F T D'Arcy1, S Q Jaffry. 1. The Department of Urology, University College Hospital Galway, National University of Ireland, Galway, Ireland. darcyft@hotmail.com
Abstract
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.
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.
Authors: Brian D Kelly; Dara J Lundon; Marie E Timlin; Mazhar Sheikh; Nadeem B Nusrat; Frank T D'Arcy; Syed Q Jaffry Journal: Pediatr Surg Int Date: 2011-10-19 Impact factor: 1.827