Clinical application of a new device for minimally invasivecircumcision

Objective:Aim:To study the clinical effects of a disposable circumcision device in treatment of male patients of different ageswith either phimosis or excess foreskin.Methods:One thousand two hundred patients between the age of 5 and 95years underwent circumcision using this procedure in the 2-year period between October 2005 and September 2007.Of these cases,904 had excess foreskin and 296 were cases of phimosis.Results:In 96.33% of the cases theincision healed,leaving a minimal amount of the inner foreskin with no scarring and producing good cosmetic results.There were no incidents of device dislocation or damage to the frenulum.The average operative time was 2.5 min forexcess foreskin,and 3.5 min for phimosis.During the 7 days of wearing the device,mild to moderate edemaoccurred in 10.08 % of cases with excess foreskin and in 2.58 % of those with phimosis.Edema in the frenulum wasseen in 1.67% of patients,and only 0.67% had an infection of the incision.A total of 86.25% of patients reported paindue to penile erection.After removal of the device,0.58% of the cases had minimal bleeding around the incision,and2.42% had wound dehiscence.Conclusion:The new device can be applied to an overwhelming majority of patientswith phimosis and excess foreskin.This technique is relatively simple to perform,and patients who underwent thissurgery had very few complications.Antibiotics were not required and patients reported less pain than those whowere circumcised using conventional methods.Circumcision with this device requires minimal tissue manipulation,and is quicker and safer than circumcision using conventional techniques.