{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:32:40Z","timestamp":1787020360915,"version":"build-2736575974"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Urol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Circumcision is the most common surgical procedures performed in males. Medical circumcision is recommended for diseases such as phimosis, paraphimosis, balanoposthitis and common urinary tract infections, although there is no exact indication. Conversely, Jewish and Muslim individuals commonly undergo circumcision regardless of medical necessity. Circumcision devices are designed to shorten surgery time, achieve an aesthetic appearance and ensure safe surgery. The aim of this study is to evaluate the effectiveness of the NeoAlis clamp, a disposable circumcision device, by comparing it with the sleeve technique in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>Between 2017 and 2023, retrospective evaluation of 2626 patients who underwent circumcision using either the NeoAlis clamp (group 1) or the sleeve technique (group 2) was conducted. Operation time, results, cost, complications were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study encompassed 2626 patients who fulfilled the inclusion criteria. Group 1 comprised 2403 patients, whereas Group 2 consisted of 223 patients. The overall complication rate, as denoted by\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200947, was 1.7%. Group 1 operation time was shorter than group 2. Bleeding, the most feared complication in the early period, was higher in the second group. No statistically significant difference was observed between the two groups regarding cost comparison.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The primary concern during circumcision is to avoid complications related to general anesthesia in newborns and infants. The use of disposable ring devices has been facilitated by the shorter operation time and the absence of the need for sutures when performing circumcision under local anesthesia. However, knowledge of advanced surgical circumcision techniques is necessary in cases of bleeding and inappropriate ring placement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12894-024-01513-9","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T05:21:38Z","timestamp":1718342498000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparative analysis of two methods in circumcision: a new disposable device versus classic sleeve technique"],"prefix":"10.1186","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3454-5538","authenticated-orcid":false,"given":"Sinan","family":"K\u0131l\u0131\u00e7","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"issue":"3","key":"1513_CR1","doi-asserted-by":"publisher","first-page":"e756","DOI":"10.1542\/peds.2012-1990","volume":"130","author":"American Academy of Pediatrics Task Force on Circumcision","year":"2012","unstructured":"American Academy of Pediatrics Task Force on Circumcision. Male circumcision. Pediatrics. 2012;130(3):e756\u201385. https:\/\/doi.org\/10.1542\/peds.2012-1990.","journal-title":"Pediatrics"},{"issue":"5","key":"1513_CR2","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1038\/s41443-021-00438-3","volume":"34","author":"FW Timmermans","year":"2022","unstructured":"Timmermans FW, Mokken SE, Poor Toulabi SCZ, Bouman MB, \u00d6zer M. A review on the history of and treatment options for foreskin reconstruction after circumcision. Int J Impot Res. 2022;34(5):424\u201333. https:\/\/doi.org\/10.1038\/s41443-021-00438-3.","journal-title":"Int J Impot Res"},{"issue":"5","key":"1513_CR3","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1001\/jama.2012.60","volume":"307","author":"JD Klausner","year":"2012","unstructured":"Klausner JD, Morris BJ. Benefits of male circumcision. JAMA. 2012;307(5):455\u20137. https:\/\/doi.org\/10.1001\/jama.2012.60.","journal-title":"JAMA"},{"issue":"2","key":"1513_CR4","doi-asserted-by":"publisher","first-page":"e54772","DOI":"10.7759\/cureus.54772","volume":"16","author":"B Morris","year":"2024","unstructured":"Morris B, Rivin BE, Sheldon M, Krieger JN. Neonatal male circumcision: Clearly Beneficial for Public Health or an ethical dilemma?. Syst Rev Cureus. 