What is Circumcision?

Adult circumcision or the surgical removal of the foreskin from the penis, is a procedure that has been increasingly popular in recent years. It is often recommended for men looking to improve their overall health and hygiene and those seeking aesthetic reasons for getting circumcised. Generally speaking, it can provide many benefits such as the decreased risk of infections, improved hygiene, and even reduced risk of sexually transmitted diseases 

What are the reasons to perform circumcision?

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• Circumcision is the treatment for phimosis (Tight foreskin), balanitis (Infection of Glans penis), balanoposthitis (Infection of Foreskin and Glans penis)

• Circumcision can provide health benefits like reducing the risk of urinary tract infections.

• Circumcision improves hygiene. The foreskin can trap bacteria, sweat, and dead skin cells which can result in unpleasant odors and may increase the risk of developing infections

• Adult circumcision has been linked to reduced rates of sexually transmitted diseases such as HIV/AIDS and human papillomavirus (HPV)

• Circumcision can improve sexual pleasure for both them and their partners.

• Circumcision may also provide aesthetic benefits

• Circumcision is associated with lower rates of prostate cancer in men over the age of 50.

• Circumcision may be performed for religious reasons or personal preferences.

What are the surgeries offered to do circumcision?

There are three procedures to do circumcision
 

Conventional Circumcision

It is the most frequently performed procedure. There are three different techniques of conventional circumcision - the dorsal slit, the forceps-guided method and sleeve resection. Few patients may develop oedema, prolonged recovery time and unsatisfactory cosmetic results.

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Stapler Circumcision

It is an alternative device technique which uses a surgical stapler to cut and seal the cut skin edges instead of traditional sutures. In conventional circumcision, the surgeon has to first cut the skin with a knife and then stitch it. In stapler circumcision technology, the stitching with staples and the cutting are done by the device.

The circumcision stapler is a single-use device. The disposable circumcision stapler is a sterile, hand-held, manual surgical instrument preloaded with non-bioabsorbable skin staples intended to be used to perform a circumcision. It is designed to cut the foreskin and apply a circular row(s) of staples proximal to the cut line. The stapler portion typically consists of a dome intended to be inserted under the foreskin over the glans penis and a circular cutting stapler mechanism with a manual lever intended to connect over the outside of the foreskin.

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Laser Circumcision

It is performed using a laser and is becoming increasingly popular. It is less invasive and more precise, reducing bleeding and infection risk. It is hygienic and provides quick recovery time.

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Which of the above procedures would be a better option?

All these surgeries have their fair share of advantages and disadvantages.

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​Advantages of Conventional technique is its cost effective when compared to consumables used in stapler circumcision and laser circumcision​

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Advantages of stapler circumcision are:-

• Minimal tissue injury.

• Fewer postoperative complications.

• Shorter operative time

• Lower blood loss volume.

• Time-efficient and safe male circumcision technique.

• Faster recovery time as less as 12 hrs.

• Nice cutting edge that facilitates cosmetic appeal.

• Applied both on children and adults.