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Surgical Management of Meatal Stenosis with Meatoplasty
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Window technique on circumcision.

Halil Basar1, Erdal Yilmaz, Mehmed Murat Basar

  • 1Department of Urology, Faculty of Medicine, University of Kirikale, Kirikkale, Turkey.

International Urology and Nephrology
|October 13, 2006
PubMed
Summary

This study introduces a novel circumcision technique that is quick, safe, and yields excellent cosmetic results. The method effectively prevents damage to the glans, frenulum, and urethra, offering a reliable surgical option.

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Area of Science:

  • Urology
  • Surgical Techniques

Background:

  • Circumcision is a common surgical procedure.
  • Existing techniques may carry risks of complications such as glans damage or urethral injury.

Purpose of the Study:

  • To present a simple, quick, and safe circumcision method.
  • To achieve a good cosmetic outcome while preserving glans, frenulum, and urethra integrity.

Main Methods:

  • A modified technique, distinct from the guillotine method, was employed.
  • A long hemostat was applied, followed by incision of the preputium and subdermal tissue.
  • A dorsal window in the preputial mucosa was created for excision, with careful observation of the glans and frenulum.

Main Results:

  • Circumcisions were performed rapidly, safely, and with minimal bleeding.

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  • No instances of glans amputation, frenulum shortening, or urethral damage were reported.
  • The technique proved safe even when the clamp inadvertently included parts of the glans or excess frenulum.

    • Conclusions:

    • The described technique is simple, fast, and relatively bloodless.
    • It offers a cosmetically favorable outcome.
    • The method provides significant safety against glans amputation, frenular shortening, and urethral fistula formation.