Background
Sutureless male circumcision (MC) without fear of bleeding remains an unmet need
for general surgeons, nonmedical traditional providers, and parents, but the
bleeding rate is still high up to 35% of the circumcision complications,
particularly with the excision methods. The use of devices in MC has been
gaining attention to reduce postcircumcision bleeding and adverse events.
Objective
The objective of this study was to assess the safety, efficacy, and acceptability of
the hand tool electric soldering iron in MC.
Participant and methods
During the period from August 2018 to June 2019, 331 male infants and children
were recruited for circumcision. All the patients underwent circumcision with the
Guillotine method but with trimming of the prepuce by the electric soldering iron.
Results
The study group included male children with a mean age of 21.8±30.29 months
(range: 0.0–120 months). The mean operative time was 6.45±1.30 min (range:
5.0–9.0 min). The end results of this study were 0.0% postcircumcision bleeding,
reduced healing time (mean: 7.37±2.14; range: 5.0–14.0 days), and minimal
adverse events.
Conclusion
Applying the electric soldering iron tool is safe, simple, and effective in MC without
neither suturing nor fear of bleeding. |