fbpx

Circumcision: Which is the most suitable surgical technique for yours?

Topic picture
FB Dr Soarawee
Soarawee Weerasopone, MD

Andrologist
Royal Phnom Penh hospital, Kingdom of Cambodia

A bunch literatures showing that about 30% of male population had been circumcised throughout the world. This topic is going to mention of which surgical techniques will gaining or presenting the best postoperatively outcomes and which one should be skipped or which one should be undergoing the procedure. Benefits from male circumcision were mentioned here.

In term of postoperative outcomes, there are two major aspects that patients always concerned about. Firstly, is a medical concerned for like the bleeding, hematoma or a rarely risk of penile losing complication. Secondly, is a cosmetic concerned – beautiful circumcised penis always make sense of one-belonging feels more confident, right?

4 Approved circumcision surgical technique.

  1. Forceps-guided method of circumcision (Based on WHO recommendation)
Circumcision: Which is the most suitable surgical technique for yours?
Forceps-guided method (Ref from WHO 2009 on Male circumcision)

Simple step-by-step procedure, which can be learned by surgeons and surgical assistants who are new to surgery. Be able to get it done at Clinic with a limited resources.

Pros – Just only a simple surgical skill required, no Electrocauterization application needed.

Cons – May encounter bleeding complication, compromising in cosmetic outcome.

  1. Dorsal slit method of circumcision (Based on WHO recommendation)
Dorsal Slit
Dorsal Slit method (Ref from WHO 2009 on Male circumcision)

This technique required better in surgical skills than the #1 technique. This technique is widely used all over the world.

Pros – Better in term of cosmetic outcomes if compare to the forceps-guided method.

Cons – Take risk of the over-excision penile skin, required better surgical skill in that.

  1. Sleeve resection method of circumcision (Based on WHO recommendation)
Sleeve
Sleeve method (Ref from WHO 2009 on Male circumcision)

“Sleeve” is one part of the clothing which is made in garments factory. It’s the part of the arm’s cover up. You can imagine the Sleeve-like a penile skin that we want to fold up or remove, and the arm is like a core of penis. We just remove the sleeve from the arm. Required the most surgical skills which is suitable in hospital rather than in a clinic setting.  Electrocauterization is needed in this technique.

Sleeve like
Sleeve technique make operation lookalike remove the sleeve from the arm.

Pros – Best in term of cosmetic outcomes, being well – controlled of the bleeding.

Cons – Required the most surgical skills with assistants, take more time to get it done

  1. Disposable circumcision stapler
Disposable Circumcision Stapler
Disposable Circumcision Stapler

New technique which is need of a single-use disposable circumcision device that was developed by Chinese company. It is claimed that the strength points is on the shorter operative times, less blood loss and fewer postoperative complication.

Pros – Least operative time, less surgical blood loss, simple surgical skills required.

Cons – Highly selective patient for example – not allow to do stuff that make the infection-related causing, thicken preputial skin must be aware, mostly patients need to be removed surgical stapler after surgery and cost more on the operative disposable devices.

There just a few examples of widely approved surgical techniques in circumcision operation. For further information, you can discuss with your trusted urologist next to your place or would be honor if you text me.

Free 1
Free 2
WeChat
WhatsApp BW 3
Telegram Final
LINE

Topics on Men’s health

Paraphimosis: True Urologic emergency

Paraphimosis: True Urologic emergency

The paraphimosis is one among another urologic emergency issue that I’ve been experienced frequently at the emergency room. It is a condition when the penile foreskin stuck behind the head of glans penis. It happens more frequently in uncircumcised gentlemen. Today we will talk more details on the etiology and the proper management of thisContinue reading “Paraphimosis: True Urologic emergency”

Circumcision stapler

Circumcision Stapler: A better way for circumcision

Today, I’m going to introduce you a novel circumcision technique that’s so-called a Circumcision stapler. Circumcision operation is one of the most frequent operations I have ever done at Urology clinic. It has been reported on a significant decreasing risk of sexually transmitted disease such as genital ulcer disease, human papillomavirus (HPV) or even humanContinue reading “Circumcision Stapler: A better way for circumcision”

Intermittent Testicular Torsion: Difficult clinical diagnosis

Intermittent Testicular Torsion: Difficult clinical diagnosis

I have been seeing several cases related to the Intermittent testicular torsion’s patients throughout my practicing in urological.  Patients were always at the emergency room with a severe testicular pain. The pain was extremely bad, so bad to make patient couldn’t do anything besides laid down on the bed and sobbing to get help. First,Continue reading “Intermittent Testicular Torsion: Difficult clinical diagnosis”

Loading…

Something went wrong. Please refresh the page and/or try again.

Leave a Reply

en_USEnglish
%d bloggers like this: