A Prospective, Randomized Controlled Trial of Circumcision in Adult Males Using the CO₂Laser: Modified Technique Compared with the Conventional Dorsal-Slit Technique

Abstract

The modified CO2 laser technique that we introduced offers a simple, safe, faster, and effective alternative method to the conventional technique in adult male circumcision, with decreased blood loss, pain, and complications.

Combined use of CO2 laser and tissue glue versus conventional surgical techniques for circumcision – A prospective study

“…As the CO 2 laser can be used for simultaneous cutting and coagulation, and some previous studies reported a shorter operation time with the use of tissue glue for approximation of the wound edges compared with sutures [7,9], a shorter operation time should be expected when using a combination of CO 2 laser and tissue glue. The differences in the operation time between both groups in this study are comparable to those in the previously reported studies [4][5][6][7]9].…”

“…The use of a CO 2 laser has been reported to be Brought to you by | New York University Bobst Library Technical Services Authenticated Download Date | 10/10/15 10:52 PM associated with a shorter operation time, less blood loss, less wound edema, and less postoperative pain [4][5][6]. The CO 2 laser does not penetrate well through tissues, and the absorbed laser energy vaporizes and carbonizes the upper tissue layer.…”

“…The indications for circumcision vary from country to country, and include religious and medical reasons [1][2][3]. Various surgical techniques for circumcision have been described, with different results and complications [3][4][5][6][7][8][9][10][11][12]. Many studies have reported that circumcision using a CO 2 laser for cutting and coagulation gives excellent results [4][5][6].…”

“…Various surgical techniques for circumcision have been described, with different results and complications [3][4][5][6][7][8][9][10][11][12]. Many studies have reported that circumcision using a CO 2 laser for cutting and coagulation gives excellent results [4][5][6]. Tissue glue has also been reported to have advantages over sutures for approximation of the wound edges [7][8][9][10][12][13][14][15][16].…”

“…Tissue glue has also been reported to have advantages over sutures for approximation of the wound edges [7][8][9][10][12][13][14][15][16]. Previous studies have only focused on comparisons between the use of a CO 2 laser and scalpel [4,5], or between tissue glue and sutures [7-10, 12, 13, 15, 16]. This study compares the results and complications between the combined use of a CO 2 laser and tissue glue, and standard surgical techniques for circumcision using a scalpel and sutures.…”