ABSTRACT: IntroductionCircumcision is one of the most commonly performed surgical procedures in male children. A range of surgical techniques exist
for this commonly performed procedure. The aim of this study is to assess the safety, functional outcome and cosmetic appearance
of a sutureless circumcision technique.
MethodsOver a 9-year period, 502 consecutive primary sutureless circumcisions were performed by a single surgeon. All 502 cases were
entered prospectively into a database including all relevant clinical details and a review was performed. The technique used
to perform the sutureless circumcision is a modification of the standard sleeve technique with the use of a bipolar diathermy
and the application of 2-octyl cyanoacrylate (2-OCA) to approximate the tissue edges.
ResultsAll boys in this study were pre-pubescent and the ages ranged from 6months to 12years (mean age 3.5years). All patients
had this procedure performed as a day case and under general anaesthetic. Complications included: haemorrhage (2.2%), haematoma
(1.4%), wound infection (4%), allergic reaction (0.2%) and wound dehiscence (0.8%). Only 9 (1.8%) parents or patients were
dissatisfied with the cosmetic appearance.
ConclusionThe use of 2-OCA as a tissue adhesive for sutureless circumcisions is an alternative to the standard suture technique. The
use of this tissue adhesive, 2-OCA, results in comparable complication rates to the standard circumcision technique and results
in excellent post-operative cosmetic satisfaction.
Pediatric Surgery International 04/2012; 28(3):305-308. · 1.25 Impact Factor