Circumcision is one of the most commonly performed surgical procedures. A large variety of techniques have been used, but unfortunately, complications such as pain, bleeding, swelling, stitch granuloma, scab formation, and removal of improper proportions of skin/mucous membrane occur in significant numbers. The authors present a technique using the carbon dioxide laser to excise the prepuce and weld the cut edges together, thus providing a completely bloodless operation. Suturing is optional as the laser can also be used to unite the cut edges. The technique allows exact proportions of skin and mucous membrane to be removed. This method has been used in a total of 1,154 patients ranging in age from infancy to 10 years. A detailed analysis of postooperative recovery and follow-up indicates that minor complications occurred in only 4 patients, none of whom required hospital admission.
Key wordsCircumcision Carbon dioxide laser
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- 1.Aemy A, Boddy SA, Ramsley PG (1985) Successful reconstruction following circumcision with diathermy. Jr J Urol 57: 587–588Google Scholar
- 2.Breuer GS, Walfish S (1987) Circumcision complications and indications for ritual recircumcision — clinical experience and review of the literature Isr J Med Sci 23: 252–258Google Scholar
- 3.Gearhert JP, Rock JA (1989) Total ablation of the penis after circumcision with electrocautery: a method of management and long term followup. J Urol 142: 799–801Google Scholar
- 4.Marwali H, Arifin SS (1988) Circumcision: A review and a new technique. Dermatol Surg Oncol 14: 383–386Google Scholar
- 5.Pearlman CK (1976) Reconstruction following iatrogenic burn of the penis. J Pediatr Surg 11: 121Google Scholar
- 6.Rubenstein M, Basm M (1968) Complication of circumcision done with a plastic bell clamp. Am J Dis Child: 381–382Google Scholar
- 7.Waszak SJ (1978) The historic significance of circumcision. Obstet Gynecol 51: 499–501Google Scholar
- 8.Williams N, Kapila L (1993) Complications of circumcision. Br J Surg 80: 1231–1236Google Scholar