A comparative study of conventional circumcision vs stapler circumcision in pediatrics age group

Background: Paediatric circumcision is one of the most commonly performed surgery in males. This is one of the oldest known surgical practices. In this technique, penile prepuce is removed surgically and this procedure is associated with various religious and cultural practices. However, therapeutic indications for male circumcision include redundant prepuce, paraphimosis, phimosis, balanitis, localized carcinoma. And the risk of transmission of sexually transmitted diseases (such as HIV, HCV and genital ulcer diseases) is decreased. Circumcision is associated with improved topical hygiene of penile area and is thus known to reduce the risk of balanitis as well as penile cancer. Methods: A prospective observational analytical study on all the paediatric patients who were scheduled for circumcision either due to phimosis or for religious purposes at Department of Surgery, Peoples College Medical Sciences and Research Centre during the study period of 18 months, the operating surgeon choosing the surgery after consulting with the patient's guardian and doing standard counselling. Results: Stapler Circumcision demonstrated significant advantages, severity of pain was documented to be significantly lower, less intraoperative bleeding, less operation time, low postoperative complication. Conclusions: Stapler circumcision is user friendly, easy and less time-consuming method of circumcision. The advantages with this technique is that, being suture less surgery, it is associated with less intraoperative bleeding, short operative time, early wound healing, less pain and better cosmesis as compared to conventional circumcision. Thus, this device can be safely used in male circumcision and may help in standardizing circumcision procedures.