Abstract

Objective: To evaluate the safety and efficacy of stapler-assisted circumcision.

Methods: This prospective cross-sectional study included all patients who underwent stapler-assisted circumcision for phimosis and other foreskin-related conditions at the Department of Urology, Hue Central Hospital, and the Department of General Surgery, Hue Central Hospital - Branch 2, between October 2018 and October 2023.

Results: A total of 339 patients underwent stapler-assisted circumcision. The mean age was 32.5 ± 17.35 years (range, 4-84 years). Isolated phimosis was the most common indication, accounting for 83.48% of cases, followed by frenulum breve (2.95%), cicatricial phimosis (6.49%), and balanopreputial adhesions secondary to inflammation (7.08%). The mean operative time was 5.25 ± 1.28 minutes, and the mean postoperative hospital stay was 1.12 ± 0.78 days. Postoperative complications occurred in 28 patients (8.26%), including postoperative bleeding (2.95%), surgical site infection (2.95%), severe edema (1.47%), and hematoma (0.89%). At 1 month after surgery, 99.11% of patients achieved a favorable cosmetic outcome based on the Stony Brook Scar Evaluation Scale (SBSES).

Conclusion: Stapler-assisted circumcision is a safe and highly effective surgical technique with a low complication rate, shorterned postoperative hospital stay, and excellent cosmetic outcomes.