You have accessJournal of UrologyPediatrics1 Apr 2010V1105 SUTURELESS AND SCALPELFREE CIRCUMCISION Jonathan Kalisvaart, Jonathan Kaye, James Elmore, Wolfgang Cerwinka, Scott Cuda, and Andrew Kirsch Jonathan KalisvaartJonathan Kalisvaart More articles by this author , Jonathan KayeJonathan Kaye More articles by this author , James ElmoreJames Elmore More articles by this author , Wolfgang CerwinkaWolfgang Cerwinka More articles by this author , Scott CudaScott Cuda More articles by this author , and Andrew KirschAndrew Kirsch More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2302AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Circumcision is one of the most common procedures performed by the pediatric urologist. In an attempt to improve the efficiency of the procedure, we previously reported our success with sutureless circumcision using 2-octyl cyanoacrylate (2-OCA; Dermabond®) in 267 patients. We have since modified our technique further by making all skin incisions with electrocautery on cutting current. We demonstrate this technique in this video. METHODS We have performed a total of 741 circumcision revisions and primary circumcisions using electrocautery and 2-OCA and 267 using standard sutured technique since July 1, 2006. The surgical technique for was the same for all patients: (1) circumferential inner incision using electrocautery on cutting current; (2) circumferential outer incision using electrocautery (3) removal of foreskin (4) hemostasis with electrocautery (4) approximation of skin edges with 2-OCA (5) application of antibiotic ointment. Compiled data included: operative times, complications, and parental and surgeon satisfaction. RESULTS Between July 1, 2006 and October 1, 2009, we performed 741 primary circumcision or circumcision revisions using 2-OCA. Mean operative time using 2-OCA was 8 minutes (range: 6-18). At mean follow-up of 18 months (range 1-39 months) a total of 3 were re-admitted for bleeding and one patient underwent re-operation for synechiae. CONCLUSIONS The combined use of electrocautery and 2-OCA for circumcisions is a safe, efficient and cosmetically appealing alternative to traditional circumcision performed with scalpel and sutures. Atlanta, GA© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e429 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jonathan Kalisvaart More articles by this author Jonathan Kaye More articles by this author James Elmore More articles by this author Wolfgang Cerwinka More articles by this author Scott Cuda More articles by this author Andrew Kirsch More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...