title: Introducing the Quill™ device for modified sleeve circumcision with subcutaneous suture: a retrospective study of 70 cases.
abstract: OBJECTIVE
  The purpose of the study was to evaluate the safety and feasibility of treatment for male circumcision using modified sleeve circumcision and subcuticular suture with the Quill™ device.
  
  
  METHODS
  From May 2011 to March 2012, 70 consecutive cases of male circumcision were performed using an alternative technique with the Quill™ device by a single surgeon in our institution. The inclusion and exclusion criteria for the selection process of this procedure were the same as for conventional circumcision. We evaluated the indications and perioperative outcomes. The circumcisions were performed as day-case procedures under local anesthesia.
  
  
  RESULTS
  All patients were followed up for a minimum of 3-6 months. The ages ranged from 8 to 68 (mean = 27.0 years, SD = 10). The indications for surgery were either cosmetic (n = 16, 22.9%) or medical [redundant prepuce (n = 36, 51.4%), phimosis (n = 5, 7.1%), paraphimosis (n = 2, 2.9%), balanoposthitis (n = 9, 12.9%), melanoma (n = 1, 1.4%), and condyloma acuminata (n = 1, 1.4%)] (n = 54, 77.1%). The mean operation time in this group was 29 min (19-38 min) when the Quill™ device was used. In all, 3 cases developed complications (4.3%). The final cosmetic result was satisfactory for both the patients and their spouses or parents.
  
  
  CONCLUSIONS
  This study showed that modified sleeve circumcision and subcuticular suture were safe and reliable surgical methods of circumcision that provide a better cosmetic result.
authors: Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China.
authors: Chaohui
authors: C
authors: Gu
authors: Fengyan
authors: F
authors: Tian
authors: Zhankui
authors: Z
authors: Jia
authors: Guanru
authors: G
authors: Li
authors: Zhenglei
authors: Z
authors: Meng
authors: Weizhi
authors: W
authors: Xing
authors: Yafei
authors: Y
authors: Ding
authors: Zhibo
authors: Z
authors: Jin
authors: Quancheng
authors: Q
authors: Kan
authors: Jinjian
authors: J
authors: Yang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002944:Circumcision, Male / Q000295:instrumentation* / Q000379:methods*; D003218:Condylomata Acuminata / Q000601:surgery; D006801:Humans; D008297:Male; D008545:Melanoma / Q000601:surgery; D008875:Middle Aged; D010263:Paraphimosis / Q000601:surgery; D010413:Penis / Q000601:surgery; D010688:Phimosis / Q000601:surgery; D012189:Retrospective Studies; D013518:Surgery, Plastic; D013525:Surgical Instruments; D013536:Suture Techniques; D016896:Treatment Outcome; D055815:Young Adult