A PROSPECTIVE STUDY ON STAPLER CIRCUMCISION

Male circumcision is a common surgical procedure performed for medical, cultural, and religious reasons. This prospective observational study, conducted over 18 months in a tertiary care hospital, evaluated the outcomes of stapler circumcision in 54 male patients. Participants ranged in age from 2 to 70 years, with the majority (62.96%) being under 10 years old. Indications for circumcision included phimosis (37.04%), recurrent balanitis or balanoposthitis (31.48%), and religious reasons (25.93%). The procedure was completed under intravenous sedation and penile block, with a mean operative time of 6 minutes. Post-operative pain was assessed using the visual analogue scale, with children experiencing moderate pain on day 1 (mean score of 4.2) and adults reporting mild pain (mean score of 2.7), both signicantly reducing by day 7. Complications were minimal, including minor bleeding (3.70%), urinary retention (3.70%), and edema (3.70%), with no cases of infection or stapler line disruption. The stapler device's efciency in providing rapid, uniform closure minimized complications and reduced operative time. Overall, stapler circumcision proved to be a safe, efcient, and well-tolerated procedure, particularly suited for low-resource settings with limited surgical infrastructure.