Comparison of Early Complications of Modified Dorsal Slit and Excision with Thermocautery Assisted Circumcision Techniques According to the Clavien-Dindo Classification System

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This study aims to compare early postoperative complications of two circumcision techniques using the Clavien-Dindo classification.
Retrospective review of 964 circumcisions from January 2019 to June 2022.
Patients were divided into two groups: modified dorsal slit and excision (n=558) and thermocautery-assisted (n=406).
Primary outcome was early postoperative complications classified by Clavien-Dindo; secondary outcomes included operative time and hospital stay.
Overall complication rate was 9.4%, with edema as the most common complication at 8.0%.
Group 1 had a higher complication rate of 12% compared to 5.9% in Group 2 (p=0.012).
Grade 1 complication rate was 10.9% in Group 1 and 5.7% in Group 2 (p=0.004), while higher-grade complications were rare and not statistically different.

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Retrospective review compares early complications in males aged 7–17 years, indicating technique impacts outcomes.

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Aydın et al. (2026) studied this question.

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