Male Circumcision: An Appraisal of Current Instrumentation

Morris, Brian J.; Eley, Chris

doi:10.5772/18543

Biomedical Engineering - From Theory to Applications 2011

DOI: 10.5772/18543

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Male Circumcision: An Appraisal of Current Instrumentation

Brian J. Morris¹,

Chris Eley²

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Cited by 5 publications

References 139 publications

(137 reference statements)

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Infant Male Circumcision and Future Health Disparities

Leibowitz¹,

Desmond²

2012

Arch Pediatr Adolesc Med

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The health benefits of male circumcision (MC) have been extensively documented in observational studies 1 and by randomized controlled trials in Africa showing that MC reduces heterosexual transmission of HIV infection from women to men by 55% -76% 2,3,4 and provides significant protection against human papillomavirus (HPV) infection. 5 , MC is negatively related to prostate cancer in men 6 and to cervical cancer in female partners of men infected with HPV. 7

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Infant Male Circumcision and Future Health Disparities

Leibowitz¹,

Desmond²

2012

Arch Pediatr Adolesc Med

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The ultrasonic harmonic scalpel for circumcision: experimental evaluation using dogs

Peng¹,

Meng²,

Yang³

et al. 2012

Asian J Androl

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Male circumcision is one of the most commonly performed operations worldwide, and many novel techniques have been developed for better postoperative outcomes. The purpose of this study was to explore the feasibility of applying the ultracision harmonic scalpel (UHS) for circumcision by using dogs. Sixteen adult male dogs were divided into two groups: the UHS group and the control group. The dogs were circumcised with either the UHS or a conventional scalpel. The UHS circumcision procedure and the effects were imaged 1 week after surgery. The two groups were compared with respect to the operative time and volume of blood loss. Postoperative complications, including oedema, infection, bleeding of the incision and wound dehiscence, were recorded for both groups. The mean operative time for the UHS group was only 5.1 min compared with the 35.5 min of the conventional group. The mean blood loss was less than 2 ml for the UHS group and 15 ml for the conventional group. There was only one case of mild oedema in the UHS group, but the postoperative complications in the conventional group included two cases of mild oedema, one infection of the incision and one case of bleeding of the incision. In conclusion, circumcision using UHS is a novel technique to treat patients with phimosis and excessive foreskin, and this method has a short operative time, less blood loss and fewer complications than the conventional scalpel method. This small animal study provides a basis for embarking on a larger-scale clinical trial of the UHS.

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Phimosis and Circumcision: Concepts, History, and Evolution

2018

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Phimosis is classically characterized by the impossibility of completely withdrawing the foreskin and exposing the glans. A distal preputial narrowing occurs, which may be congenital or acquired. Excess foreskin and the presence of balanopreputial adhesions may be components of this spectrum. Circumcision corresponds to foreskin excision, one of the most commonly performed surgeries in boys, whether for medical or religious reasons. Such a procedure is considered sacred by many peoples around the world as a symbol of faith or even as a ritual of tribal emancipation. The appearance of the procedure in several places and times allowed the development of the surgical technique, today adapted to minimize complications and provide evident medical benefits. We present fundamental physiological and histological concepts, classically described, knowing the natural history of a potential disease. We discuss the emergence and development of surgical techniques still used today and identify factors that interfere with the disease and influence the treatment.

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Male Circumcision: An Appraisal of Current Instrumentation

Cited by 5 publications

References 139 publications

Infant Male Circumcision and Future Health Disparities

Infant Male Circumcision and Future Health Disparities

The ultrasonic harmonic scalpel for circumcision: experimental evaluation using dogs

Phimosis and Circumcision: Concepts, History, and Evolution

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