What is the best circumcision method for men?
Many patients are asking surgeons or urologists about different ways of circumcising male adults. Patients look up answers on Google but become more confused.
There are different techniques and methods for circumcisions for adults:
- 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
- Quick and bloodless
- Higher patient satisfaction
- Lower operative pain
- Lower risks
- Small wound bleeding
Cons
- Wound healing takes longer
- Significant wound gap
- Healing by significant scar gaps in some cases
- Require the removal of the ring in most cases
- More pain during recovery
Circumcision with a Stapler device (ZSR or CirCurer)
Pros
- Less operative time
- Less operative pain
- Less complications
- Lower infection rate
- Short healing time
- Less swelling
- Neat and symmetrical result
Cons
- Residual stapler nails for up to four weeks
- Staples require removal in small cases
Circumcision with stitches
Pros
- Less expensive
- Easy to use
- Customised as per patient requirements
Cons
- Leaves stitch marks and tunnels
- Stitches take 2-3 weeks to fall off
- More painful than glue
- More chances of infection
Circumcision with glue
Pros
- Waterproof
- Less bleeding
- Less chance of infection
- Less painful
- Heals quicker
- Best in cosmetic outcome
Cons
- The operation is longer
- Technically challenging
- Expensive operation
Conclusion
A recent report showed that using tissue glue, compared with stitches, is cosmetically superior and associated with fewer complications. Staplers are very comparable with the glue method.
Based on the medical literature and photos on the internet, our results with the Khan Technique of Circumcision were superior to those of all other methods, and many patients’ feedback supports these results.
The Khan Technique of Circumcision
Dr Khan uses his own surgical techniques, mainly glue with 1-3 stitches, resulting in a custom-made treatment for every patient. With his 30 years of experience, the “Khan technique of circumcision” is the best circumcision method for adults and boys over 16 years of age.
A surgeon can discuss the initial and long-term outcomes of the Khan technique of glue circumcision and the ZSR stapler methods.
