African Journal of Paediatric Surgery About APSON | PAPSA  
Home About us Editorial Board Current issue Search Archives Ahead Of Print Subscribe Instructions Submission Contact Login 
Users Online: 906Print this page  Email this page Bookmark this page Small font size Default font size Increase font size 
Year : 2021  |  Volume : 18  |  Issue : 4  |  Page : 187-189

Bipolar circumcision: A new technique for an old procedure with quantified cosmetic outcome

1 Department of Paediatric Surgery, Bab Alhawa Relief Hospital, Edleb, Syria
2 Department of Paediatric Surgery, Bab Alhawa Relief Hospital, Edleb, Syria; Department of Paediatric Surgery, Aljalila Specialty Children's Hospital, Dubai, United Arab Emirates

Correspondence Address:
Dr. Muhammad Eyad Ba'Ath
Aljalila Specialty Children's Hospital, Dubai

Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajps.AJPS_108_20

Rights and Permissions

Background: Circumcision using bipolar diathermy is well established and used widely. It seems to be superior in terms of post operative complications. The cosmetic outcome of the procedure has never been quantitatively described though. Aims: To describe a modification to performing circumcision with bipolar that involves applying four clamps to the foreskin as it is being amputated with the bipolar so that a consistent length of the mucosal cuff can be obtained with a single almost bloodless cut. Methods: Prospective case series of all patients circumcised using the 4 clamps traction and bipolar cut technique. The cosmetic outcome was assessed in terms of the length of the mucosal cuff in absolute numbers and in proportion to the penile and glanular length. Results: Seventy four patients were recruited with a median age of 3.5 months. No complications were encountered. The average length of the penis was 40 ± 13 mm and the glans 12 ± 3.6 mm. The average length of the mucosal cuff was 8.4 ± 2.9 mm, and the proportion to total penile length was 21.1% ± 4.7% and to glans length 72% ± 24.1%. Conclusion: The four clamp traction method with bipolar circumcision is safe and has a satisfactory cosmetic outcome.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded231    
    Comments [Add]    

Recommend this journal