Open AccessCircumcision with plastic Alisclamp technique in 4733 boys: our experiences to reduce complications
Author(s) -
Alev Süzen,
Süleyman Cüneyt Karakuş,
Nazile Ertürk
Publication year - 2021
Publication title -
turkish journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.277
H-Index - 27
eISSN - 1303-6165
pISSN - 1300-0144
DOI - 10.3906/sag-2011-199
Subject(s) - medicine , foreskin , glans , surgery , penis , genetics , biology , cell culture
Background/aim We aim to report the outcomes of circumcisions performed with Alisclamp and our experiences to reduce the complications. Material and methods Complications among circumcised males with Alisclamp between 2015 and 2018 were retrospectively analyzed. Patients were divided into two groups: Group 1 (n = 1429); patients circumcised in 2015–2016 and Group 2 (n = 3304); patients circumcised in 2017–2018. The different technical approaches in Group 2 are as follows: 1) Prevention of bleeding: In Group 2, we didn’t pull the ventral prepuce to reduce the risk of frenulum injury and the foreskin was excised approximately 1–2 mm above the base. 2) Prevention of secondary phimosis: In Group 2, regular manual pressure had been applied to mons pubis and we postponed some of the overweight children’s circumcision. 3) Prevention of excessive foreskin: The clamp was placed carefully to prevent the glans from moving back and forth. Results Secondary phimosis was signicantly lower in Group 2 (p = 0.003). Total bleeding and bleeding requiring suturing were significantly lower in Group 2 (p = 0.001 and p = 0.026, respectively).Conclusion Technique-specific complications of Alisclamp can reduce with technique-specific modifications.