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Content Advisory: | This page includes images of child patients. The ability of the Ali’sKlamp to do tight circumcisions can only be illustrated with reference to a child patient. |
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Content Advisory: | This page includes images of child patients. The ability of the Ali’sKlamp to do tight circumcisions can only be illustrated with reference to a child patient. |
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Manufacturer’s photograph |
Appearance of scar line in a child patient |
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Two photographs of the same boy, age 8 years 4 months at circumcision, 25 days after the Ali’sKlamp was applied. Click the images to enlarge. Use the Back button of your browser to return to this page. Motivation for circumcision: Religious obligation. |
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Tight styles of circumcision in child patients |
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Left: A boy age 9 years 2 months at circumcision, 15 days after the Ali’sKlamp was applied. Right: A boy age 5 years 6 months at circumcision, 17 days after the Ali’sKlamp was applied. Click the images to enlarge. Use the Back button of your browser to return to this page. For reasons associated with Turkish cultural norms, no ‘before’ photographs exist of these patients. Motivation for circumcision: Religious obligation. |
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Trial results - The Ali’sKlamp in adult sizes |
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Patients in the 18-49 age group, shown here 2 and 44 days after the clamp was applied. Click the images to enlarge. Use the Back button of your browser to return to this page. Motivation for circumcision: Public health campaign / HIV prophylaxis. |
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Minimally invasive circumcision with a novel plastic clamp technique: a review of 7,500 cases. Senel FM, Demirelli M, Oztek S.
Dr. Sami Ulus Children’s Hospital, Ankara, Turkey.
PURPOSE: We aimed to analyze the outcome of circumcisions performed with a new minimally invasive circumcision device. METHODS: This is the first study, which reports the results of 7,500 children circumcised with minimally invasive technique utilizing a plastic clamp device (Ali’s Clamp ®) in our country. The results of this technique are compared to those of 5,700 children who underwent conventional circumcision.
RESULTS: The most common complication encountered after minimally invasive circumcision technique was found to be buried penis (1.04%). The second complication observed was infection (0.6%), which was significantly lower than the conventional group (p < 0.001). The third complication in plastic clamp group was bleeding with a rate of 0.4%. Bleeding was found to be the most common complication seen after conventional circumcision (5%) and was significantly higher than that of the plastic clamp group (p < 0.001). Total number of complications seen after plastic clamp technique was 2% when compared with 10.4% complication rate occurred after conventional circumcision (p < 0.001). The mean duration of circumcision time with plastic clamp technique was 4.5 ± 1.5 minutes whereas with conventional circumcision it was 23 ± 4 minutes (p < 0.0001).
CONCLUSION: Minimally invasive circumcision technique utilizing plastic clamp significantly reduced the complication rates. The cosmetic appearance after circumcisions performed with this technique was observed to be better than the conventional circumcisions. Due to reduced complications, as well as short duration and ease of application, the minimally invasive technique is suggested as the circumcision procedure of choice.
PMID: 20532526 [PubMed].
CIRCLIST Editor’s note:
This article appears to mis-use the term Buried Penis. In the full article, the authors define it as "healing of wound edges above the glans penis... causing a constrictive ring at this level resulting in phimosis", a matter unrelated to any issue involving a short suspensory ligament within the abdomen. A better term for the problem they seek to describe might be "Induced phimosis resulting from scar line constraint" - after initial definition shortened to just "scar line constraint".
