Different Circumcision Techniques
Circumcision is a procedure that removes the foreskin from the penis. This can be performed in either an outpatient hospital setting or by visiting your doctor’s office.
Newborns often don’t experience much discomfort during the procedure, since they receive either a local anesthetic or pacifier dipped in sugar water (sucrose). However, older children and adolescents may experience emotional distress from the procedure.
Mogen Clamp
Rabbi Harry Bronstein introduced the Mogen Clamp in 1954 as an efficient, speedy, and safe method for Circumcision Melbourne. It has become widely popularized throughout America and even received approval from R. Eliezer Silver (Ha-Pardes 30:1).
Unlike the Gomco clamp, which leaves a foreign object at the circumcision site, the Mogen clamp does not crush or cut into the glans. Instead, it follows the angle of the corona to gently remove excess skin ventrally and helps you sidestep unnecessary surgery.
For most newborns, this fast, simple and secure technique to learn is a quick-win solution with low risks of complications. As such, it has become widely adopted in Jewish hospitals around the world as an accepted standard practice.
Unicirc
The Unicirc technique is a safe, minimally invasive and scalable alternative to devices currently in use – including those recommended by the World Health Organization (WHO). It has been demonstrated to be faster than open surgical circumcision with fewer complications.
The Unicirc instrument is an economical single-use disposable device suitable for generalist doctors. It consists of an inner and outer ring that applies pressure on the foreskin to remove skin layers while sealing the wound with cyanoacrylate tissue adhesive.
Pollock Technique
The Pollock Technique is one of the most commonly used circumcision techniques. It requires only local anesthetic, with quick recovery times afterward.
A doctor inserts a small device into the penis, which is then secured in place with either a string or ligature and pulled over by the foreskin.
Circumcision is a commonly used method for newborn circumcision, though it has also been successfully performed on boys and men. Studies have demonstrated that this technique is more efficient, less painful, and safer than other circumcision methods such as glue, stitches, Shang ring device, ZSR or CircCurer (LangHe) staplers.
Around the world, Dr Simon Eriki of Gentle Procedures Dawson Creek is a trained circumcision specialist and performs both infant and adult circumcisions using this technique. If you have any queries regarding the process, he would be more than happy to provide answers.
Ligature Technique
The Ligature Technique is a method of circumcision in which the foreskin is cut, sutured and secured with a ligature. With its short operative time and low resource requirements, this procedure may be ideal for low resource settings.
However, this procedure may lead to various complications such as bleeding, infection, damage to the glans and urinary meatus, as well as ring retention. Complications can also arise if too much skin is removed or if skin separation is incomplete at the end of the procedure.
This study compared the efficiency and safety of the Ligature Technique with that of stapling in 55 pediatric patients at Cincinnati Children’s Hospital Medical Center (Cincinnati, OH) between March 2000 and March 2001. We measured operative time, operating room costs, as well as the percentage of LA cases that required readmission after their operation due to complications.
In the ligature group, there was a disperse and chronic inflammatory infiltrate composed primarily of lymphocytes in the subepithelial region that extended up until the epithelium, with a periodontal pocket surrounding the ligature. In comparison, this infiltrate was absent from the control group.