title: Clinical application of a new device for minimally invasive circumcision.
abstract: OBJECTIVE
  To study the clinical effects of a disposable circumcision device in treatment of male patients of different ages with either phimosis or excess foreskin.
  
  
  METHODS
  One thousand two hundred patients between the age of 5 and 95 years underwent circumcision using this procedure in the 2-year period between October 2005 and September 2007. Of these cases, 904 had excess foreskin and 296 were cases of phimosis.
  
  
  RESULTS
  In 96.33% of the cases the incision healed, leaving a minimal amount of the inner foreskin with no scarring and producing good cosmetic results. There were no incidents of device dislocation or damage to the frenulum. The average operative time was 2.5 min for excess foreskin, and 3.5 min for phimosis. During the 7 days of wearing the device, mild to moderate edema occurred in 10.08% of cases with excess foreskin and in 2.58% of those with phimosis. Edema in the frenulum was seen in 1.67% of patients, and only 0.67% had an infection of the incision. A total of 86.25% of patients reported pain due to penile erection. After removal of the device, 0.58% of the cases had minimal bleeding around the incision, and 2.42% had wound dehiscence.
  
  
  CONCLUSIONS
  The new device can be applied to an overwhelming majority of patients with phimosis and excess foreskin. This technique is relatively simple to perform, and patients who underwent this surgery had very few complications. Antibiotics were not required and patients reported less pain than those who were circumcised using conventional methods. Circumcision with this device requires minimal tissue manipulation, and is quicker and safer than circumcision using conventional techniques.
authors.affiliation: Department of Sexual Medicine, Yijishan Hospital, Wannan Medical College, Wuhu 241001, China. yifengpeng@yahoo.cn
authors.forename: Yi-Feng
authors.initials: YF
authors.lastname: Peng
authors.forename: Yue
authors.initials: Y
authors.lastname: Cheng
authors.forename: Guo-Yao
authors.initials: GY
authors.lastname: Wang
authors.forename: Suo-Qun
authors.initials: SQ
authors.lastname: Wang
authors.forename: Chao
authors.initials: C
authors.lastname: Jia
authors.forename: Ben-Hai
authors.initials: BH
authors.lastname: Yang
authors.forename: Ru
authors.initials: R
authors.lastname: Zhu
authors.forename: Shu-Chuan
authors.initials: SC
authors.lastname: Jian
authors.forename: Qing-Wen
authors.initials: QW
authors.lastname: Li
authors.forename: Da-Wei
authors.initials: DW
authors.lastname: Geng
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002944:Circumcision, Male / Q000379:methods*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D010149:Postoperative Pain