Male Circumcision Utilising an Ultrasonic Dissection Scalpel in an Adult

A man in his 70s presented to surgical outpatients for phimosis and recurrent balanitis after previously receiving topical steroid treatment and a dorsal slit. He was medically comorbid including atrial fibrillation for which he was anticoagulated. He underwent a circumcision with an ultrasonic dissection scalpel (UDS). He recovered unremarkably and was able to recommence his anticoagulation on day 1 postoperatively. With the increasing age and comorbidities of many patients, this novel technique may be utilised to reduce operative time, postoperative bleeding risk and penile oedema.