A comparative study of conventional circumcision vs stapler circumcision in pediatrics age group
DOI:
https://doi.org/10.18203/2349-2902.isj20250812Keywords:
Circumcision, Conventional circumcision, Stapler circumcisionAbstract
Background: Paediatric circumcision is one of the most commonly performed surgery in males. This is one of the oldest known surgical practices. In this technique, penile prepuce is removed surgically and this procedure is associated with various religious and cultural practices. However, therapeutic indications for male circumcision include redundant prepuce, paraphimosis, phimosis, balanitis, localized carcinoma. And the risk of transmission of sexually transmitted diseases (such as HIV, HCV and genital ulcer diseases) is decreased. Circumcision is associated with improved topical hygiene of penile area and is thus known to reduce the risk of balanitis as well as penile cancer.
Methods: A prospective observational analytical study on all the paediatric patients who were scheduled for circumcision either due to phimosis or for religious purposes at Department of Surgery, Peoples College Medical Sciences and Research Centre during the study period of 18 months, the operating surgeon choosing the surgery after consulting with the patient's guardian and doing standard counselling.
Results: Stapler Circumcision demonstrated significant advantages, severity of pain was documented to be significantly lower, less intraoperative bleeding, less operation time, low postoperative complication.
Conclusions: Stapler circumcision is user friendly, easy and less time-consuming method of circumcision. The advantages with this technique is that, being suture less surgery, it is associated with less intraoperative bleeding, short operative time, early wound healing, less pain and better cosmesis as compared to conventional circumcision. Thus, this device can be safely used in male circumcision and may help in standardizing circumcision procedures.
Metrics
References
Jones P, Rooney H, Hawary A. Pediatric circumcision in the 21st century national health service: a snapshot of practice in a United Kingdom center. The Surg J. 2020;6(04):188-91. DOI: https://doi.org/10.1055/s-0040-1721430
Mokal N, Chavan N. Modified safe technique for circumcision. Indian J Plas Surg. 2008;41(01):47-50. DOI: https://doi.org/10.4103/0970-0358.41110
World Health Organization. Male circumcision: global trends and determinants of prevalence, safety and acceptability. World Health Organization. 2008.
Huo ZC, Liu G, Li XY, Liu F, Fan WJ, Guan RH, et al. Use of a disposable circumcision suture device versus conventional circumcision: a systematic review and meta-analysis. Asian J of Androl. 2017;19(3):362. DOI: https://doi.org/10.4103/1008-682X.174855
Jacobs, A.J. Male circumcision. Assigning Responsibility for Children’s Health When Parents and Authorities Disagree: Whose Child? Springer: Berlin/Heidelberg, Germany, 2022: 259–75. DOI: https://doi.org/10.1007/978-3-030-87698-2_14
Chou AC, Laih CY, Ku FY. A Retrospective Taiwanese-Population-Based Clinical Study on Determining the Efficacy and Safety of Disposable Circumcision Anastomat. J of Clin Med. 2022;11(20):6206. DOI: https://doi.org/10.3390/jcm11206206
Gerharz EW, Haarmann C. The first cut is the deepest? Medicolegal aspects of male circumcision. BJU international. 2000;86(3):332-8. DOI: https://doi.org/10.1046/j.1464-410x.2000.00103.x
Tucker SC, Cerqueiro J, Sterne GD, Bracka A. Circumcision: a refined technique and 5 year review. Ann of the Royal College of Surg of England. 2001;83(2):121.
Kaplan GW. Complications of circumcision. Urol Clin of North America. 1983;10(3):543-9. DOI: https://doi.org/10.1016/S0094-0143(21)01717-1
Brühl P. Problems of therapeutic surgery in penis carcinoma. InTumors of the Male Genital System. Berlin, Heidelberg: Springer Berlin Heidelberg. 1977: 120-126. DOI: https://doi.org/10.1007/978-3-642-81095-4_13
Albero G, Castellsague X, Giuliano AR, Bosch FX. Male circumcision and genital human papillomavirus: a systematic review and meta-analysis. Sexually transmitted diseases. 2012;1:104-13. DOI: https://doi.org/10.1097/OLQ.0b013e3182387abd
Mehta SD, Moses S, Parker CB, Agot K, Maclean I, Bailey RC. Circumcision status and incident herpes simplex virus type 2 infection, genital ulcer disease and HIV infection. AIDS (London, England). 2012;26(9):1141. DOI: https://doi.org/10.1097/QAD.0b013e328352d116
Bailey RC, Moses S, Parker CB, Agot K, Maclean I, Krieger JN, et al. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomized controlled trial. The lancet. 2007;369(9562):643-56. DOI: https://doi.org/10.1016/S0140-6736(07)60312-2
Hayashi Y, Kohri K. Circumcision related to urinary tract infections, sexually transmitted infections, human immunodeficiency virus infections and penile and cervical cancer. International J of Urol. 2013;20(8):769-75. DOI: https://doi.org/10.1111/iju.12154
Larke NL, Thomas SL, dos Santos Silva I, Weiss HA. Male circumcision and penile cancer: a systematic review and meta-analysis. Cancer causes and control. 2011;22:1097-110. DOI: https://doi.org/10.1007/s10552-011-9785-9
Lerman SE, Liao JC. Neonatal circumcision. Pediatric Clinics. 2001;48(6):1539-57. DOI: https://doi.org/10.1016/S0031-3955(05)70390-4
Kogan BA, Feustel PJ. What can we learn from pediatric urology certification logs. Urology. 2011;78(1):147-52. DOI: https://doi.org/10.1016/j.urology.2010.12.078
Morris BJ, Wamai RG, Henebeng EB, Tobian AA, Klausner JD, Banerjee J, et al. Estimation of country-specific and global prevalence of male circumcision. Population health metrics. 2016;14(1):1-3. DOI: https://doi.org/10.1186/s12963-016-0073-5
Ceylan K, Burhan K, Yılmaz Y, Can Ş, Kuş A, Mustafa G. Severe complications of circumcision: an analysis of 48 cases. J Ped Urol. 2007;3(1):32-5. DOI: https://doi.org/10.1016/j.jpurol.2006.02.009
Wilcken A, Keil T, Dick B. Traditional male circumcision in eastern and southern Africa: a systematic review of prevalence and complications. Bulletin of the World Health Organization. 2010;88:907. DOI: https://doi.org/10.2471/BLT.09.072975
Downloads
Published
How to Cite
Issue
Section
