Circumcision is one of the earliest surgical procedures performed by humans, with a history of over 5000 years. The ideal circumcision surgery should have the advantages of simple operation, safety, mild pain, high appearance satisfaction, and minimal impact on daily life. The traditional circumcision surgery is currently the most widely used circumcision procedure in clinical practice, accepted by most male doctors and patients. However, the pace of improving and innovating circumcision procedures has never stopped.
Phimosis and foreskin elongation are common male genital diseases. Long term foreskin, especially phimosis, hinders the development of the penis, affects the quality of sexual life, and in severe cases can lead to infertility. It can also cause urinary tract infections and increase the incidence of genital tumors. A large number of studies at home and abroad show that circumcision can significantly reduce the infection rate of HIV and other male and female reproductive tract diseases, as well as the incidence of genital tumors; It has been reported that about 75% of males may experience varying degrees of prolonged sexual activity after circumcision.
The traditional circumcision surgery has a long history and definite therapeutic effect, but the operation is relatively complex. During the surgery, it is necessary to ligate and stop the bleeding of damaged superficial penile veins and/or small arteries in the frenulum of the foreskin, resulting in significant trauma, excessive bleeding, long operation time, and obvious pain. At the same time, due to the varying levels of proficiency among surgeons, it is difficult to control the length of the foreskin and frenulum during surgery, which can easily cause the frenulum to be too short and the cutting edge to be irregular, affecting aesthetics. With the improvement of living conditions, people's awareness and requirements for health are constantly increasing, and this type of surgery is often difficult for most patients to accept.
Circumcision is an improvement on traditional surgical techniques, which significantly simplifies the operation process. Through the continuous force between the cerclage line and the inner ring, the blood flow supply between the inner and outer plates is blocked, causing necrosis and detachment of the distal tissue of the ring and natural healing of the cutting edge.
The circumcision stapler is a surgical instrument that combines cutting and suturing for phimosis and foreskin elongation. Its working principle is similar to that of a tubular gastrointestinal stapler, simplifying surgical operations and making complex surgeries simple, convenient, fast, safe, and easier to standardize. We found significant advantages over Group C in terms of surgical time, intraoperative bleeding, and intraoperative pain. The circumcision stapler evenly and tightly sews the tissue by firing and implanting a single row of staples into the tissue, avoiding hand suturing that is too loose or too tight, and ensuring good tissue healing and aesthetic appearance. There is no pain in removing the thread and ring after surgery, and it also reduces the swelling and pain of the foreskin caused by the ring getting stuck during circumcision
Circumcision and suturing of the foreskin is more expensive than traditional surgery and cerclage, but due to its advantages of simple operation, safety, minimally invasive, and aesthetic appeal, as well as the continuous improvement of social and economic levels, it will be increasingly accepted by more and more patients.
In summary, the disposable circumcision stapler, as a novel surgical method for circumcision, has significant advantages and is worthy of further research, development, and clinical promotion.