Different Circumcision Techniques Available to Doctors

ogen Clamp Technique

The Mogen Clamp Technique is one of the oldest and most commonly used methods for circumcision. This procedure involves administering a dorsal penile nerve block using lidocaine to make the genital area virtually painless.

After circumcising, the circumciser extends the foreskin by sliding straight hemostats over it to expose the glans penis and securely applying a Mogen clamp. This metal device features a flat surface that locks into

  • place on the prepuce.

Rabbi Harry Bronstein developed this method in 1955 with R. Eliezer Silver’s approval (Ha-Pardes 30:1).

This instrument enables physicians to perform circumcisions on infants, boys and adults without the need for suturing or tissue adhesives. Not only does this provide a less invasive circumcision procedure but it’s 10x faster than traditional procedures as well.

Stapler Technique

Stapler circumcision is a method of circumcision that uses an instrument to cut the foreskin and secure the wound with staples. This procedure has become popular due to its reduced blood loss, pain and healing time.

Staplers are disposable medical instruments that cut the foreskin and apply a circle row (or more) of staples close to the cut line. They’re commonly used for circumcising newborns and older children.

This method is the quickest, most precise and least invasive circumcision technique currently available. Additionally, it causes minimal operative discomfort or bleeding.

Under local or general anesthesia in a hospital setting, this procedure is carried out. Following surgery, patients may experience swelling, bruising and discomfort for several days.
Unicirc Technique

The Unicirc Technique is a non-needle male circumcision technique that utilizes topical anesthesia and the Unicirc instrument for skin removal. Additionally, this new method seals the wound with tissue adhesive.

This new method allows circumcisions to be completed in one visit and requires no follow-up visits for device removal. This enables mass circumcision programs to expand quickly, while cutting costs.

The Unicirc method offers several advantages over current VMMC techniques. It’s safe, requires no injection or use of surgical instruments (except for a scalpel), is nearly painless and bloodless, removes all layers of skin completely, and heals rapidly.

Retraction Technique

The Retraction Technique calls for two pairs of forceps to clamp across a prepuce and flush with its glans. Once secured, use a scalpel to carefully extract it from its socket.adelaide circumcision

When the circumcision is too severe, a skin bridge may form between the glans and penis. This could cause smegma to accumulate and tether the penis erectus, leading to pain or curvature of the urethra.

These bridges can be difficult to remove and may lead to other complications like tethered follicles or inclusion cysts. Furthermore, they may irritate the urethra and cause a chronic urinary tract infection.

Circumcision devices are designed to minimize operating time, simplify techniques and enhance safety and aesthetic outcomes. Furthermore, they may allow task shifting of certain tasks to other healthcare workers, which could facilitate rapid scale-up of VMMC for HIV prevention in resource-limited settings.

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