Use of Holmium YAG laser in circumcision: a novel, less complicated and alternative procedure for adolescent

Abstract Background To evaluate the efficacy and safety of Holmium YAG laser circumcision in adolescents. Methods Eighty-one patients underwent circumcision for medical reasons, and patients’ requests were collected retrospectively during February 2017 to February 2019. They were divided into two gr...

Full description

Bibliographic Details
Main Authors: Pei-Lin Huang, I-Ching Lee, De-Chan Tsai, Jen-Ho Tsai, Vincent F. S. Tsai, Yuan-Hung Pong
Format: Article
Language:English
Published: SpringerOpen 2020-11-01
Series:African Journal of Urology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12301-020-00077-y
_version_ 1818345974235398144
author Pei-Lin Huang
I-Ching Lee
De-Chan Tsai
Jen-Ho Tsai
Vincent F. S. Tsai
Yuan-Hung Pong
author_facet Pei-Lin Huang
I-Ching Lee
De-Chan Tsai
Jen-Ho Tsai
Vincent F. S. Tsai
Yuan-Hung Pong
author_sort Pei-Lin Huang
collection DOAJ
description Abstract Background To evaluate the efficacy and safety of Holmium YAG laser circumcision in adolescents. Methods Eighty-one patients underwent circumcision for medical reasons, and patients’ requests were collected retrospectively during February 2017 to February 2019. They were divided into two groups: Holmium YAG laser (group 1, n = 41) and conventional group (group 2, n = 40). The guillotine method with a Holmium YAG laser was applied for circumcisions, and all the procedures were performed by a single urologist who was well-experienced with circumcision practices. Results The average age of group 1 was 15.53 ± 7.35 years old, and the average age was 16.34 ± 9.22 years old in group 2. There was no significant difference in age and indications. The average operative time was significantly shorter in group 1 than in group 2 (24.40 ± 3.94 vs. 27.25 ± 4.35 min, p < 0.01). The estimated blood loss was less in group 1 compared to group 2. There were fewer complications in group 1 than in group 2 (3/41 vs. 10/40, p < 0.01) and patients also felt less pain in group 1 (p < 0.01). All patients tolerated this procedure without severe side effects. Conclusions The use of Holmium YAG laser in circumcision is a novel, less complicated, easy, and less painful alternative procedure for circumcision in young males.
first_indexed 2024-12-13T17:10:53Z
format Article
id doaj.art-151f6faf8adc4887b61a853c810ec984
institution Directory Open Access Journal
issn 1110-5704
1961-9987
language English
last_indexed 2024-12-13T17:10:53Z
publishDate 2020-11-01
publisher SpringerOpen
record_format Article
series African Journal of Urology
spelling doaj.art-151f6faf8adc4887b61a853c810ec9842022-12-21T23:37:33ZengSpringerOpenAfrican Journal of Urology1110-57041961-99872020-11-012611410.1186/s12301-020-00077-yUse of Holmium YAG laser in circumcision: a novel, less complicated and alternative procedure for adolescentPei-Lin Huang0I-Ching Lee1De-Chan Tsai2Jen-Ho Tsai3Vincent F. S. Tsai4Yuan-Hung Pong5Department of Urology, Ten Chen HospitalDepartment of Urology, Ten Chen HospitalDepartment of Urology, Ten Chen HospitalDepartment of Urology, Ten Chan HospitalDepartment of Urology, Ten Chen HospitalDepartment of Urology, Ten Chen HospitalAbstract Background To evaluate the efficacy and safety of Holmium YAG laser circumcision in adolescents. Methods Eighty-one patients underwent circumcision for medical reasons, and patients’ requests were collected retrospectively during February 2017 to February 2019. They were divided into two groups: Holmium YAG laser (group 1, n = 41) and conventional group (group 2, n = 40). The guillotine method with a Holmium YAG laser was applied for circumcisions, and all the procedures were performed by a single urologist who was well-experienced with circumcision practices. Results The average age of group 1 was 15.53 ± 7.35 years old, and the average age was 16.34 ± 9.22 years old in group 2. There was no significant difference in age and indications. The average operative time was significantly shorter in group 1 than in group 2 (24.40 ± 3.94 vs. 27.25 ± 4.35 min, p < 0.01). The estimated blood loss was less in group 1 compared to group 2. There were fewer complications in group 1 than in group 2 (3/41 vs. 10/40, p < 0.01) and patients also felt less pain in group 1 (p < 0.01). All patients tolerated this procedure without severe side effects. Conclusions The use of Holmium YAG laser in circumcision is a novel, less complicated, easy, and less painful alternative procedure for circumcision in young males.http://link.springer.com/article/10.1186/s12301-020-00077-yCircumcisionLaserHolmium YAGAdolescentLess complicated
spellingShingle Pei-Lin Huang
I-Ching Lee
De-Chan Tsai
Jen-Ho Tsai
Vincent F. S. Tsai
Yuan-Hung Pong
Use of Holmium YAG laser in circumcision: a novel, less complicated and alternative procedure for adolescent
African Journal of Urology
Circumcision
Laser
Holmium YAG
Adolescent
Less complicated
title Use of Holmium YAG laser in circumcision: a novel, less complicated and alternative procedure for adolescent
title_full Use of Holmium YAG laser in circumcision: a novel, less complicated and alternative procedure for adolescent
title_fullStr Use of Holmium YAG laser in circumcision: a novel, less complicated and alternative procedure for adolescent
title_full_unstemmed Use of Holmium YAG laser in circumcision: a novel, less complicated and alternative procedure for adolescent
title_short Use of Holmium YAG laser in circumcision: a novel, less complicated and alternative procedure for adolescent
title_sort use of holmium yag laser in circumcision a novel less complicated and alternative procedure for adolescent
topic Circumcision
Laser
Holmium YAG
Adolescent
Less complicated
url http://link.springer.com/article/10.1186/s12301-020-00077-y
work_keys_str_mv AT peilinhuang useofholmiumyaglaserincircumcisionanovellesscomplicatedandalternativeprocedureforadolescent
AT ichinglee useofholmiumyaglaserincircumcisionanovellesscomplicatedandalternativeprocedureforadolescent
AT dechantsai useofholmiumyaglaserincircumcisionanovellesscomplicatedandalternativeprocedureforadolescent
AT jenhotsai useofholmiumyaglaserincircumcisionanovellesscomplicatedandalternativeprocedureforadolescent
AT vincentfstsai useofholmiumyaglaserincircumcisionanovellesscomplicatedandalternativeprocedureforadolescent
AT yuanhungpong useofholmiumyaglaserincircumcisionanovellesscomplicatedandalternativeprocedureforadolescent