{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T16:16:50Z","timestamp":1793117810017,"version":"4.5.0"},"reference-count":26,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: There are numerous methods of circumcision performed worldwide, typically classified into two main groups: conventional surgical techniques and various device-assisted techniques. Each method has its own advantages, limitations, and potential complications. The aim of this study was to compare outcomes of the Alisklamp technique versus the dorsal slit technique in male circumcision procedures. Method: This multicenter RCT compared the dorsal slit and Alisklamp techniques for circumcision, assessing patient demographics and intraoperative and postoperative outcomes. All patients, under local anesthesia via dorsal penile nerve block, were discharged on the same day and followed up at 24\u201348 h, 1 week, and 1 month. Results: A total of 180 patients enrolled, and 166 patients were included. The study compared postoperative outcomes between the Alisklamp (AK) and dorsal slit (DS) circumcision techniques in 166 patients. Key findings included significantly higher penile edema in the DS group (19%) compared to the AK group (2.4%) (p &lt; 0.001), with severe edema occurring only in the DS group. Wound gaping was more common in the AK group (8.3%) compared to the DS group (1.2%) (p = 0.030). Skin tunnels were observed only in the DS group (9.5%) (p = 0.004). There were no significant differences in nausea, vomiting, bleeding, necrosis, infection, wound dehiscence, chordee, rotational anomalies, or secondary phimosis between the groups. Mean operation time was lower in the AK group than the DS group (7.8 min vs. 15.5 min; p &lt; 0.001). Conclusions: The Alisklamp technique is recommended as the preferred method for circumcision because it minimizes complications, shortens the procedure time, and is easy to apply.<\/jats:p>","DOI":"10.3390\/jcm13154568","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T13:57:28Z","timestamp":1722866248000},"page":"4568","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Alisklamp versus Conventional Dorsal Slit Circumcision: A Multicentric Randomized Controlled Trial"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3563-1230","authenticated-orcid":false,"given":"Mustafa","family":"Azizoglu","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Istanbul Esenyurt Hospital, 34510 Istanbul, Turkey"},{"name":"Department of Stem Cell and Tissue Engineering, Health Science Institute, Istinye University Medical School, 34510 Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6678-7403","authenticated-orcid":false,"given":"Toni","family":"Risteski","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Medical Faculty, Ss. Cyril and Methodius University of Skopje, 1020 Skopje, North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergey","family":"Klyuev","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, AO GK MEDSI, 102151 Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"(2012). American Academy of Pediatrics Task Force on Circumcision Male Circumcision. Pediatrics, 130, e756\u2013e785.","DOI":"10.1542\/peds.2012-1990"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1111\/jpc.14206","article-title":"Circumcision in the Paediatric Patient: A Review of Indications, Technique and Complications","volume":"54","author":"Prabhakaran","year":"2018","journal-title":"J. Paediatr. Child Health"},{"key":"ref_3","first-page":"25","article-title":"Fewer Knots in Circumcision Are Associated with Less Postoperative Pain: A Retrospective Comparative Study","volume":"8","year":"2023","journal-title":"\u041d\u0435o\u043d\u0430\u0442o\u043bo\u0433\u0456\u044f \u0425\u0456\u0440\u0443\u0440\u0433\u0456\u044f \u0422\u0430 \u041f\u0435\u0440\u0438\u043d\u0430\u0442\u0430\u043b\u044c\u043d\u0430 \u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1923","DOI":"10.1016\/j.juro.2011.07.027","article-title":"The Safety Profile and Acceptability of a Disposable Male Circumcision Device in Kenyan Men Undergoing Voluntary Medical Male Circumcision","volume":"186","author":"Musau","year":"2011","journal-title":"J. Urol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"213","DOI":"10.4103\/ajps.ajps_158_21","article-title":"Religious Circumcision (Khatna) and Circumcision Mishaps in Kashmiri Children","volume":"19","author":"Hassan","year":"2022","journal-title":"Afr. J. Paediatr. Surg. AJPS"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1007\/s00383-024-05681-5","article-title":"Comparison of the Effects of Ring Block and Dorsal Penile Nerve Block on Parental Satisfaction for Circumcision Operation in Children: Randomized Controlled Trial","volume":"40","author":"Toprak","year":"2024","journal-title":"Pediatr. Surg. Int."},{"key":"ref_7","first-page":"137","article-title":"What is world pediatric surgeons\u2019 opinion on EMLA\u00ae cream induced local anaesthesia in circumcision?","volume":"35","author":"Akman","year":"2021","journal-title":"\u00c7oc. Cer. Derg."},{"key":"ref_8","first-page":"53","article-title":"Does the use of diapers have an effect on complications of circumcision?","volume":"34","author":"Demir","year":"2020","journal-title":"\u00c7oc. Cer. Derg."