Novel Plastic Circumcision Template Trims Procedure Time

Adult patients report similar satisfaction and sexual function as with standard circumcision

MONDAY, Nov. 22 (HealthDay News) -- Performing adult circumcision using a novel plastic template reduces procedure duration by almost 24 percent and delivers results similar to the standard sleeve procedure, according to a report in the October issue of Urology.

Brian Decastro, M.D., of the Madigan Army Medical Center in Tacoma, Wash., and colleagues randomized 30 adult men to undergo circumcision using the template made from polyvinyl chloride pipe or a standard sleeve. The patients took the Male Sexual Health Questionnaire before the procedure and again eight to 10 weeks after. Two participants in the sleeve group were lost to follow-up.

The researchers found that the procedure duration was nearly 24 percent shorter in the template group (mean 27.5 minutes) than in the standard sleeve circumcision group (mean 36.0 minutes). There were no significant differences for blood loss, anesthetic used, patient satisfaction, cosmetic appearance, or sexual health change.

"The results of the present study have indicated that this novel new technique to perform adult circumcision is safe and rapid and provides an acceptable cosmetic result for the patient. This simple procedure could prove to be a useful tool for health organizations to help implement broad programs offering circumcision as a possible prophylactic procedure to prevent the spread of HIV," the authors write.

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