one to six months of age. Six patients had post-operative bleeding during immediate post op period and two patients presented after 12 hours with bleeding which needed removal of plastibell and maintenance of hemostasis. The mean time of plastibell detachment was 06 days (range 03-12 days). Plastibell was ctuck in few patients which needs to be removed early. Paracetamol was also used post-operatively as an oral analgesia and provided adequate pain relief. Two patients presented with infection after plastibell detachment. The foreskin was removed in every boy except one. Handling of the babies was easy for mothers. Conclusion: Plastibell proved to be an effective method of circumcision provided few technical points like size of plastibell, use of bipolarcautery, hemostasis of frenular area, and threading around plastibell are properly taken care off. Keywords: Circumcision, Plastibell, Neonate, Infant, Lignocaine, Frenular, Foreskin

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“…This allows removal of the foreskin surgically or by natural atrophy. [17] As a result, there is very little postoperative hematoma, and infection, pain, and other risks associated with adult circumcision are limited, and the risk of uncomfortable and unpleasant sexual intercourse is reduced. [18] In comparison, during conventional circumcision surgery, the superficial dorsal vein of the penis is directly ligated and hemostasis is achieved with sutures, causing a relatively large amount of intraoperative bleeding.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous tissue-sparing dorsal slit with new marking technique

Jiang¹,

Sun

et al. 2019

Medicine

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Circumcision is a very common surgical procedure that is performed for medical and traditional purposes in the world. However, many technical of circumcision is needed to improve. Thus, this study introduced a novel method of circumcision that is a refined version of the sleeve technique, termed subcutaneous tissue sparing dorsal slit with new marking, and evaluated the safety and efficacy of this novel method of circumcision. The randomized clinical trial included 93 adult patients with redundant foreskin or phimosis treated from May 2015 to March 2017. Patients were randomly divided into the novel circumcision method (n = 45) or conventional dissection (n = 48). The groups were compared regarding rates of intraoperative hemorrhage, operative time, pain, healing, satisfaction with penis appearance, and relevant adverse events. No patient suffered any obvious complication. Compared with the patients given conventional dissection, the patients who underwent the new surgical device experienced significantly less wound healing time, scar width, and recovery time ( P <.05). The new method resulted in greater intraoperative bleeding volume and surgical time ( P <.05). The rate of satisfaction with appearance of the penis was significantly higher in the group treated with the novel technique. In addition, the cost of surgery of these 2 methods was similar. Based on the above research, we found that subcutaneous tissue-sparing dorsal slit with new marking technique was an effective and safe procedure for circumcision, and deserved further application in clinical practice.

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Frenulum Sparing Circumcision: Step-By-Step Approach of a Novel Technique

Cited by 6 publications

References 16 publications

Complication of newborn circumcision: Meatal stenosis or meatal web?

Complication of newborn circumcision: Meatal stenosis or meatal web?

Technical Considerations in Plastibell Circumcision in Neonates and Infants

Subcutaneous tissue-sparing dorsal slit with new marking technique

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