Circumcision, a surgical procedure to remove the foreskin of the penis, is a widely performed operation with cultural, religious and medical significance. Although commonly done in the neonatal period, it can be performed at any age. Originating around 15,000 years ago for ritualistic purposes, circumcision became medically recognized in the 19th century. Globally, one‐third of men are circumcised, with religious practices dominating among Jews, Muslims and other ethnic groups, while medical indications like phimosis are more prevalent in Western countries. Medical conditions such as diabetes mellitus and lichen sclerosus, linked to penile cancer, are common reasons for circumcision. Additional benefits include reduced risks of urinary tract infections (UTIs), HIV, HPV, syphilis, herpes and penile cancer, as well as decreased cervical cancer rates in sexual partners. Circumcision methods are categorized as device‐based or classical surgical approaches, including Gomco clamp, Plastic bell and the Sleeve technique. The Sleeve technique is widely favored for its precise excision of prenuptial layers, reduced complications and favorable cosmetic outcomes. Frenulum‐sparing techniques, which preserve the frenulum to minimize ischemic pain and improve patient satisfaction, are gaining attention. However, comparative studies on the safety and efficacy of the Sleeve versus frenulum‐sparing techniques remain limited. This review investigates these techniques to evaluate their outcomes, safety profiles and complications.
Meghraj J. Chawada, Snehal Sakhare, Gangadhar L. Anmod and Sudhir Deshmukh. A Comparative Study of Frenulum Sparing Circumcision: Versus Sleeve Technique of Circumcision.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.114.117
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.114.117