Subcutaneous tissue-sparing dorsal slit with new marking technique: A novel circumcision method

Zhao-Long Jiang, Cheng-Wen Sun, Jian Sun, Gao-Feng Shi, Hu Li, Zhao-Long Jiang, Cheng-Wen Sun, Jian Sun, Gao-Feng Shi, Hu Li

Abstract

Circumcision is a very common surgical procedure that is performed for medical and traditional purposes in the world. However, many technical of circumcision is needed to improve. Thus, this study introduced a novel method of circumcision that is a refined version of the sleeve technique, termed subcutaneous tissue sparing dorsal slit with new marking, and evaluated the safety and efficacy of this novel method of circumcision.The randomized clinical trial included 93 adult patients with redundant foreskin or phimosis treated from May 2015 to March 2017. Patients were randomly divided into the novel circumcision method (n = 45) or conventional dissection (n = 48). The groups were compared regarding rates of intraoperative hemorrhage, operative time, pain, healing, satisfaction with penis appearance, and relevant adverse events.No patient suffered any obvious complication. Compared with the patients given conventional dissection, the patients who underwent the new surgical device experienced significantly less wound healing time, scar width, and recovery time (P <.05). The new method resulted in greater intraoperative bleeding volume and surgical time (P <.05). The rate of satisfaction with appearance of the penis was significantly higher in the group treated with the novel technique. In addition, the cost of surgery of these 2 methods was similar.Based on the above research, we found that subcutaneous tissue-sparing dorsal slit with new marking technique was an effective and safe procedure for circumcision, and deserved further application in clinical practice.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Operative procedure with lateral approach. (A) Fixed point of dorsal circumcision. (B) Frenulum side circumcision of private line fixed-point. (C) Incision of the dorsal circumcision plate and the separation and avoidance of posterior lateral circumcision plate. (D) Separation of gaps between internal and external plates and the incision of the circumcision plate. (E) Incision of the inner plate until the lace side and dorsal side. (F) Separation the surface vessels from the outer surface of the foreskin, and removing the outer plate of the prepuce. (G) Sew up with 6-0 absorbable lines. (H) Unwrapping the circumcision tissue. (I) Elastic bandage pressure bandage area. (J) One week after the operation.

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Source: PubMed

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