Methods and techniques of circumcision for boys aged 16 and over

What is the best circumcision method for men?

Many patients are asking surgeons or urologists about different ways of circumcising male adults. Patients look into Google to find the answer but become more confused.

There are different techniques and methods for circumcisions: 

• Forceps guided method 

• Sleeve method 

• Clamp method

• Freehand method

These procedures can be achieved by using glue, stitches, a Shang ring device, ZSR or CircCurer (Langhe) staplers, or combinations.

What is evidence in the medical literature

Adult circumcision with Shang ring

Pros 

1.     Quick and bloodless

2.     Higher patient satisfaction 

3.     Lower operative pain

4.     Lower risks 

5.     Small wound bleeding 

Cons

1.     Wound healing takes longer to heal

2.     Significant Wound gap 

3.     Healing by significant scar gaps in some cases

4.     Require removal of the ring 

5.     More pain during recovery 

Circumcision with a Stapler device (ZSR or CirCurer) 

Pros 

1.     Less operative time

2.     Less operative pain

3.     Less complications 

4.     Lower infection rate

5.     Short healing time

6.     Less swelling 

Cons

1.     Residual stapler nails longer than four weeks 

2.     Staples requires removal 

3.     May leave stapler marks 

Circumcision with stitches

Pros

1.     Less expansive 

2.     Easy to use 

3.     Customised as patient requirements 

Cons

1.     Leave stitch marks and tunnels

2.     Stitches take 2-3 weeks to fall off

3.     More painful than glue

4.     More chances of infection 

Circumcision with glue 

Pros 

1.     Waterproof 

2.     Less bleeding 

3.     Less chance of infection 

4.     Less painful

5.     Heals quicker

6.     Best in cosmetic outcome 

Cons

1.     Operation is longer

2.     Technically challenging

3. Expansive operation

In conclusion, a recent report showed that the use of tissue glue, in comparison to stitches, is cosmetically better and has fewer complications.

By looking at the medical literature and photos on the internet, our results with the ”Khan technique of circumcision” were superior to all other methods, and many patients’ feedback endorses these results.

The Khan Technique of Circumcision: He uses his own surgical techniques, mainly glue with 1-3 stitches, which is a custom-made result for every patient. With his 27 years of experience, the “Khan technique of circumcision” is the best circumcision method for adults and boys over 16 years of age. 

Dr Khan can discuss the initial and long-term outcome of the “Khan technique of glue circumcision.”

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