{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:16Z","timestamp":1782956656983,"version":"3.54.5"},"reference-count":8,"publisher":null,"issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,10]]},"abstract":"\n Background:<\/jats:title>\n Circumcision using bipolar diathermy is well established and used widely. It seems to be superior in terms of post operative complications. The cosmetic outcome of the procedure has never been quantitatively described though.<\/jats:p>\n <\/jats:sec>\n \n Aims:<\/jats:title>\n To describe a modification to performing circumcision with bipolar that involves applying four clamps to the foreskin as it is being amputated with the bipolar so that a consistent length of the mucosal cuff can be obtained with a single almost bloodless cut.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Prospective case series of all patients circumcised using the 4 clamps traction and bipolar cut technique. The cosmetic outcome was assessed in terms of the length of the mucosal cuff in absolute numbers and in proportion to the penile and glanular length.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Seventy four patients were recruited with a median age of 3.5 months. No complications were encountered. The average length of the penis was 40 \u00b1 13 mm and the glans 12 \u00b1 3.6 mm. The average length of the mucosal cuff was 8.4 \u00b1 2.9 mm, and the proportion to total penile length was 21.1% \u00b1 4.7% and to glans length 72% \u00b1 24.1%.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The four clamp traction method with bipolar circumcision is safe and has a satisfactory cosmetic outcome.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ajps.ajps_108_20","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T07:38:58Z","timestamp":1716968338000},"page":"187-189","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Bipolar Circumcision"],"prefix":"10.67481","volume":"18","author":[{"given":"Naser","family":"El-Mefleh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Kaddah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Eyad","family":"Ba'Ath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"R1-3-20240829","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/0974-7796.198892","article-title":"Electrosurgery use in circumcision in children: Is it safe?","volume":"9","author":"Altokhais","year":"2017","journal-title":"Urol Ann"},{"key":"R2-3-20240829","first-page":"543","article-title":"A prospective randomised comparison of bipolar diathermy versus conventional dorsal slit technique for ritual circumcision: A Malaysian experience","volume":"162","author":"Fariz","year":"2011","journal-title":"Clin Ter"},{"key":"R3-3-20240829","doi-asserted-by":"crossref","first-page":"2048","DOI":"10.1016\/j.jpedsurg.2009.06.008","article-title":"Bipolar scissors circumcision is a safe, fast, and bloodless procedure in children","volume":"44","author":"M\u00e9ndez-Gallart","year":"2009","journal-title":"J Pediatr Surg"},{"key":"R4-3-20240829","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1308\/rcsann.2009.91.5.436","article-title":"Paediatric circumcision using bipolar diathermy","volume":"91","author":"Peters","year":"2009","journal-title":"Ann R Coll Surg Engl"},{"key":"R5-3-20240829","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1038\/ijir.2015.34","article-title":"Mucosal cuff length to penile length ratio may affect the risk of premature ejaculation in circumcised males","volume":"28","author":"Yuruk","year":"2016","journal-title":"Int J Impot Res"},{"key":"R6-3-20240829","doi-asserted-by":"crossref","first-page":"399","DOI":"10.3109\/21681805.2013.764350","article-title":"Relationship between premature ejaculation and postcircumcisional mucosal cuff length","volume":"47","author":"Bodak\u00e7i","year":"2013","journal-title":"Scand J Urol"},{"key":"R7-3-20240829","doi-asserted-by":"crossref","first-page":"417846","DOI":"10.1155\/2015\/417846","article-title":"Effects of adult male circumcision on premature ejaculation: Results from a prospective study in China","volume":"2015","author":"Gao","year":"2015","journal-title":"Biomed Res Int"},{"key":"R8-3-20240829","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1007\/s00383-013-3430-5","article-title":"Newborn circumcision outcomes: Are parents satisfied with the results?","volume":"30","author":"Freeman","year":"2014","journal-title":"Pediatr Surg Int"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.AJPS_108_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:36Z","timestamp":1782953376000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.AJPS_108_20"}},"subtitle":["A New Technique for an Old Procedure with Quantified Cosmetic Outcome"],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ajps.ajps_108_20","relation":{},"ISSN":["0189-6725"],"issn-type":[{"value":"0189-6725","type":"print"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}