Comparative Study Between Classical and Stapler Circumcision: A Prospective Randomized Clinical Trial

Background: Circumcision remains one of the most commonly performed surgicalprocedures worldwide. Traditional methods involve manual excision and suturing,while newer stapler techniques offer potential advantages. This study aimed to compareoutcomes between classical and stapler circumcision techniques.Methods: A prospective randomized controlled trial was conducted with 50 malepatients (age range: infants to adults) randomly assigned to either classicalcircumcision (Group A, n=25) or stapler circumcision (Group B, n=25). Primaryoutcomes measured included operative time, post-operative pain using Visual AnalogScale (VAS), complication rates, and recovery time. Patients were followed up at 1 and2 weeks post-surgery.Results: Stapler circumcision demonstrated significantly shorter operative timescompared to classical technique (12 ± 2.5 minutes vs. 37 ± 7.5 minutes, p<0.001).Mean pain scores at 24 hours (4.0 ± 0.8 vs. 6.0 ± 1.2, p<0.001) and 48 hours (2.0 ± 0.6vs. 4.0 ± 0.9, p<0.001) were significantly lower in the stapler group. Complication rateswere higher in the classical group (40% vs. 12%, p=0.024), with swelling (20%), minorbleeding (12%), and infection (8%) being most common. Mean recovery time wasshorter in the stapler group (7 ± 1 days vs. 11 ± 1 days, p<0.001).Conclusion: Stapler circumcision offers significant advantages over classicaltechniques in terms of operative time, post-operative pain, complication rates, andrecovery time. Despite higher procedural costs, these benefits may justify the use ofstapler circumcision where resources permit.