2024;16(2):e54772. https:\/\/doi.org\/10.7759\/cureus.54772. Published 2024 Feb 23.","journal-title":"Syst Rev Cureus"},{"issue":"2","key":"1513_CR5","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1007\/s00345-008-0302-z","volume":"27","author":"MC Bleeker","year":"2009","unstructured":"Bleeker MC, Heideman DA, Snijders PJ, Horenblas S, Dillner J, Meijer CJ. Penile cancer: epidemiology, pathogenesis and prevention. World J Urol. 2009;27(2):141\u201350. https:\/\/doi.org\/10.1007\/s00345-008-0302-z.","journal-title":"World J Urol"},{"issue":"288","key":"1513_CR6","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.revinf.2023.01.030","volume":"72","author":"M Garenne","year":"2023","unstructured":"Garenne M, Stiegler N, Bouchard JP. Circoncision et pr\u00e9vention du VIH en Afrique australe: les recommandations de l\u2019OMS en question [Circumcision and HIV Prevention in Southern Africa: WHO recommendations questioned]. Rev Infirm. 2023;72(288):34\u20136. https:\/\/doi.org\/10.1016\/j.revinf.2023.01.030.","journal-title":"Rev Infirm"},{"issue":"12","key":"1513_CR7","doi-asserted-by":"publisher","first-page":"1299","DOI":"10.1111\/jpc.14206","volume":"54","author":"S Prabhakaran","year":"2018","unstructured":"Prabhakaran S, Ljuhar D, Coleman R, Nataraja RM. Circumcision in the paediatric patient: a review of indications, technique and complications. J Paediatr Child Health. 2018;54(12):1299\u2013307. https:\/\/doi.org\/10.1111\/jpc.14206.","journal-title":"J Paediatr Child Health"},{"key":"1513_CR8","doi-asserted-by":"publisher","first-page":"2458","DOI":"10.1100\/2011\/373829","volume":"11","author":"AJ Krill","year":"2011","unstructured":"Krill AJ, Palmer LS, Palmer JS. Complications of circumcision. ScientificWorldJournal. 2011;11:2458\u201368. https:\/\/doi.org\/10.1100\/2011\/373829.","journal-title":"ScientificWorldJournal"},{"issue":"4","key":"1513_CR9","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1093\/sxmrev\/qead009","volume":"11","author":"SA Bernaschina-Rivera","year":"2023","unstructured":"Bernaschina-Rivera SA, L\u00f3pez-Chaim AI, Cordero-Pacheco JA, Fern\u00e1ndez-Crespo R, Quesada-Olarte J, Carri\u00f3n R. Circumcision and sexual medicine. Sex Med Rev. 2023;11(4):412\u201320. https:\/\/doi.org\/10.1093\/sxmrev\/qead009.","journal-title":"Sex Med Rev"},{"issue":"1","key":"1513_CR10","doi-asserted-by":"publisher","first-page":"174e9","DOI":"10.1016\/j.urology.2010.12.018","volume":"78","author":"FM Senel","year":"2011","unstructured":"Senel FM, Demirelli M, Pekcan H. Mass circumcision with a novel plastic clamp technique. Urology. 2011;78(1):174e9. https:\/\/doi.org\/10.1016\/j.urology.2010.12.018.","journal-title":"Urology"},{"issue":"6","key":"1513_CR11","doi-asserted-by":"publisher","first-page":"856","DOI":"10.1016\/j.jpurol.2021.09.019","volume":"17","author":"U Micoogullari","year":"2021","unstructured":"Micoogullari U, Yildirim M, Gol IH, Cakici OU. Comparison of NeoAlis\u2122 disposable circumcision device and sleeve technique in circumcision: results from a referral health-care center in Turkey. J Pediatr Urol. 2021;17(6):856. https:\/\/doi.org\/10.1016\/j.jpurol.2021.09.019.","journal-title":"J Pediatr Urol"},{"issue":"1","key":"1513_CR12","first-page":"5","volume":"31","author":"A Atici","year":"2017","unstructured":"Atici A, Kilic S. An alternative method to cope with increasing demand for circumcision in summer: circumcision with plastic clamp. \u00c7ocuk Cerrahisi Dergisi. 2017;31(1):5\u201310.","journal-title":"\u00c7ocuk Cerrahisi Dergisi"},{"key":"1513_CR13","doi-asserted-by":"publisher","unstructured":"Lu X, Piao S, Qin S, Zhang K, Li J, Zhou W, Tang L, Yan S, Chen Y, Yin G, Zhou T. Frenulum Protection Technique in Disposable Circumcision Suture Device for Adult Males. Urol J. 2023;20(6):424\u2013428. https:\/\/doi.org\/10.22037\/uj.v20i.7788. PMID: 37990798.","DOI":"10.22037\/uj.v20i.7788"},{"issue":"2","key":"1513_CR14","doi-asserted-by":"publisher","first-page":"152","DOI":"10.22037\/uj.v19i.6977","volume":"19","author":"M Li","year":"2022","unstructured":"Li M, Ang X, Chen W, Gai N, Xu J, You J, Huang Y, Hou J. A Modified disposable circumcision suture device with application of plastic sheet to avoid severe bleeding after circumcision. Urol J. 2022;19(2):152\u20136. https:\/\/doi.org\/10.22037\/uj.v19i.6977. PMID: 35246834.","journal-title":"Urol J"},{"issue":"3","key":"1513_CR15","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1097\/ACO.0b013e3283606a37","volume":"26","author":"S Gleich","year":"2013","unstructured":"Gleich S, Nemergut M, Flick R. Anesthetic-related neurotoxicity in young children: an update. Curr Opin Anaesthesiol. 