Thermocautery-assisted Circumcision: A Single-center Experience from the First Two Years of Surgical Expertise

Objective: Circumcision, the surgical removal of the foreskin covering the penile glans, is one of the oldest and most commonly performed surgical procedures worldwide.In recent years, thermocautery has gained popularity as a cost-effective and practical method.This study aims to present the results of the modified three-stage circumcision technique performed with the help of a thermocautery device in response to the intense demand for circumcision in our region and to contribute to the circumcision literature.Materials and Methods: This retrospective study analyzed 604 circumcision patients operated on using the three-stage guillotine method with thermocautery while preserving the glans.These procedures were performed by a single surgeon in the first two years of his specialization at Siverek State Hospital between October 2022 and September 2024.Results: The mean operative time was 12.5 2.8 minutes (range: 8-25 minutes).The mean age of the patients was 7.04 4.1 years (range: 0.33-15.7 years).Bleeding in the form of minor leakage was observed in 3 patients (0.52%).Complications such as infection, penile injury, meatal stenosis, or secondary phimosis were not encountered in any patient.Conclusion: Thermocautery shortens the duration of the procedure, reducing the child's exposure to anesthesia and surgical stress, while also lowering the risk of bleeding.Circumcision performed with a thermocautery is practical and safe when conducted by trained doctors in an appropriate setting.