The sutureless circumcision:a novel surgical innovation


  • M. S. Ray Department of Surgery, Military Hospital, Jalandhar Cantt, Jalandhar, Punjab, India
  • B. S. Deepak Department of Surgery, Military Hospital, Jalandhar Cantt, Jalandhar, Punjab, India



Circumcision, Haemostasis, Sutureless, Wound healing


Background: Circumcision is a commonly performed surgical procedure done all over the world for various reasons. There are a number of ways to achieve the same which have been used from ancient times till recent times. Sutureless circumcision is a novel surgical technique which we have used with excellent results, good cosmesis and wound healing. The objective of this study was to bring forward a novel and new innovative method of circumcision.

Methods: The sutureless circumcision was performed over 132 patients from 1992 till date with excellent results.

Results: The incidences of complications were minimal with excellent wound healing though some cases had self-limiting penile oedema which subsided subsequently.

Conclusions: This novel technique has given excellent results and it can be used in countries where there is paucity of funds as it is very economical advocating a newer technique of circumcision without the use of costly tissue adhesive etc. which would bring about a revolution.


Chisci G. Sutureless technique in third molar surgery: an overview. J Craniofac Surg. 2013;24(6):2210-1.

Jainandunsing JS, Al Ansari S, Woltersom BD, WL Scheeren T, Natour E. Novel hemostatic patch achieves sutureless epicardial wound closure during complex cardiac surgery: a case report. J Cardiothoracic Surg. 2015;10:12.

Sandford-Smith J. Sutureless cataract surgery: principles and steps. Community Eye Health. 2003;16(48):49-53.

Sayfan J, Becker A, Koltun L. Sutureless closed hemorrhoidectomy: a new technique. Ann Surg. 2001;234(1):21-4.

Bucknall TE. Abdominal wound closure: choice of suture. JR Soc Med. 1981;74:580-5.

Weiss HA, Larke N, Halperin D, Schenker I. Complications of circumcision in male neonates, infants and children: a systematic review. BMC Urol. 2010;16:10-2.

Hodges FM. The ideal prepuce in ancient Greece and Rome: Male genital aesthetics and their relation to lipodermos, circumcision, foreskin restoration, and the kynodesme. Bull Hist Med. 2001;75:375-405.

WHO/UNAIDS. Male circumcision: Global trends and determinants of prevalence, safety and acceptability. World Health Organization. 2008.

Reynolds SJ, Shepherd ME, Risbud AR, Gangakhedkar RR, Brookmeyer RS, Divekar AD, et al. Male circumcision and risk of HIV-1 and other sexually transmitted infections in India. Lancet. 2004;363:1039-40.

Elmore JM, Smith EA, Kirsch AJ. Sutureless circumcision using 2-octyl cyanoacrylate (Dermabond): appraisal after 18-month experience. Urology. 2007;70(4):803-6.

Bhat NA, Hamid R, Rashid KA. Bloodless, sutureless circumcision. Afr J Paediatr Surg. 2013;10(3):252-4.

Barone MA, Li PS, Awori QD, Lee R, Goldstein M. Clinical trials using the shang ring device for male circumcision in Africa: a review. Transl Androl Urol. 2014;3(1):113-24.

Hammed A, Helal AA, Badway R, Goda SH, Yehya AL, Raziq MA, et al. Ten years’ experience with a novel modification of plastibell circumcision. Afr J Paediatr Surg. 2014;11:179-83.






Original Research Articles