Taking a short medical course in surgical circumcision techniques is a thorough and efficient way for doctors to acquaint themselves with the latest devices and techniques favoured by circumcision doctors.
Estimations by Population Health Metrics, published on the Bio Medical Central (BMC) website of circumcision rates in the 237 countries and territories of the world shows it is highest in many African and Middle Eastern countries where often 80 to 90 % of males are circumcised.
Surprisingly, the figure in the US is also high at 71.2%. Many American doctors, and the American Academy of Pediatrics (AAP), advocate circumcision for newborns to avoid penile health issues during childhood, adolescence and even as adults. The AAP also cites the public health benefits of male circumcision.
Plastibell
This device is bell-shaped and has a groove on the back, enabling it to be placed between the prepuce and the glans. A dorsal slit will usually need to be made before the Plastibell is placed in position.
Pulling the prepuce slightly forward allows the doctor to place the suture material into the groove and tie it tightly. The blood supply to the prepuce above the groove is cut off by the tight suture material resulting in the prepuce withering and dropping off within a week to ten days.
The advantage of this surgical circumcision techniques is a low risk of bleeding. The drawbacks are that the doctor may not use the correct bell size or may not pull the suture material tight enough to cut off the blood supply to the prepuce distal to the groove, resulting in complications. Complications could include failure of the prepuce to shrivel and drop off or necrosis of the glans.
Mogen Clamp
The doctor using this surgical circumcision technique will pull the prepuce out over the glans. The Mogen clamp is a metal shield positioned over the prepuce above the glans.
The prepuce distal to the shield is removed with a scalpel. The wound is bandaged to control bleeding. The clamp protects the glans and frenulum so there can be no accidental damage. There are a few other details to this surgical circumcision techniques which involves no suturing. The primary concern with this method is bleeding.
Gomco Clamp
With the Gomco2, the doctor performing this surgical circumcision techniques will ensure the prepuce is fully retracted before placing a metal bell over the glans. Once this is done, the surgeon will make a dorsal slit and replace the prepuce over the bell of the device. A metal plate is placed over the bell and prepuce, fitting tightly into the rim. The prepuce is isolated between the bell and plate, enabling the doctor to tension a bar that keeps the foreskin in place. The doctor will then use a scalpel around the edge of the plate, removing the foreskin. As with the Plastibell device, the glans and frenulum are protected from accidental injury.
Tara Clamp
The main difference between this Malaysian invention and the Plastibell is that no suture material is wound into the groove to cause the prepuce to shrivel and fall off. Instead, a plastic clamp fits into the groove trapping the prepuce tightly, with the same result as the suture material. The benefits are a low risk of bleeding and protection of the glans, but the drawbacks could be a failure of the prepuce to drop off if blood supply can still get through to the prepuce.
Shang Ring
The Chinese Shang Ring from has been used all over the world, especially in Africa there has been a need to perform fast and efficient adult male circumcision to address the transmission of HIV AIDS.
The device consists of two plastic rings that lock over each other once the prepuce has been trapped between them. No suturing is needed, making it one of the fastest and most efficient surgical circumcision techniques. The Shang Ring comes in various sizes, and the doctor must choose the right size for the patient. This ensures a good outcome as the ring will remain in place for a few days.
According to a review published in Urologia Internationalis, the Shang Ring has a low incidence of complications, less blood loss and less pain than other methods. The Shang Ring is popularly used in surgical circumcision techniques for adult circumcisions. The reviewers stress the importance of post-procedural care and hygiene quality in avoiding complications.
The surgical circumcision techniques that circumcision doctors will learn during a short online course for circumcision are all reasonably similar, involving various types of clamps.
There are several finer points to the various methods discussed and demonstrated during the online health course that ensure the best outcomes for the patient.
To find out more about learning surgical circumcision techniques with Small Surgery Courses, contact us today.