A Study of Adult Male Circumcision (MC) Using a Circular Stapler
Dipesh Ram
Department of General Surgery, Dr. M K Shah Medical College and Research Institute, Gandhinagar, Gujarat, India.
Aman Kachhawa
Department of General Surgery, Dr. M K Shah Medical College and Research Institute, Gandhinagar, Gujarat, India.
Sanjay Karangiya *
Department of General Surgery, Dr. M K Shah Medical College and Research Institute, Gandhinagar, Gujarat, India.
Sharad Patel
Department of General Surgery, Dr. M K Shah Medical College and Research Institute, Gandhinagar, Gujarat, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Male circumcision (MC) is defined as the surgical removal of the foreskin from the penis. A new device for circumcision, called a circular stapler, has been developed for commercial purposes. It consists of two components: an inner bell meant to shield the glans and an outer bell that includes a circular blade for cutting the foreskin and staples to secure the wound for hemostasis.
Aims: study of adult male circumcision (MC) using circular stapler.
Objectives: The main objective of the research on adult male circumcision (MC) employing a circular stapler regarding operation duration, pain levels, blood loss, healing duration, patient satisfaction, postoperative stay, and postoperative complications.
Methodology: A study was conducted on 20 patients and data was collected based on detailed history, systematic clinical examination, pre-op investigation, period of procedure, period of hospital stay, and post-op complications were recorded.
Result: In study of 20 patients with circumcision 2 patients have phimosis, 8 have recurrent balanoposthitis and 6 have recurrent UTI ,13 patients have sexual satisfaction, average operating time was 6.8 min, average bloodless is 1.8ml, average pain score is 4, average healing time is 12.5 days, average hospital stay 2.2 day ,
Conclusion: Stapler circumcision reduce operative time, reduce pain score, reduce bloodloss, reduce postop stay, reduce postop complications, and increase healing time.
Keywords: Circumcision, circular stapler, male