title: Adult male circumcision performed with plastic clamp technique in Turkey: results and long-term effects on sexual function.
abstract: OBJECTIVE
  To evaluate the long-term results of adult circumcisions performed by plastic clamp technique as well as the effects on sexual function.
  
  
  METHODS
  A total of 186 adult males with the mean age of 21.2 ± 2.8 years who presented to our clinic for circumcision between February 2007 and January 2010 were included in the study. Safety and acceptability of circumcision with plastic clamp technique as well as its effects on sexual functions were analyzed with a mean follow-up period of 30.4 ± 14.2 months (range, 12 to 52 months).
  
  
  RESULTS
  The mean duration of circumcision and removal of the clamp were 3.1 ± 1.1 minutes and 16 ± 7 seconds, respectively. The total complication rate was 2.15%. Wound dehiscence (1.07%), infection (0.54%), and bleeding (0.54%) were the encountered complications. Complete wound healing was observed at a mean of 25.5 ± 4.6 days. We did not encounter any penile deformity or other long-term complications. Circumcision did not adversely affect the sexual drive or ejaculation based on the brief male sexual function inventory scores. Erectile function and overall satisfaction improved following circumcision.
  
  
  CONCLUSIONS
  Circumcision performed by plastic clamp technique in adult males had a low early complication rate with no long-term complications and caused improvement in some of the sexual functions. We suggest the utilization of this technique as an easy and a safe way of circumcising adult males.
authors.affiliation: Department of Pediatric Urology, Dr.Sami Ulus Women's and Children's Hospital, Ankara, Turkey. mfsenel@yahoo.com.tr
authors.forename: Ferda M
authors.initials: FM
authors.lastname: Senel
authors.forename: Mustafa
authors.initials: M
authors.lastname: Demirelli
authors.forename: Fatih
authors.initials: F
authors.lastname: Misirlioglu
authors.forename: Tezcan
authors.initials: T
authors.lastname: Sezgin
mesh_terms: D000293:Adolescent; D000328:Adult; D002944:Circumcision, Male / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D004542:Ejaculation; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007239:Infections / Q000209:etiology; D007989:Libido; D008297:Male; D061646:Operative Time; D017060:Patient Satisfaction; D010410:Penile Erection; D013529:Surgical Wound Dehiscence / Q000209:etiology; D011795:Surveys and Questionnaires; D014421:Turkey; D055815:Young Adult