Male circumcision performed with 8-figure non-absorbable suture technique


  • Ren Chong Xi
  • Yin Rui Sheng
  • Wang Hong Chen
  • Li Sheng
  • Ji Jing Gang
  • Zhou Tong
  • Zhang Shan
  • Yang Feng Shuo
  • Zhang Zhi Gang
  • Yu Guo Sheng
  • Xu Jun Ling
  • Guo Hong Ying
  • Liu Chun Dong
  • Zhu Kun Ju



Introduction: We analyze the outcome of circumcisions performed with 8-figure non-absorbable suture (8FNS) and assess the feasibility of using the technique in male circumcision.

Methods: We randomly divided 317 patients who would undergo circumcision between February 2009 and January 2012 into 2 groups. Each group was subdivided into children (age range: 7 to 15 years) and adult (range: 16 to 85 years). In the experiment group (n =166), we used 8FNS and in the control group (n = 151), commonly absorbable sutures (CAS) were used for the circumcised wound closure. The results of 2 groups were compared. We also performed a cost analysis and a mean 6-month follow-up (range:1-12). Chi-square and Student’s t-test were used in statistical analysis. Differences were considered significant (p < 0.05).

Results: No patients were required to remove their sutures postoperatively.Among them, the sutures of the 8FNS for circumcision felloff spontaneously within 9 days (6.2 ± 1.57). There was no statisticallysignificant difference between the 2 groups in surgical duration (16.2 ± 1.73 vs. 15.8 ± 2.01) and follow-up time (6.4 ± 3.82 vs. 6.2 ± 2.39). The overall complication rate of the 2 groups was 6.63% and 10.53% (p = 0.15), respectively. In addition, the complication rate among the adults was significantly lower in the 8FNS group compared to children (2.53% vs. 10.34%, p = 0.04). Also, the average cost (in US dollars) of 8FNS for circumcision was $20.7 ± $3.83 less than $35.8 ± $5.02 of CAS, which is a very significant difference (p < 0.0001).

Conclusions: 8FNS for circumcision is feasible, easy, safe and cost-effective, especially for adult males.


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How to Cite

Xi, R. C., Sheng, Y. R., Chen, W. H., Sheng, L., Gang, J. J., Tong, Z., Shan, Z., Shuo, Y. F., Gang, Z. Z., Sheng, Y. G., Ling, X. J., Ying, G. H., Dong, L. C., & Ju, Z. K. (2014). Male circumcision performed with 8-figure non-absorbable suture technique. Canadian Urological Association Journal, 8(3-4), e142–7.



Original Research