circumcisionMale Sexual HealthPhimosisIs Circumcision for Everyone? Who should get circumcised?

Stapler Circumcision

By now, we don’t think you need any introduction about what circumcision is, what are the benefits of circumcision or who should get circumcised etc. Typically, circumcision takes the first spot in the list that counts the number of surgeries performed by our popular urologists at our hospital.

Let us directly get into the subject – Stapler Circumcision.

In this article, lets touch some of the aspects of stapler circumcision such as:

  1. What is Stapler circumcision?
  2. How is Stapler Circumcision performed?
  3. Is Stapler Circumcision safe? How does it compare it with other techniques?
  4. Benefits of Stapler Circumcison?
Stapler Circumcision in Chennai

What is Stapler Circumcision?

In simple terms, a device called ‘Stapler’ is used by the doctor / surgeon to perform Circumcision (in babies or men), such a process is called ‘Stapler Circumcision’.

This stapler device (that you can see in the above picture) has been developed by medical specialists in China. It includes two parts – inner bell & outer bell.  The inner bell is designed to protect the inner glans and the outer bell consists of a blade to cut the foreskin and staples to close the wound for simultaneous hemostasis.

How is Stapler Circumcision Performed?

As the very first step in Stapler Circumcision, the size of the penis just below the glans is measured by the urologist. Penis is then surgically disinfected with iodine or other equivalent disinfecting liquids before performing the circumcision procedure.

Steps for Stapler Circumcision

Referring to the image above, here are the steps performed in Stapler Circumcision:

  1. The size of the penis, just below the glans is measured (as mentioned earlier).
  2. After disinfecting the penis with iodine or equivalent, the dorsal nerve block and circumferential block are done with 1% lidocaine.
  3. Then, the inner bell is placed inside the foreskin of the penis to cover the glans; the edge of the bell is brought to the level of coronal sulcus. In cases where the patient is suffering from Phimosis, a dorsal slit has to be made to correctly the position the inner bell of the stapler.
  4. The safety shield is then removed from the outer bell.
  5. The outer bell is placed over the inner bell while the frenulum is kept intact. The safety bolt of the stapler is then removed.
  6. The screw on top of the stapler is then rotated clockwise to sandwich the foreskin tightly; the handles / prongs of the stapler are triggered/ pressed to cut the foreskin and the wound is closed by staples at the same time.
  7. The device is then unscrewed and removed
  8. The wound on the foreskin is checked and pressed with gauze for a minute or two to stop any bleeding that might occur.
  9. Hemostasis is achieved with a compression bandage that is put over the penis as shown in the picture #9

Is Stapler Circumcision safe? How does it compare with other techniques of circumcision?

Just like other techniques of circumcision including laser, stapler circumcision is a safer process. However, it has got it’s own benefits when compared to other methods of circumcision that are mentioned below:

  1. The time taken for the operation / surgery is less than 10 minutes.
  2. Blood loss is 5 times lesser than other methods of surgery.
  3. The pain experienced by the patient is way less than the other methods.
  4. Healing time is quicker but barely by a day or two.
  5. Possibility for complications is less than half compared to other circumcision techniques.
    1. Less bleeding
    2. Near 0 chances of wound (caused by surgery) re-opening
    3. Less Edema
    4. Lower chances of infection.

The main disadvantage of this stapler circumcision is the need to remove the residual staples after surgery. Most of the times, a surgeon will be required to remove the staples after or during recovery. Research to overcome this disadvantage is being performed by some medical teams who are trying to use a plastic gasket underneath the staples or by improving the material of the staples.

Video on Stapler Circumcision

35 Comments

    • Dear Ammu, apologize for the delay in responding to your comment.
      Please call our staff at +91 90928 49786 to know any details about the surgery.

      Thank you,
      Dr. Karthik Gunasekaran

    • Dear Kumaran, please call us at
      +91 90928 49786

      You can ask all the questions you have.
      Thank you,
      Dr. Karthik Gunasekaran.

  1. Hi Sir,
    I need to clarify a think regarding some sudden problem in my penis and due to this lockdown I can’t able to reach hospitals frequently. My age is 21 and I have tight foreskin and for the last 3 days I can see my penis head is little bit whiter in color (something like infection or balantis). Usually even though i have toght foreskin i can able to retract it little bit but for the last 3 days i cant even pull the foreskin back it’s somewhat like stick in the tip of the penis at the same time i can see some white layers in the penis head and today morning I can find some small cut wonds here and there in the head of the forekin. Is it a serious problem?

    • Yes, it is going to get serious. Please see me as soon as possible.
      Thank you,
      Dr. Karthik Gunasekaran

  2. Gud evening sir,I have phimosis condition sir..I’m native of erode..due to this lockdown I can’t able to come to Chennai sir..could you suggest better clinics for stapler surgery near coimbatore ,thank you sir

    • Please call up our staff and you can ask your questions on the costing. If your foreskin is tight, i will need to check on that and see if medication will work.
      if not, only then i would recommend circumcision.

      Thanks.

  3. Hello Doctor , I don’t have Foreskin tightness prblm are any other issues, but I’m willing to do circumcision due to My sexual Hygienic is this Good Idea ?

  4. Hello doctor, your videos are too good and it’s giving proper information and solutions for some doubts. Thanks for that.

    From the birth, I having tight foreskin. I didn’t do circumcision till now. In erecting moment I’m not able to get penis out because of tight foreskin. if I try to get out, it creates more pain at skin. So is it curable by medicines or should I do circumcision??

    • Rajesh, how tight is it is the question. In some cases, some creams will help but in many cases circumcision is the only solution.
      If you can, please see me in person, I can help you.

      Thank you,
      Dr. Karthik Gunasekaran

  5. Hi Sir,

    I having a penile vitiligo in my foreskin. 2 spots sports are there. It’s has grown for 1 inches from 3 years. Is circumcision is the efficient way diagnose the vitiligo affected skin? If I go with surgery then any chances of getting affected by any other parts?

  6. Hello Doctor,

    I’m 40 yrs old.
    The frenulum in my penis is quite tight. Instead of Frenuloplasty, i would like to go for circumcision.
    Is it advisable to go for stapler circumcision at this age. Kindly advise me on this. Thank you

  7. Hello Doctor,

    Thanks for your reply
    During Stapler Circumcision, will the frenulum tightness can be removed? Not sure about the complete process.

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