A review of 100 consecutive sutureless child and adult circumcisions

Background Circumcision is one of the world’s most common operations. Series describing a new technique involving the use of fibrin-based glue have become more apparent in the literature. Here we outline the first 100 such cases for 62 children and 38 adults in our practice describing complications...

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Bibliographic Details
Published in:Irish journal of medical science 2011-03, Vol.180 (1), p.51-53
Main Authors: D’Arcy, F. T., Jaffry, S. Q.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Child
Child, Preschool
Circumcision, Male - mortality
Cyanoacrylates - therapeutic use
Family Medicine
General Practice
Humans
Infant
Internal Medicine
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Phimosis - surgery
Religion
Tissue Adhesives - therapeutic use
Young Adult
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Summary:Background Circumcision is one of the world’s most common operations. Series describing a new technique involving the use of fibrin-based glue have become more apparent in the literature. Here we outline the first 100 such cases for 62 children and 38 adults in our practice describing complications and learning curve. Methods We reviewed all cases noting age, indication, cosmetic appearance and any potential complications. Reviews were carried out 2–6 weeks postoperatively. Results Phimosis accounted for 42% of cases; 58% were for religious reasons. Ages ranged from 6 months to 72 years, with 99% satisfied with the cosmetic immediate postoperative appearance. Three had minor delayed post-op bleeding, none necessitating a return to theatre. One had a reaction to the glue requiring antihistamines for a week. Two postoperative cases of balanitis were reported. Conclusion Sutureless circumcision is a practical alternative to the standard method. This series supports a role for sutureless circumcisions in adults.
ISSN:0021-1265
1863-4362
DOI:10.1007/s11845-010-0545-8