Simple circumcision device: proof of concept for a single-visit, adjustable device to facilitate safe adult male circumcision.

Fertil Steril 2014 May 6;101(5):1266-70. Epub 2014 Mar 6.

Department of Urology, University of Washington Medical Center, Seattle, Washington; Veterans Administration Puget Sound Health Care System, Seattle, Washington.

Objective: To conduct a proof-of-concept study to determine the potential utility of a novel, adjustable single-visit, disposable device to facilitate rapid adult circumcision.

Design: Prospective pilot trial of a novel surgical device.

Setting: Tertiary care Veterans Administration medical center.

Patient(s): Five adult males.

Intervention(s): Circumcisions performed by junior trainees using an adjustable, single-size surgical-assist device constructed by the University of Washington Applied Physics Laboratory.

Main Outcome Measure(s): The attending surgeon and trainees completed standardized forms after each procedure to assess technical problems and ease of use. Follow-up visits were scheduled to evaluate adverse events, postoperative pain, cosmetic outcomes, and participant satisfaction at 3, 8, 30, and 90 days postoperatively.

Result(s): The average operative time was 16.4 minutes. All cases were performed with local anesthesia, and no case required electrocautery or conversion to standard surgery. At the postoperative day 3 visit, all subjects were happy with their results and would recommend the procedure to another patient. One participant had a minor wound separation noted at the 30-day visit that resolved during follow-up. There were no wound infections, hematomas, or other adverse events.

Conclusion(s): This proof-of-study suggests that the Simple Circumcision Device may facilitate delivery of safe adult male circumcision services.

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Source
http://dx.doi.org/10.1016/j.fertnstert.2014.01.048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874330PMC
May 2014
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