10 Years' Experience in Balanitis Xerotica Obliterans: A Single-Institution Study

Balanitis xerotica obliterans (BXO) is uncommon in children. Diagnosis of the condition is almost always clinical and supported by histology.

Adult male circumcision with a circular stapler

Adult male circumcision with a circular stapler versus conventional circumcision: A prospective randomised clinical trial 

Male circumcision is the most frequently performed procedure by urologists. Safety and efficacy of the circumcision procedure requires continual improvement. In the present study, we investigated the safety and efficacy of a new male circumcision technique involving the use of a circular stapler. In total, 879 consecutive adult male patients were randomly divided into 2 groups: 441 underwent stapler circumcision, and 438 underwent conventional circumcision. The operative time, pain score, blood loss volume, healing time, treatment costs, and postoperative complications were compared between the two groups. The operative time and blood loss volume were significantly lower in the stapler group than in the conventional group (6.8 ± 3.1 vs 24.2 ± 3.2 min and 1.8 ± 1.8 vs 9.4 ± 1.5 mL, respectively; P,0.01 for both). The intraoperative and postoperative pain scores were significantly lower in the stapler group than in the conventional group (0.8 ± 0.5 vs 2.4 ± 0.8 and 4.0 ±0.9 vs 5.8 ± 1.0, respectively; P,0.01 for both). Additionally, the stapler group had significantly fewer complications than the conventional group (2.7% vs 7.8%, respectively; P,0.01). However, the treatment costs in the stapler group were much higher than those in the conventional group (US$356.60 ± 8.20 vs US$126.50 ± 7.00, respectively; P,0.01). Most patients (388/441, 88.0%) who underwent stapler circumcision required removal of residual staple nails. Overall, the present study has shown that stapler circumcision is a time-efficient and safe male circumcision technique, although it requires further improvement

Ref: Brazilian Journal of Medical and Biological Research (2015) 48(6): 577-582, http://dx.doi.org/10.1590/1414-431X20154530 ISSN 1414-431X


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Adult Circumcision in London UK

Adult Circumcision in London UK

Adult Circumcision in London UK is performed due to medical and non-medicals reasons for over 16 year old boys and men. Medical indications include phimosis (tight foreskin), paraphimosis (foreskin stuck beyond the glans), recurrent balanitis or posthitis (infection of the prepuce) and scarring due to lichen sclerosis atrophicus (Balanitis Xerotica Obliterans). Non-medical reasons could be religious, personal or cultural. Our surgeon Dr Khan with discuss circumcision cons and pros with you. Adult circumcision can be done under local, regional or general anaesthesia. Adult circumcision in London is commonly performed by glue or stitches using the forceps guided or the dorsal slit methods. Cost of adult circumcision in the UK starts from £550. Penile block with circumferential block by injection will give virtual pain free men circumcision at London Circumcision Clinic. Informed consent must be taken. Adult circumcision recovery may take from 2-6 weeks.  Possible risks of adult circumcision are bleeding, infection, poor cosmetic result and change in sensation during sexual activities.

Circumcision styles

Circumcision styles

The high/low style is a way of stating how much inner skin is removed. The loose/tight style is a way of stating how much outer skin is removed. These styles are almost totally independent, hence there are four circumcision styles:

  • Low and Loose

  • Low and Tight

  • High and Loose

  • High and Tight

Dr Khan can discuss the characteristics of high and low cut, tight and loose cut types or styles of circumcision.