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Related Experiment Video

Updated: May 28, 2025

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Device-assisted versus manual circumcision: a prospective, comparative, multicenter study.

Esther García Rojo1, Manuel Alonso Isa1,2, Celeste Manfredi3

  • 1Department of Urology, Hospital Universitario HM Sanchinarro, Instituto Investigación Sanitaria HM Hospitales and ROC Clinic, C. de Oña, 10, 28050 Madrid, Spain.

The Journal of Sexual Medicine
|February 10, 2025
PubMed
Summary

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This summary is machine-generated.

Device-assisted circumcision (DeCi) offers better aesthetic results and less pain than manual circumcision (MaCi) in adult men. This study found DeCi to be a safe and effective alternative for adult circumcision in Europe.

Area of Science:

  • Urology
  • Surgical Techniques
  • Patient Outcomes

Background:

  • Circumcision is a prevalent urological procedure for medical, cultural, religious, and aesthetic reasons.
  • Comparing different circumcision methods is crucial for optimizing patient care and outcomes.

Purpose of the Study:

  • To compare the effectiveness and safety of device-assisted circumcision (DeCi) versus manual circumcision (MaCi) in adult European patients.
  • To evaluate patient satisfaction with aesthetic results and procedure-related complications.

Main Methods:

  • Prospective, comparative, non-randomized multicenter study of 200 adult males.
  • Patients were assigned to DeCi or MaCi based on preference after counseling.
  • Outcomes assessed included operative time, aesthetic satisfaction (Likert scale), pain (VAS), and complications (Clavien-Dindo system).
Keywords:
adultcircumcisiondeviceforeskinmanualmechanicalprepucesuture

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Main Results:

  • Device-assisted circumcision (DeCi) had significantly shorter operative times (11.2 vs. 23.2 minutes) and higher aesthetic satisfaction (67.4% vs. 36.7%) compared to manual circumcision (MaCi).
  • DeCi also resulted in significantly lower perceived pain during and after the procedure.
  • Complication rates were similar between DeCi and MaCi groups, with no significant differences observed.

Conclusions:

  • Device-assisted circumcision (DeCi) demonstrates superior aesthetic outcomes and reduced pain compared to manual circumcision (MaCi) in adult European men.
  • DeCi presents a promising alternative with a comparable safety profile to MaCi.
  • Further research is recommended to address study limitations, including non-randomization and the specific device model used.