2013;26(3):340\u20137. https:\/\/doi.org\/10.1097\/ACO.0b013e3283606a37.","journal-title":"Curr Opin Anaesthesiol"},{"key":"1513_CR16","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.biopha.2016.12.062","volume":"87","author":"D Yu","year":"2017","unstructured":"Yu D, Li L, Yuan W. Neonatal anesthetic neurotoxicity: insight into the molecular mechanisms of long-term neurocognitive deficits. Biomed Pharmacother. 2017;87:196\u20139. https:\/\/doi.org\/10.1016\/j.biopha.2016.12.062.","journal-title":"Biomed Pharmacother"},{"issue":"3","key":"1513_CR17","doi-asserted-by":"publisher","first-page":"351","DOI":"10.4415\/ANN_20_03_13","volume":"56","author":"F Ventura","year":"2020","unstructured":"Ventura F, Caputo F, Licata M, Bonsignore A, Ciliberti R. Male circumcision: ritual, science and responsibility. Ann Ist Super Sanita. 2020;56(3):351\u20138. https:\/\/doi.org\/10.4415\/ANN_20_03_13.","journal-title":"Ann Ist Super Sanita"},{"issue":"1","key":"1513_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4103\/2006-8808.118588","volume":"5","author":"A Abdulwahab-Ahmed","year":"2013","unstructured":"Abdulwahab-Ahmed A, Mungadi IA. Techniques of male circumcision. J Surg Tech Case Rep. 2013;5(1):1\u20137. https:\/\/doi.org\/10.4103\/2006-8808.118588.","journal-title":"J Surg Tech Case Rep"},{"issue":"11","key":"1513_CR19","first-page":"680","volume":"101","author":"F Omole","year":"2020","unstructured":"Omole F, Smith W, Carter-Wicker K. Newborn circumcision techniques. Am Fam Physician. 2020;101(11):680\u20135.","journal-title":"Am Fam Physician"},{"issue":"1","key":"1513_CR20","doi-asserted-by":"publisher","first-page":"60","DOI":"10.4103\/ajps.AJPS_16_18","volume":"15","author":"S Yasri","year":"2018","unstructured":"Yasri S, Wiwanitkit V. Plastibell circumcision. Afr J Paediatr Surg. 2018;15(1):60. https:\/\/doi.org\/10.4103\/ajps.AJPS_16_18.","journal-title":"Afr J Paediatr Surg"},{"issue":"2","key":"1513_CR21","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1002\/bco2.123","volume":"3","author":"SI Iacob","year":"2021","unstructured":"Iacob SI, Feinn RS, Sardi L. Systematic review of complications arising from male circumcision. BJUI Compass. 2021;3(2):99\u2013123. https:\/\/doi.org\/10.1002\/bco2.123. Published 2021 Nov 11.","journal-title":"BJUI Compass"},{"key":"1513_CR22","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/1471-2490-10-2","volume":"10","author":"HA Weiss","year":"2010","unstructured":"Weiss HA, Larke N, Halperin D, Schenker I. Complications of circumcision in male neonates, infants and children: a systematic review. BMC Urol. 2010;10:2. https:\/\/doi.org\/10.1186\/1471-2490-10-2. Published 2010 Feb 16.","journal-title":"BMC Urol"},{"issue":"4","key":"1513_CR23","doi-asserted-by":"publisher","first-page":"e4711","DOI":"10.1016\/j.jpurol.2020.06.014","volume":"16","author":"G Raisin","year":"2020","unstructured":"Raisin G, Kocherov S, Jaber J, Shenfeld O, Hardak B, Chertin B. Glans injury during ritual circumcision. J Pediatr Urol. 2020;16(4):e4711\u20135. https:\/\/doi.org\/10.1016\/j.jpurol.2020.06.014.","journal-title":"J Pediatr Urol"},{"key":"1513_CR24","doi-asserted-by":"publisher","first-page":"e63691","DOI":"10.3791\/63691","volume":"184","author":"DC Jin","year":"2022","unstructured":"Jin DC, Zhou B, Li J, et al. Microscopic replantation of penile glans amputation due to circumcision. J Vis Exp. 2022;184:e63691. https:\/\/doi.org\/10.3791\/63691. Published 2022 Jun 3.","journal-title":"J Vis Exp."},{"issue":"3","key":"1513_CR25","doi-asserted-by":"publisher","first-page":"1324","DOI":"10.3906\/sag-2011-199","volume":"51","author":"A S\u00fczen","year":"2021","unstructured":"S\u00fczen A, Karaku\u015f SC, Ert\u00fcrk N. Circumcision with plastic alisclamp technique in 4733 boys: our experiences to reduce complications. Turk J Med Sci. 2021;51(3):1324\u201330. https:\/\/doi.org\/10.3906\/sag-2011-199. Published 2021 Jun 28.","journal-title":"Turk J Med Sci"},{"key":"1513_CR26","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/j.urology.2017.03.038","volume":"105","author":"R Mano","year":"2017","unstructured":"Mano R, Nevo A, Sivan B, Morag R, Ben-Meir D. Post-ritual circumcision bleeding-characteristics and treatment outcome. Urology. 