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Minimally invasive circumcision with a novel plastic clamp technique: a review of 7,500 cases
Ferda M Senel1, Mustafa Demirelli, Sehmuz Oztek
1Dr. Sami Ulus Children's Hospital, Ankara, Turkey. mfsenel@yahoo.com.tr
Insights
A new minimally invasive circumcision device significantly reduces complications and procedure time compared to conventional methods. This plastic clamp technique offers a safer, faster, and more aesthetically pleasing circumcision option for children.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Conventional circumcision techniques carry risks of complications such as bleeding and infection.
- There is a need for safer and more efficient circumcision methods, particularly in pediatric populations.
Purpose of the Study:
- To evaluate the outcomes of a novel minimally invasive circumcision device.
- To compare the complication rates and procedure times of this new technique against conventional circumcision.
Main Methods:
- A retrospective analysis of 7,500 pediatric circumcisions using a plastic clamp device (Ali's clamp).
- Comparison with a control group of 5,700 children who underwent conventional circumcision.
- Data collection focused on complication rates, types of complications, and procedure duration.
Main Results:
- The minimally invasive technique resulted in a significantly lower overall complication rate (2%) compared to conventional circumcision (10.4%).
- Specific complications like infection (0.6% vs. conventional) and bleeding (0.4% vs. 5%) were notably reduced.
- Procedure time was drastically shortened, averaging 4.5 minutes with the plastic clamp versus 23 minutes for conventional methods.
Conclusions:
- The minimally invasive circumcision technique using a plastic clamp demonstrates superior safety and efficiency.
- This method significantly lowers complication rates and improves cosmetic outcomes.
- The Ali's clamp technique is recommended as a preferred circumcision procedure due to its reduced risks, shorter duration, and ease of use.
Purpose:
We aimed to analyze the outcome of circumcisions performed with a new minimally invasive circumcision device.
Methods:
This is the first study, which reports the results of 7,500 children circumcised with minimally invasive technique utilizing a plastic clamp device (Ali's clamp) in our country. The results of this technique are compared to those of 5,700 children who underwent conventional circumcision.
Results:
The most common complication encountered after minimally invasive circumcision technique was found to be buried penis (1.04%). The second complication observed was infection (0.6%), which was significantly lower than the conventional group (p < 0.001). The third complication in plastic clamp group was bleeding with a rate of 0.4%. Bleeding was found to be the most common complication seen after conventional circumcision (5%) and was significantly higher than that of the plastic clamp group (p < 0.001). Total number of complications seen after plastic clamp technique was 2% when compared with 10.4% complication rate occurred after conventional circumcision (p < 0.001). The mean duration of circumcision time with plastic clamp technique was 4.5 +/- 1.5 min whereas with conventional circumcision it was 23 +/- 4 min (p < 0.0001).
Conclusion:
Minimally invasive circumcision technique utilizing plastic clamp significantly reduced the complication rates. The cosmetic appearance after circumcisions performed with this technique was observed to be better than the conventional circumcisions. Due to reduced complications, as well as short duration and ease of application, the minimally invasive technique is suggested as the circumcision procedure of choice.
