# A comparative study of suture versus sutureless circumcision: Evaluating cosmetic outcomes, wound dehiscence and infection rates

**Authors:** Ambuj Kumar Soni, Sardar Vikram Singh Bais, Sandeep Kumar, Rahul R Sha, Bhagyashree Baghel

PMC · DOI: 10.6026/973206300213755 · 2025-10-31

## TL;DR

This study compares suture and sutureless methods for circumcision, finding that the sutureless method offers better cosmetic results and fewer complications.

## Contribution

The study introduces isoamyl-2-cyanoacrylate tissue adhesive as a cosmetically superior and effective alternative to traditional suturing in circumcision.

## Key findings

- Adhesive group had lower ASEPSIS wound scores and higher cosmetic scores on postoperative days 7 and 30.
- Complication rates were lower with adhesive (12%) compared to sutures (20%).

## Abstract

Circumcision is one of the most frequently performed surgical procedures, where optimal wound closure is crucial for healing and
cosmetic outcomes. This comparative study of 50 patients evaluated isoamyl-2-cyanoacrylate tissue adhesive versus conventional suturing
for circumcision wound closure. The adhesive group showed lower ASEPSIS wound scores and higher cosmetic scores on postoperative days 7
and 30 (p<0.05). Complication rates were also lower with adhesive (12%) than with sutures (20%). Isoamyl-2-cyanoacrylate proved to be
an effective and cosmetically superior alternative to traditional suturing in circumcision.

## Linked entities

- **Chemicals:** isoamyl-2-cyanoacrylate (PubChem CID 29626)

## Full-text entities

- **Diseases:** wound dehiscence (MESH:D013529), infection (MESH:D007239)
- **Chemicals:** Isoamyl-2-cyanoacrylate (MESH:C043913)
- **Species:** Homo sapiens (human, species) [taxon 9606]

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Source: https://tomesphere.com/paper/PMC12859343