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Alisklamp versus Conventional Dorsal Slit Circumcision: A Multicentric Randomized Controlled Trial
Mustafa Azizoglu1,2, Toni Risteski3, Sergey Klyuev4
1Department of Pediatric Surgery, Istanbul Esenyurt Hospital, 34510 Istanbul, Turkey.
Journal of Clinical Medicine
|August 10, 2024
Summary
The Alisklamp technique for male circumcision resulted in less penile edema and shorter operation times compared to the dorsal slit technique. This suggests Alisklamp is a preferred method due to fewer complications and efficiency.
Area of Science:
- Urology
- Surgical Techniques
Background:
- Male circumcision is performed using various surgical and device-assisted methods.
- Each technique presents unique benefits, drawbacks, and potential complications.
Purpose of the Study:
- To compare the outcomes of the Alisklamp technique against the dorsal slit technique for male circumcision.
Main Methods:
- A multicenter randomized controlled trial (RCT) compared the dorsal slit and Alisklamp circumcision techniques.
- Outcomes including patient demographics, intraoperative, and postoperative results were assessed.
- Patients received local anesthesia and same-day discharge, with follow-ups at 24-48 hours, 1 week, and 1 month.
Main Results:
- The Alisklamp group showed significantly lower penile edema (2.4%) versus the dorsal slit group (19%).
- Wound gaping was more frequent in the Alisklamp group (8.3%) compared to the dorsal slit group (1.2%).
- Mean operation time was substantially lower with Alisklamp (7.8 min) versus dorsal slit (15.5 min).
Conclusions:
- The Alisklamp technique is recommended for male circumcision.
- It offers advantages such as minimized complications, reduced procedure time, and ease of application.
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