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Paediatric sutureless circumcision--an alternative to the standard technique
Brian D Kelly1, Dara J Lundon, Marie E Timlin
1Department of Urology, Galway University Hospital, Galway, Ireland. drbriankelly@hotmail.com
Pediatric Surgery International
|October 20, 2011
Summary
Sutureless circumcision using 2-octyl cyanoacrylate (2-OCA) offers a safe alternative to traditional methods. This technique demonstrates comparable complication rates and high patient satisfaction with cosmetic outcomes.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Circumcision is a common surgical procedure in male children.
- Various surgical techniques are available for male circumcision.
- Assessing novel sutureless techniques is crucial for improving patient outcomes.
Purpose of the Study:
- To evaluate the safety, functional outcomes, and cosmetic results of a sutureless circumcision technique.
- To compare the sutureless technique with standard circumcision methods.
Main Methods:
- A 9-year prospective study of 502 consecutive primary sutureless circumcisions.
- Technique involves a modified sleeve method with bipolar diathermy and 2-octyl cyanoacrylate (2-OCA) tissue adhesive.
- Data collected included clinical details and post-operative review.
Main Results:
- The study included 502 pre-pubescent males aged 6 months to 12 years.
- Complication rates: hemorrhage (2.2%), hematoma (1.4%), wound infection (4%), allergic reaction (0.2%), wound dehiscence (0.8%).
- Only 1.8% of patients/parents reported dissatisfaction with cosmetic appearance.
Conclusions:
- 2-octyl cyanoacrylate (2-OCA) provides a viable alternative for sutureless circumcisions.
- The sutureless technique shows complication rates comparable to standard methods.
- Excellent post-operative cosmetic satisfaction was achieved with the 2-OCA technique.
