Presented at the annual meeting of the Association of Surgeons of The Netherlands on 18–19 May 2000.
Religious circumcision under local anaesthesia with a new disposable clamp
Article first published online: 20 DEC 2001
Volume 88, Issue 6, pages 581–585, October 2001
How to Cite
Schmitz, R.F., Schulpen, T.W.J., Redjopawiro, M.S., Liem, M.S.L., Madern, G.C. and Van Der Werken, C. (2001), Religious circumcision under local anaesthesia with a new disposable clamp. BJU International, 88: 581–585. doi: 10.1046/j.1464-4096.2001.02399.x
- Issue published online: 7 JUL 2008
- Article first published online: 20 DEC 2001
- Accepted for publication 28 June 2001
- cosmetic result;
- patient satisfaction
Objective To compare the results using a new disposable clamp (the Taraklamp Circumcision Device®, TCD, Taramedic Europe BV, Bilthoven, The Netherlands), used since 1998 in one clinic, and the conventional dissection technique (CDT) in another clinic, for religious circumcision in infants.
Subjects and methods The TCD and CDT were compared prospectively; the duration of the procedure, complications and postoperative pain were recorded. The cosmetic result and the degree to which the parents were satisfied were evaluated after 6 weeks. After obtaining informed consent, 275 boys were included in the study (median age 3 years).
Results The median operative duration was 8 min less for the TCD (15 vs 7 min; P < 0.001). There was no difference in complication rate (bleeding in one vs two; infection in two vs three) and postoperative pain was comparable in both groups. The cosmetic results were better for the TCD group (P < 0.001). The parents' satisfaction score for the procedure was equal in the groups, at 8, on a scale of 1 (very bad) to 10 (extremely good).
Conclusion A religious circumcision outside the hospital with the TCD is quicker and leads to a better cosmetic result than with the CDT, without increasing morbidity.