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Updated: May 25, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision
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Sutureless circumcision - An Indian experience.

Punit Tiwari1, Astha Tiwari, Suresh Kumar

  • 1Department of Urology, SSKM Hospital, Institute of Post-Graduate Education and Research, Kolkata, WB, India.

Indian Journal of Urology : IJU : Journal of the Urological Society of India
|January 27, 2012
PubMed
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Tissue glue offers a faster and cosmetically superior alternative to traditional sutures for circumcision wound closure. While not statistically significant for all outcomes, it significantly reduces procedure time and improves cosmetic results.

Area of Science:

  • Urology
  • Surgical Innovation
  • Wound Management

Background:

  • Traditional circumcision wound closure utilizes absorbable sutures.
  • Alternative methods are explored to address limitations of conventional suturing.
  • Tissue glue (isoamyl 2-cyanoacrylate) is investigated as a novel wound approximation technique.

Purpose of the Study:

  • To compare cyanoacrylate tissue glue against conventional sutures for circumcision.
  • Evaluate cosmetic outcomes, procedure time, and infection rates.
  • Determine if cyanoacrylate is a superior alternative to sutures.

Main Methods:

  • A comparative study involving patients undergoing circumcision in an outpatient department.
  • Wound approximation using tissue glue (isoamyl 2-cyanoacrylate) versus traditional sutures.
Keywords:
Cyanoacrylatesutureless circumcisiontissue glue

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  • Data collected between August 2009 and May 2010.

    • Main Results:

    • The tissue glue group showed trends towards less inflammation, bleeding, and hematoma, with superior cosmetic results.
    • Procedure time was significantly reduced with tissue glue (14.2 min) compared to sutures (24.4 min) (P < 0.001).
    • No significant reduction in postoperative pain was observed with tissue glue.

    Conclusions:

    • Tissue glue is a cosmetically superior and less time-consuming method for circumcision wound closure.
    • Key advantages include improved aesthetics and significantly shorter procedure duration.
    • Other measured parameters were comparable and statistically insignificant between the two methods.