Adult circumcision can be performed using various methods, including the Shang ring device, ZSR or CircCurer (LangHe) staples suture device, glue, or traditional stitches. Each method has its own advantages and disadvantages.
Shang Ring Circumcision
Pros:
- Quicker procedure compared to stitches.
- Associated with shorter operative time, lower operation pain, higher satisfaction with penile appearance, less blood loss during operation, lower complications, and lower bleeding rate.
Cons:
- Wound healing takes longer than with stitches.
- Some cases show significant wound edge gap after removal of the Shang ring, leading to healing by secondary intention and scarring in some cases.
Circumcision with ZSR or CircCurer Staples Suture Device
Pros:
- Operative time, blood loss, pain, and complications are significantly lower compared to stitches.
- Shorter wound healing time, better cosmetic outcomes, lower pain, lower incidence of infection, less incision swelling, and fewer complications.
Cons:
- Higher treatment costs compared to stitches.
- Many patients require removal of residual staple nails.
- Requires further improvement.
Circumcision with Glue
Pros:
- Comparable results to stitches with significantly less time consumed.
- Less wound infection, bleeding, and superior cosmetic results.
- Mean operative time is shorter (14.2 minutes with glue vs. 24.4 minutes with sutures).
Cons:
- None explicitly mentioned in the provided content.
Conclusion
Based on medical literature and patient feedback at Thornhill Circumcision Clinic, circumcision with glue has shown superior results compared to other methods. It offers advantages such as better cosmetic outcomes, less operation time, and fewer complications.