SLEEVE RESECTION CIRCUMCISION METHOD

Sleeve Resection method is a common method of circumcision and only takes around half an hour to perform. It is appropriate for infants, young boys and adults though it is more suitable for young boys and adults.

This involves incisions made with a scalpel in both the outer and mucosal surfaces of the foreskin. First the foreskin is slid back along the shaft and a freehand cut is made around the shaft as far back as the scar line is to be placed. The foreskin is then returned to cover the glans and another cut is made around the shaft at the same position along its length as the first. A longitudinal cut is made between the two circumferential cuts and the strip of skin is removed. Any bleeding during the procedure is stopped with the use of Bipolar Diathermy (electrocautery). The two edges are then pulled together and fine absorbable sutures on a atraumatic cosmetic surgery needle are applied. At the end of the procedure the wound is first covered with Gelonet (a gauze lubricated generously with petroleum jelly) and finally by a clean gauze on top of it.

The recognised but rare risks of the procedure are: bleeding (rare but definite), infection, and residual excess skin remaining.