London Circumcision Clinic and Thornhill Circumcision Clinic strictly follow the guideline for 0-18 years.
Advice to the patients about the sending photos after operation via email or social media.
GMC has issued following good medical practice:
"Using social media has blurred the boundaries between public and private life, and online information can be easily accessed by others. You should be aware of the limitations of privacy online and you should regularly review the privacy settings for each of your social media profiles.
This is for the following reasons:
a. Social media sites cannot guarantee confidentiality whatever privacy settings are in place.
b. Patients, your employer and potential employers, or any other organisation that you have a relationship with, may be able to access your personal information.
c. Information about your location may be embedded within photographs and other content and available for others to see.
d. Once information is published online it can be difficult to remove as other users may distribute it further or comment on it."
Please do not send any photo to Dr. Khan, his secretory or clinic via email or any social media.
This is our strict policy of London Circumcision Centre and Thornhill Circumcision Centre according to GMC Good medicl practice.
Non-therapeutic male circumcision in children with a novel disposable ring - Circumplast improves the outcome as compared to the standard Plastibell device at a community clinic
Dr Khan presented this study the annual congress of European Society Pediatric Urologists at Herrogate, England, UK
PURPOSE
This cohort study will evaluate the early postoperative complications in Circumplast® and Plastibell®techniques, in a community clinic, for non-therapeutic male circumcision at Thornhill clinic and Leyton clinic.
MATERIAL AND METHODS
We reviewed the outcome of non-therapeutic male circumcision in children (n=1387) over a 1 year period (May 2014 to April 2015) in a community clinic, performed under local anaesthesia, by trained doctors with the backup of a trained paediatric surgeon. The technique was selected by doctors’ preference. Data was collected prospectively and early postoperative complications were compared between Circumplast® and Plastibell® circumcisions. Follow-up consultations were arranged if required.
RESULTS
The mean age was 18 ± 1.9 months (median 5.1) in Circumplast® circumcision (CC) and 9.4 ± 0.6 months (median 1.5) in Plastibell® circumcision (PC). Incidence of complications is significantly lower in CC (6.3% n=13/208) versus PC (13% n=154/1179) (p<0.05). Delayed ring separation/migration is significantly lower in CC (3.2% n=7/208) versus PC (8.7% n=102/1179) (p<0.05). Post-operative bleeding (0.5% vs 0.6% n= 1 vs 7), preputial adhesions (1.4% vs 2.4% n= 3 vs 28), and miscellaneous complications (0.5% vs 1% n= 1 vs 13) were lower but not statistically significant (p>0.5) in CC versus PC respectively. Postoperative use of antibiotics was higher in CC versus PC (6.7% vs 3.8% n=14 vs 45) but not statistically significant (P>0.05). In children under 6 months, the overall outcome in both groups is significantly better in comparison to 6 - 110 months old (p<0.05). Mean follow-up consultations were 19 days (range 1 to 373) in CC and 20 days (range 1 to 305) in PC.
CONCLUSIONS
Non-therapeutic male circumcision by the Circumplast® device has a significantly lower risk of early postoperative complications in a community clinic, especially migration/impaction of the ring when compared to the standard Plastibell® device.
source: ESPU 2016 website.
Methods of Adult and older boys Circumcision
Dorsal slit method:
The dorsal slit method for circumcision is mainly used for phimosis (tight foreskin) and paraphimosis. After a partial dorsal slit, the surgeon needs to identify the corona of the glans to cut the correct amount of foreskin.
Sleeve method
Freehand cutting of the skin
Forceps guided method
Use of forceps to cut the foreskin.
Freehand method
cutting with scissor
Shang Ring
disposable clamp to use
Glue vs stitches circumcision
glue to apply to skin edges.
