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Related Experiment Video

Updated: May 24, 2026

Surgical Management of Meatal Stenosis with Meatoplasty
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Paediatric sutureless circumcision and modified circumcision: video demonstration.

Neil C Featherstone1, Feilim L Murphy

  • 1Department of Paediatric Surgery & Urology, St George's Hospital, Blackshaw Road, Tooting, London SW17 0QT, UK. neilfeatherstone@doctors.org.uk

Journal of Pediatric Urology
|March 3, 2012
PubMed
Summary

Tissue glue offers a sutureless alternative for pediatric circumcisions, yielding excellent cosmetic results and reduced pain. This technique is easily teachable and a viable option compared to traditional sutured methods.

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Area of Science:

  • Pediatric Surgery
  • Urology

Background:

  • Circumcision employs diverse surgical techniques.
  • Modified circumcision for specific conditions requires optimal cosmetic outcomes.
  • Tissue glue presents a sutureless alternative for pediatric circumcision, offering benefits in cosmesis and pain management.

Purpose of the Study:

  • To demonstrate a sutureless circumcision technique using tissue glue.
  • To present a modified circumcision technique for hooded prepuce or mild glanular hypospadias.
  • To highlight the cosmetic and pain advantages of tissue glue in pediatric circumcision.

Main Methods:

  • Preputial skin incisions marked and executed with a scalpel.
  • Ensured complete hemostasis before applying tissue adhesive via a 32-gauge needle for controlled application.

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  • Carefully avoided applying glue to the coronal sulcus, followed by cleaning and temporary dressing.

    • Main Results:

    • Successfully performed 57 circumcisions and 30 modified circumcisions between November 2008 and September 2011.
    • No complications were reported in any of the cases.
    • All patients were followed up for a minimum of 3-6 months post-procedure.

    Conclusions:

    • The sutureless tissue glue technique achieves consistently excellent cosmetic results.
    • This method is readily teachable to junior surgical staff.
    • It represents a valuable alternative to standard sutured circumcision procedures.