An overview of circumcision and a modification that prevents glans injuries and cosmetic problems in circumcisions made with the guillotine technique

Abstract

Purpose: Despite being an age old practice, there is ongoing research and development to improve the procedure in order to enhance its safety, efficacy and client satisfaction. The Guillotine technique, which is one of the most common methods, has been criticised for possible glans injuries and nonpleasing cosmetic results especially when an inexperienced person tries it out. This research paper introduces the Modified Guillotine Technique (MGT) designed to address these issues. Methods: This retrospective study involved analysing 2853 circumcisions performed between 2006 and January 2022 using MGT on males aged between one month and fourteen years. Safety, efficiency of wound healing through cosmetic outcomes by indirect means, pain management of MGT were examined here. Results: MGT was used in different age groups without any significant increase in operative time compared to the traditional Guillotine technique thus showing perpetuation of efficiency. It is important to note that there were no reports of gland injuries, while complications rates did not differ significantly from those obtainable with other methods thus emphasising on safety and efficacy of MGT. Conclusion: The modified Guillotine technique represents a major leap forward in circumcision practice by combining the effectiveness of the Guillotine method with an improved safety profile and cosmetic outcomes. By significantly reducing the risks associated with glanular injury, but with the maintenance of procedural time and the addition of new complications, MGT offers a viable option for routine circumcisions worldwide.