{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T07:40:15Z","timestamp":1792309215302,"version":"4.4.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      Circumcision is a simple procedure, but it is not free from complications. New methods have recently been developed, including the circular stapler CircumCYS\n                      <jats:sup>\u00ae<\/jats:sup>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods:<\/jats:title>\n                    <jats:p>This a retrospective analysis of our institutional series of 80 consecutive procedures. The stapler consists of a inner bell (in six different sizes), that it is designed to protect the gland, a pistol with a trigger, a circular scalpel and a stapler for the suture. The circumference of the penile shaft is measured at the level of the balano-preputial fold with the provided device. No antibiotic prophylaxis was necessary. A Dorsal Penile Nerve Block (DPNB) were performed by the urologist. Data were collected from medical records 14\u2009days and 1\u2009month after the surgery. Complication rate and Visual Analog Scale were investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eighty patients were treated between August 2023 and January 2024. The average operating time was 10\u2009min (ds 6). Postoperatively we observed three scar edemas and two minor bleedings. The most common complication was the incarceration of the metal stitches within the scar (five cases). The average time for the stitches to fall out was 24.9\u2009days (ds 3.9). Pain was consistently well-controlled (Visual Analog Scale 2\/10 one hour post-surgery - ds 0.8).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      CircumCYS\n                      <jats:sup>\u00ae<\/jats:sup>\n                      is a reliable, safe and easy-to-use tool. The technique is very fast and this allows the execution of many circumcisions in a single session. The learning curve appears minimal.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603261447737","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T04:58:07Z","timestamp":1778043487000},"page":"785-789","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Adult male circumcision with a circular stapler: Is this the new standard?"],"prefix":"10.1177","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8844-4311","authenticated-orcid":false,"given":"Luciano","family":"Ola","sequence":"first","affiliation":[{"name":"Division of Urology, AO Santa Croce e Carle, Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Pini","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Oncology, AOU San Luigi Gonzaga, Orbassano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9029-2280","authenticated-orcid":false,"given":"Giovanni","family":"Busacca","sequence":"additional","affiliation":[{"name":"Division of Urology, AO Santa Croce e Carle, Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ettore","family":"Dalmasso","sequence":"additional","affiliation":[{"name":"Division of Urology, AO Santa Croce e Carle, Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliette","family":"Meziere","sequence":"additional","affiliation":[{"name":"Division of Urology, AO Santa Croce e Carle, Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Poletti","sequence":"additional","affiliation":[{"name":"Division of Urology, AO Santa Croce e Carle, Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola Irene","family":"Ornaghi","sequence":"additional","affiliation":[{"name":"Division of Urology, AO Santa Croce e Carle, Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Aimar","sequence":"additional","affiliation":[{"name":"Division of Urology, AO Santa Croce e Carle, Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Dutto","sequence":"additional","affiliation":[{"name":"Division of Urology, AO Santa Croce e Carle, Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivano","family":"Morra","sequence":"additional","affiliation":[{"name":"Division of Urology, AO Santa Croce e Carle, Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"crossref","unstructured":"Hayashi Y Kojima Y Mizuno K et al. Prepuce: phimosis paraphimosis and circumcision. ScientificWorld Journal 2011; 11: 289\u2013301. https:\/\/doi.org\/10.1100\/tsw.2011.31","DOI":"10.1100\/tsw.2011.31"},{"issue":"2","key":"e_1_3_2_3_2","first-page":"8204","article-title":"Indications for adult circumcision: a contemporary analysis","volume":"23","author":"Siev M","year":"2016","unstructured":"Siev M, Piruz Motamedinia MK. Indications for adult circumcision: a contemporary analysis. Arthur Smith Can J Urol 2016; 23(2): 8204\u20138208.","journal-title":"Arthur Smith Can J Urol"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3182387abd"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60312-2"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1590\/1414-431x20154530"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/aja.2010.59"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2006.02.009"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.09.072975"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.5414"},{"key":"e_1_3_2_11_2","doi-asserted-by":"crossref","unstructured":"Tuncay T \u00c7ak\u0131ro\u011flu B Ekici U. Cosmetic results of circumcision and scar wrinkling: do we exaggerate in terms of hemostasis and sutures? Urologia 2022; 89(1): 108\u2013113. https:\/\/doi.org\/10.1177\/039156032091152","DOI":"10.1177\/0391560320911526"},{"key":"e_1_3_2_12_2","doi-asserted-by":"crossref","unstructured":"Hohlfeld A Ebrahim S Shaik MZ et al. Circumcision devices versus standard surgical techniques in adolescent and adult male circumcisions. Cochrane Database Syst Rev 2021; 3: CD012250. https:\/\/doi.org\/10.1002\/14651858.CD012250.pub2","DOI":"10.1002\/14651858.CD012250.pub2"},{"key":"e_1_3_2_13_2","doi-asserted-by":"crossref","unstructured":"Zhang G Luo Y Cheng S et al. Optimizing treatment strategies for pediatric phimosis and redundant prepuce: a comparative study of traditional circumcision and disposable circumcision stapler. 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