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Comparison of thermal cautery-assisted circumcision with the conventional technique

Saracoglu, Musa; Ozturk, Hakan; Zengin, Tarik; Kerman, Huseyin S.

doi: 10.1097/01.XHA.0000439147.28288.fe
Original articles

Objective Circumcision is one of the most common surgical procedures performed worldwide. The World Health Organization has begun to recommend circumcision on the basis of studies indicating its effects in protection against AIDS. Different circumcision techniques have been defined, but the search for a rapid technique with low complication rates still continues. In this study, thermal cautery-assisted circumcision has been compared with the classical technique.

Patients and methods A total of 110 patients were randomized into two groups, and the duration of the surgical procedure, number of sutures, number of vessels coagulated, frenulotomy, and the need for winding after the procedure were noted. The results were compared statistically; a P-value less than 0.05 was considered significant.

Results In the thermal cautery group, duration, the number of vessels coagulated, and the number of patients who required winding after surgery were significantly lower. For the number of vessels coagulated and the need for winding, the P-value was less than 0.001; for the duration of surgery, the P-value was 0.002. There was no significant difference in the frenulotomy ratio and number of sutures.

Conclusion Bipolar thermal cautery-assisted circumcision is a reliable technique that results in less bleeding and shorter operation time.

Department of Urology, School of Medicine, Sifa University, Izmir, Turkey

Correspondence to Hakan Öztürk, MD, Basmane Hospital of Sifa University, Fevzipasa Boulevard No: 172/2, 35240, Basmane, Konak, Izmir, Turkey Tel: +90 232 446 0880; fax: +90 232 446 0770; e-mail:

Received February 4, 2014

Accepted February 23, 2014

© 2014 Human Andrology