• Alev Süzen, Süleyman Cüneyt Karakuş, and Nazile Ertürk.
• Department of Pediatric Surgery, Muğla Sıtkı Koçman University, Faculty of Medicine, Muğla, Turkey
• Turk J Med Sci. 2021 Jun 28; 51 (3): 132413301324-1330.

Background/AimWe aim to report the outcomes of circumcisions performed with Alisclamp and our experiences to reduce the complications.Material And MethodsComplications among circumcised males with Alisclamp between 2015 and 2018 were retrospectively analyzed. Patients were divided into two groups: Group 1 (n = 1429); patients circumcised in 2015–2016 and Group 2 (n = 3304); patients circumcised in 2017–2018. The different technical approaches in Group 2 are as follows: 1) Prevention of bleeding: In Group 2, we didn’t pull the ventral prepuce to reduce the risk of frenulum injury and the foreskin was excised approximately 1–2 mm above the base. 2) Prevention of secondary phimosis: In Group 2, regular manual pressure had been applied to mons pubis and we postponed some of the overweight children’s circumcision. 3) Prevention of excessive foreskin: The clamp was placed carefully to prevent the glans from moving back and forth.ResultsSecondary phimosis was significantly lower in Group 2 (p = 0.003). Total bleeding and bleeding requiring suturing were significantly lower in Group 2 (p = 0.001 and p = 0.026, respectively).ConclusionTechnique-specific complications of Alisclamp can reduce with technique-specific modifications.This work is licensed under a Creative Commons Attribution 4.0 International License.

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