Stapler circumcision is a minimally invasive surgical technique used to remove the foreskin of the penis. It is increasingly preferred for treating conditions such as phimosis, recurrent infections, or personal preference in adults in the UK.
This blog discusses the procedure, its benefits, risks, and what to expect during recovery.
What Is Stapler Circumcision?
Stapler circumcision uses a specialised circular stapler device to cut and seal the foreskin simultaneously. Unlike traditional methods, which involve scalpels and sutures, this technique streamlines the process, reducing operative time and improving precision.
Devices like the CircCurer (LangHe) or ZSR stapler are used in our clinic, providing consistent results. Most adults need frenuloplasty with stitches, along with circumcision with staplers.
Why Choose Stapler Circumcision?
Adults may opt for this method due to its advantages over conventional circumcision with stitches:
- Speed: The procedure typically takes 10–15 minutes under local anaesthesia, which allows you to go home afterwards on your own.
- Reduced bleeding: The stapler seals blood vessels as it cuts, minimising blood loss.
- Aesthetic outcomes: The device allows for precise skin removal, achieving a desired, excellent cutting wound edge, which may vary based on the anatomy and condition of the foreskin.
- Lower infection risk: Healing due to reduced tissue handling decreases the chances of infection.
Studies show that stapler circumcision is safe and effective, though some refinement is still required (Braz J Med Biol).
The Procedure: What to Expect
- Consultation: Our doctor assesses suitability, discusses expectations, and explains risks.
- Anaesthesia: Local anaesthesia numbs the area, ensuring minimal discomfort.
- Foreskin removal: The stapler device is positioned around the penis, excising the foreskin in a single action. The staples remain temporarily to hold the edges together.
- Aftercare: Patients receive instructions for hygiene, pain management, and follow-up if needed. Staples typically take 3–5 weeks to come off on their own.
- Pain relief: You will require a simple painkiller for a few weeks after the circumcision.
Risks and Considerations
While generally safe, potential complications include:
- Bleeding or bruising: Minor cases resolve on their own, but severe bleeding may require surgical intervention.
- Infection: Proper hygiene and the application of antibiotic cream reduce this risk.
- Stapler machine failure: Rarely, the device may malfunction, requiring traditional circumcision.
- Scarring: Most scars fade over time; however, individual healing rates vary.
- Failure of stapler detachment: If staples remain in the wound after 5 weeks, our doctors must remove them.
Cost of Stapler Circumcision
Costs vary by clinic but often include consultation and follow-up. In our private clinics, the CircCurer or ZSR method costs from £780.
Recovery and Results
Most adults resume light activities within 2–3 days, though full recovery takes 4–6 weeks.
Key tips:
- Avoid strenuous activity for 3–4 weeks to prevent swelling.
- Keep the area clean and dry.
- Attend a follow-up appointment if staples do not come off after 5 weeks.
- Refrain from masturbation or sexual activity for 3 weeks after the procedure.
Cosmetic outcomes depend on technique and individual anatomy, with many reporting improved hygiene and comfort post-surgery.
When to Consider Stapler Circumcision
This method is suitable for adults experiencing phimosis, recurrent infections, or those seeking elective circumcision.
Consult our urologist if:
- Phimosis causes pain, ballooning during urination, or recurrent balanitis.
- Non-surgical treatments (e.g., steroid creams) fail.
- You desire a quicker, less invasive alternative to traditional cut-and-stitch circumcision.
Conclusion
Stapler circumcision offers a modern, efficient solution for adult foreskin issues. Its benefits—speed, precision, and faster recovery—make it a popular choice.
However, understanding risks and following our urologist’s advice is crucial for optimal outcomes. If you are considering this procedure, discuss options with our doctors to determine its suitability.
Reference:
Braz J Med Biol Res 2015 Jun;48(6):577-82. doi: 10.1590/1414-431X20154530. Epub 2015 Mar 27