J Korean Androl Soc.  1997 Dec;15(2):157-163.

A simple, Cosmetic, and Safe Technique for Circumcision: Triple-Excision Method

• Moon HJ
• Kim SY

Abstract

BACKGROUND: Circumcisions are performed either prophylactically in the neonatal period or therapeutically at a later age. Numerous techniques and complications have been described in the literature. The most common complication of neonatal circumcision is the incomplete removal of the foreskin, and the most common complication of a later operation, particularly in adolescents and adults, is excision of too much skin, sometimes to the point of denuding the shaft. PURPOSE: To avoid unexpected and unpleasant postoperative results, I report my esperience with a new method of circumcision that has been using in the Sacred Heart Clinic for Urologic Diseases at Kwangju, Korea.
PATIENTS AND METHODS
Until the winter of 1996, among the boys and adults 6 to 42 years old 9mean 18.0) undergoing circumcisions, 90 patients had prophylactic or therapeutic circumcisions by the triple-excision technique. The first excision separates the outer and inner layer, the second trims the outer skin layer, and the third trims the inner mucosal layer. Removal of the correct amount of tissue is effected with minimal bleeding and risk to the frenal vessels, and damage to the urethra and glans in virtually impossible. The penis was checked by the physician 24 hours, 4days, and 1 week after the circumcision.
RESULTS
No patient required recircumcision for cosmetic reasons because of incomplete or excessive removal of the foreskin. There were no major complications, although four patients (5%) had a superficial wound infection.
CONCLUSION
This procedure was simple, and the functional results were invariably satisfactory. Patients and parents of boys were pleased with the results of this new procedure.

MeSH Terms

Adolescent
Adult
Circumcision, Male*
Female
Foreskin
Gwangju
Heart
Hemorrhage
Humans
Korea
Male
Parents
Penis
Skin
Urethra
Urologic Diseases
Wound Infection