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An Overview of Circumcision and a Modification that Prevents Glans Injuries and Cosmetic Problems in Patients with Circumcision made with the Guillotine Technique

Kahraman Topsakal*

Aim: Despite being an age-old practice, ongoing research and development are needed to improve the procedure to enhance its safety, efficacy and client satisfaction. The Guillotine technique, which is one of the most common methods, has been criticized for causing possible glans injuries and nonpleasing cosmetic results, especially when an inexperienced person tries it out. This research paper introduces the Modified Guillotine Technique (MGT), which was designed to address these issues.

Materials and Methods: This retrospective study involved analyzing 2853 miscarriages performed between 2006 and January 2022 using MGT on males aged between one month and fourteen years. The safety and efficiency of indirect wound healing through cosmetic outcomes and pain management via MGT were also examined.

Results: Compared with the traditional Guillotine technique, MGT was used in different age groups without any significant increase in operation time, thus indicating the continuation of treatment efficacy. It is important to note that there were no reports of gland injuries, while complication rates did not differ significantly from those obtained with other methods, thus emphasizing the safety and efficacy of MGT.

Conclusion: The Modified Guillotine Technique represents a major advance in circumcision practice by combining the effectiveness of the Guillotine method with an improved safety profile and cosmetic outcomes. By significantly reducing the risks associated with glomerular injury, but with the maintenance of procedural time and the addition of new complications, MGT offers a viable option for routine circumcisions worldwide.

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