},{"key":"ref_9","unstructured":"Warees, W.M., Anand, S., Leslie, S.W., and Rodriguez, A.M. (2024). Circumcision. StatPearls, StatPearls Publishing."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Obiero, W., Young, M.R., and Bailey, R.C. (2013). The PrePex Device Is Unlikely to Achieve Cost-Savings Compared to the Forceps-Guided Method in Male Circumcision Programs in Sub-Saharan Africa. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0053380"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.urology.2020.06.018","article-title":"Modified Circumcision Using the Disposable Circumcision Suture Device in Children: A Randomized Controlled Trial","volume":"143","author":"Rao","year":"2020","journal-title":"Urology"},{"key":"ref_12","first-page":"556","article-title":"A Comparative Study on the Clinical Efficacy of Modified Circumcision and Two Other Types of Circumcision","volume":"18","author":"Su","year":"2020","journal-title":"Urol. J."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"S43","DOI":"10.1097\/QAI.0000000000000742","article-title":"Safety and Efficacy of the PrePex Male Circumcision Device: Results From Pilot Implementation Studies in Mozambique, South Africa, and Zambia","volume":"72","author":"Feldblum","year":"2016","journal-title":"J. Acquir. Immune Defic. Syndr. 1999"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.euf.2018.06.015","article-title":"Novel Devices for Adolescent and Adult Male Circumcision","volume":"4","author":"Kim","year":"2018","journal-title":"Eur. Urol. Focus"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"107.e1","DOI":"10.1016\/j.jpurol.2022.09.013","article-title":"Safety, Acceptability, and Feasibility of Male Circumcision Using the Alisklamp Device","volume":"19","author":"Essa","year":"2023","journal-title":"J. Pediatr. Urol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s00383-024-05633-z","article-title":"A Prospective Randomized Controlled Trial Measuring Satisfaction and Parents Stress after Gomco and Plastibell Infant Circumcision","volume":"40","author":"Alsowayan","year":"2024","journal-title":"Pediatr. Surg. Int."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.3906\/sag-2011-199","article-title":"Circumcision with Plastic Alisclamp Technique in 4733 Boys: Our Experiences to Reduce Complications","volume":"51","year":"2021","journal-title":"Turk. J. Med. Sci."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"264","DOI":"10.55018\/janh.v4i2.110","article-title":"Social and Psychological Effects of Circumcision: A Narrative Review","volume":"4","author":"Okur","year":"2022","journal-title":"J. Appl. Nurs. Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1111\/j.1365-2044.2011.06753.x","article-title":"A Comparison of Pudendal Block vs Dorsal Penile Nerve Block for Circumcision in Children: A Randomised Controlled Trial","volume":"66","author":"Naja","year":"2011","journal-title":"Anaesthesia"},{"key":"ref_20","first-page":"197","article-title":"Effectiveness of acute post-operative pain management by the acute pain service","volume":"90","author":"Osorio","year":"2022","journal-title":"Cir. Cir."},{"key":"ref_21","first-page":"195","article-title":"FLACC Behavioral Pain Assessment Scale: A Comparison with the Child\u2019s Self-Report","volume":"29","author":"Willis","year":"2003","journal-title":"Pediatr. Nurs."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1007\/s11255-007-9275-x","article-title":"Circumcision with a New Disposable Clamp: Is It Really Easier and More Reliable?","volume":"40","author":"Aldemir","year":"2008","journal-title":"Int. Urol. Nephrol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"A449","DOI":"10.1136\/archdischild-2012-302724.1588","article-title":"1588 Comparison of Circumcisions Performed with Plastic Clamp and Conventional Dissection Technique","volume":"97","author":"Senel","year":"2012","journal-title":"Arch. Dis. Child."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1007\/s00383-010-2632-3","article-title":"Minimally Invasive Circumcision with a Novel Plastic Clamp Technique: A Review of 7500 Cases","volume":"26","author":"Senel","year":"2010","journal-title":"Pediatr. Surg. Int."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"E10","DOI":"10.5489\/cuaj.2131","article-title":"SmartClamp Circumcision versus Conventional Dissection Technique in Terms of Parental Anxiety and Outcomes: A Prospective Clinical Study","volume":"9","author":"Karadag","year":"2015","journal-title":"Can. Urol. Assoc. J. J. Assoc. Urol. Can."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"493.e1","DOI":"10.1016\/j.jpurol.2020.06.025","article-title":"Sutureless versus Interrupted Sutures Techniques for Neonatal Circumcision; a Randomized Clinical Trial","volume":"16","author":"Bawazir","year":"2020","journal-title":"J. Pediatr. Urol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/15\/4568\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:30:15Z","timestamp":1760110215000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/15\/4568"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,5]]},"references-count":26,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2024,8]]}},"alternative-id":["jcm13154568"],"URL":"https:\/\/doi.org\/10.3390\/jcm13154568","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,5]]}}}