Circumcision: a refined technique and 5 year review

The vast majority of circumcisions currently performed in the UK are for ph imosis or balanitis and the patients are not looking for the denuded glans appearance of a ritual circumcision. We present a refinement of the sleeve technique of circumcision, which involves Horton's test to define the proxi mal incision margin, and bipolar electrodissection. A review of all patient s undergoing circumcision at the Wordsley Plastic Surgery Unit, in a 5-year period, has shown this technique to be safe with a haematoma rate of only 1.4%, and an overall complication rate of 3%.