2017;105:157\u201362. https:\/\/doi.org\/10.1016\/j.urology.2017.03.038.","journal-title":"Urology"},{"issue":"4","key":"1513_CR27","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1016\/j.jpedsurg.2020.05.007","volume":"56","author":"BT Many","year":"2021","unstructured":"Many BT, Benyamen B, Moeckel CM, et al. To wrap or not to wrap: a retrospective review of circumcision dressing and post-procedural bleeding. J Pediatr Surg. 2021;56(4):795\u20139. https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.05.007.","journal-title":"J Pediatr Surg"},{"issue":"9","key":"1513_CR28","doi-asserted-by":"publisher","first-page":"1628","DOI":"10.1016\/j.jpedsurg.2020.09.012","volume":"56","author":"AZ Anwar","year":"2021","unstructured":"Anwar AZ, Fathelbab TK, Ali AI, Ali MM. A three-step repair of post circumcision coronal fistula: a glans flap, urethral closure, and dartos flap interposition. J Pediatr Surg. 2021;56(9):1628\u201331. https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.09.012.","journal-title":"J Pediatr Surg"},{"issue":"3","key":"1513_CR29","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1016\/j.urology.2010.06.005","volume":"77","author":"AA Sancaktutar","year":"2011","unstructured":"Sancaktutar AA, Pembeg\u00fcl N, Bozkurt Y, Kolcu B, Tepeler A. Multiple circumferential urethrocutaneous fistulae as a rare complication of circumcision and review of literature. Urology. 2011;77(3):728\u20139. https:\/\/doi.org\/10.1016\/j.urology.2010.06.005.","journal-title":"Urology"},{"issue":"6","key":"1513_CR30","doi-asserted-by":"publisher","first-page":"617e","DOI":"10.1016\/j.jpurol.2017.05.007","volume":"13","author":"MA \u00d6zen","year":"2017","unstructured":"\u00d6zen MA, G\u00fcndo\u011fdu G, Ta\u015fdemir M, Ero\u011flu E. Complication of newborn circumcision: meatal stenosis or meatal web?. J Pediatr Urol. 2017;13(6):617e. 1-617.e4.","journal-title":"J Pediatr Urol"},{"issue":"10","key":"1513_CR31","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1016\/j.ajic.2012.12.015","volume":"41","author":"L Lebina","year":"2013","unstructured":"Lebina L, Laher F, Mukudu H, et al. Does routine prophylactic oral flucloxacillin reduce the incidence of post-circumcision infections?. Am J Infect Control. 2013;41(10):897\u2013900. https:\/\/doi.org\/10.1016\/j.ajic.2012.12.015.","journal-title":"Am J Infect Control"},{"issue":"6","key":"1513_CR32","doi-asserted-by":"publisher","first-page":"4887","DOI":"10.1007\/s10943-022-01661-y","volume":"61","author":"H Aksay","year":"2022","unstructured":"Aksay H, Kus C, Gumustakim RS. Circumcision knowledge and opinions of primary Healthcare workers: the case of Turkey. J Relig Health. 2022;61(6):4887\u2013902. https:\/\/doi.org\/10.1007\/s10943-022-01661-y.","journal-title":"J Relig Health"}],"updated-by":[{"DOI":"10.1186\/s12894-024-01554-0","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T00:00:00Z","timestamp":1722384000000}}],"container-title":["BMC Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-024-01513-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12894-024-01513-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-024-01513-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T07:09:06Z","timestamp":1722409746000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcurol.biomedcentral.com\/articles\/10.1186\/s12894-024-01513-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,14]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1513"],"URL":"https:\/\/doi.org\/10.1186\/s12894-024-01513-9","relation":{},"ISSN":["1471-2490"],"issn-type":[{"value":"1471-2490","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,14]]},"assertion":[{"value":"11 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 June 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 July 2024","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1186\/s12894-024-01554-0","URL":"https:\/\/doi.org\/10.1186\/s12894-024-01554-0","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study protocol was approved by \u0130stanbul Medipol University, Faculty of Medicine, Non-Interventional Clinical Research Ethics Committee (Date: February 20, 2024, No: E-10840098-202.3.02-1437). This study was performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.Informed consent was obtained from all participants parent and\/or legal guardian aged under 16.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"126"}}