Different Circumcision Techniques

Circumcision Melbourne is a medical procedure that involves extracting the foreskin from the head of the penis. This is usually done using a clamp and scalpel by an experienced healthcare provider.

A healthcare professional first numbs the genital area with lidocaine or other local anaesthetic creams or injection, then inserts a plastic bell (plastibell) underneath the foreskin to cover any unsightly penis glans.

Dorsal slit method

The Dorsal Slit Method involves crushing and dividing the inner and outer preputial skin layers dorsally. The slit is then extended to the corona, allowing for complete freedom and excisation under direct vision.

The slit is closed with absorbable sutures (chromic: Dexon or Vicryl). Any excess bleeding should be controlled with direct pressure and electrocautery before the dressing is removed.

Circumcision is a widely performed surgical procedure used for both medical and traditional purposes around the world. It serves as an important preventative measure, decreasing the risk of genital warts, ectopic pregnancy, sexually transmitted diseases and improving general health. Unfortunately, complications such as excessive intra-and postoperative wound bleeding, hematomas, infection, secondary phimosis, epidermal inclusion cysts, and urinary dysfunction have been reported.

Clamp method

Clamp circumcision is an efficient and safe procedure that uses a special clamp to compress the edges of the foreskin before extracting any extra skin. This helps minimize bleeding and promotes healing at the skin’s edges.

There are various clamp types, but the Gomco or Plastibell device is the most commonly used. This device sandwiches mucous and cutaneous layers between two concentric rings (one inside and one outside). The glans penis is typically protected with a bell-shaped protector placed between them.

It works by compressing the distal part of the foreskin and cutting off its blood supply. As a result, necrotic tissue develops which can then be excised within 7 days without bleeding – though there may be an occasional risk of infection.

Sleeve method

The sleeve method is an effective surgical procedure for circumcision in boys and men. It can be used to address problems such as recurrent balanitis, phimosis, frenulum breve, BXO (balanitis xerotica obliterans), penile cancer, as well as cosmetic circumcision.

Plastibell, a sterile ring designed to cover the glans of the penis, blocks blood flow and allows natural removal of the foreskin. This single-use device comes in various sizes to accommodate each child being circumcised.

This technique is often recommended for infants and younger children, though it can also be used on older ones. It requires local anesthesia with sterile single-use instruments and takes around 15 minutes to perform with a low complication rate. Bleeding can be controlled with pressure, an absorbable gelatin sponge product or electrocautery; additionally, the procedure is fast and relatively inexpensive with lower risks of infection than with the Mogen clamp.

Unicirc method

The Unicirc method is a minimally invasive surgery that utilizes a single-use disposable instrument and tissue adhesive. It’s safe, straightforward and cost-effective as there are no post-operative visits to remove the device, saving staff time and resources in the process.

This innovative procedure can reduce the risks of complications related to male circumcision, such as sepsis, genital mutilation, gangrene, excessive bleeding, renal failure and death. Plus it’s quick and painless with no need for injectable anaesthesia!

To compare the Unicirc method with open surgical voluntary medical male circumcision (VMMC) in three primary care centres, we conducted a non-blinded randomised controlled trial with a 2:1 allocation ratio between them (Unicirc device: surgical circumcision) in balanced blocks of 15.