Abstract
BackgroundTo evaluate the efficacy and safety of Holmium YAG laser circumcision in adolescents.MethodsEighty-one patients underwent circumcision for medical reasons, and patients’ requests were collected retrospectively during February 2017 to February 2019. They were divided into two groups: Holmium YAG laser (group 1, n = 41) and conventional group (group 2, n = 40). The guillotine method with a Holmium YAG laser was applied for circumcisions, and all the procedures were performed by a single urologist who was well-experienced with circumcision practices.ResultsThe average age of group 1 was 15.53 ± 7.35 years old, and the average age was 16.34 ± 9.22 years old in group 2. There was no significant difference in age and indications. The average operative time was significantly shorter in group 1 than in group 2 (24.40 ± 3.94 vs. 27.25 ± 4.35 min, p < 0.01). The estimated blood loss was less in group 1 compared to group 2. There were fewer complications in group 1 than in group 2 (3/41 vs. 10/40, p < 0.01) and patients also felt less pain in group 1 (p < 0.01). All patients tolerated this procedure without severe side effects.ConclusionsThe use of Holmium YAG laser in circumcision is a novel, less complicated, easy, and less painful alternative procedure for circumcision in young males.
Highlights
To evaluate the efficacy and safety of Holmium YAG laser circumcision in adolescents
The estimated blood loss was less in group 1 compared to group 2
The Holmium YAG laser has been reported to be effective for the treatment of soft tissue pathologies, such as Holmium laser enucleation of the prostate (HoLEP), upper tract urothelial carcinomas, and urinary strictures
Summary
To evaluate the efficacy and safety of Holmium YAG laser circumcision in adolescents. Circumcision is a common procedure in penile surgery. It can be performed using several methods and materials, including a conventional scalpel or laser technique [1, 2]. The benefits of using a laser in circumcision include accurate cutting, hemostasis, and less tissue damage and pain [3, 4]. The most commonly used types of lasers are carbon dioxide (CO2) lasers and neodymium: yttrium–aluminum–garnet (Nd-YAG) lasers. It is thought that these devices enable dry incisions and minimal tissue damage [5, 6]. Our department first introduced the Holmium YAG laser for circumcision.
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