# Male Circumcision Utilising an Ultrasonic Dissection Scalpel in an Adult

## TL;DR

An older man with medical issues successfully had a circumcision using a new ultrasonic tool that may reduce risks and recovery time.

## Contribution

The paper introduces ultrasonic dissection scalpel as a novel technique for circumcision in medically complex adult patients.

## Key findings

- The patient recovered well and resumed anticoagulation quickly after surgery.
- Ultrasonic dissection may reduce operative time and postoperative complications in older patients.
- This technique could be beneficial for patients with comorbidities.

## Abstract

A man in his 70s presented to surgical outpatients for phimosis and recurrent balanitis after previously receiving topical steroid treatment and a dorsal slit. He was medically comorbid including atrial fibrillation for which he was anticoagulated. He underwent a circumcision with an ultrasonic dissection scalpel (UDS). He recovered unremarkably and was able to recommence his anticoagulation on day 1 postoperatively. With the increasing age and comorbidities of many patients, this novel technique may be utilised to reduce operative time, postoperative bleeding risk and penile oedema.