We aim to report the outcomes of circumcisions performed with Alisclamp and our experiences to reduce the complications. Materia and methods: Complications among circumcised males with Alisclamp between 2015 and 2018 were retrospectively analyzed. Patients were divided into two groups: Group 1 (n=1429); patients circumcised in 2015-2016 and Group 2 (n= 3304); patients circumcised in 2017-2018. The different technical approaches in Group 2 are as follows: 1) Prevention of bleeding: In Group 2, we didn?t pull the ventral prepuce to reduce the risk of frenulum injury and the foreskin was excised approximately 1-2 mm above the base. 2) Prevention of secondary phimosis: In Group 2, regular manual pressure had been applied to mons pubis and we postponed some of the overweight children?s circumcision. 3) Prevention of excessive foreskin: Clamp was placed carefully to prevent the glans from moving back and forth.
Secondary phimosis was signi?cantly lower in Group 2 (p=0,003). Total bleeding and bleeding requiring suturing were significantly lower in Group 2 (p=0,001 and p=0,026, respectively).
Technique-specific complications of Alisclamp can reduce with technique-specific modifications.