Circumcision with Thermocautery after Local Anesthesia in Males: A Retrospective Single-center Study with 1821 Patients

This study aimed to examine the short and long-term complications of thermocautery-assisted circumci-sions with local anesthesia done in a sterile environment in operating room conditions, accompanied by literature.

The participants who consecutively underwent thermocautery-assisted circumcision with local anesthesia from June 2018 to May 2019 were included in the study. They were one month-17 years old, same ethnic origin, in same location. The age groups were compared in terms of complications.

The participant age and surgical duration means were 4.89 ± 2.08 (30 days-17 years) years old and 7.484 ± 1.524 (5-20 minutes) minutes, respectively. Complications were observed in fifty-three participants or 2.9% of the whole observation set. The participants under intervals of one six months and over 6 years of age had signif-icantly lower complication rates when compared to the other participants, and this comparison was statistically significant (P = 0.001).

The study results demonstrated that circumcision with thermocautery after local anesthesia is a vi-able, reliable, and effective method. It can be assumed that circumcisions in males especially may be effective in 1-6 months, and over 6 years of age. Parents choose this method because it is more appropriate and eliminates the risk of general anesthesia.