Case Report: Elective Circumcision in a 10-Year-Old Boy with a Review of Conventional and Modern Methods
Keywords:
Male circumcision, Dorsal slit, Modern techniques, Sexually transmitted infections, Public healthAbstract
Introduction: Male circumcision is a longstanding procedure performed worldwide for cultural, religious, and medical reasons. In Indonesia, it is commonly carried out on children aged 5–12 years, typically using the dorsal slit technique. Objective: This report aims to present a case of a 10-year-old male circumcised for religious reasons and to compare conventional and modern circumcision techniques. Case Report: A 10-year-old boy, accompanied by his parents, presented for circumcision due to religious reasons. The patient was asymptomatic, with a fully retractable foreskin and no anatomical abnormalities. A dorsal slit circumcision was performed under local anesthesia, resulting in an uneventful recovery and proper wound healing. Discussion: Evidence suggests that circumcision can reduce the risk of STIs, including HIV, HPV, and HSV, by limiting pathogen entry and altering the local immune environment. Modern techniques, such as clamp-assisted and adhesive methods, have shown advantages over conventional methods, including shorter operative times, fewer complications, and improved cosmetic outcomes. Conclusion: Male circumcision remains a valuable public health measure with significant cultural and medical benefits. Adoption of modern techniques may further enhance patient outcomes while preserving the traditional advantages of the procedure.
References
Dave S, Afshar K, Braga LH, Anderson P. Abridged version: CUA guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants. Can Urol Assoc J [Internet]. 2017;12(2):18–28.
Wahyuningrum AD. Perbandingan Metode Sirkumsisi Modern (Klamp Dan Lem) Terhadap Proses Penyembuhan Luka Pasca Sirkumsisi Pada Anak. J Ilm Kesehat Media Husada. 2020;9(2):82–7.
Ultsany M, Lubis PS, Fauzan A, Akbar TIS, Rizal MIS, Wahyuni H, et al. Sirkumsisi Menjaga Kebersihan dan Mencegah Risiko Infeksi serta Keganasan Penis. Auxilium J Pengabdi Kesehat. 2024;2(2):50–4.
Mehta KS, Marfatia YS, Jain AP, Shah DJ, Baxi DS. Male circumcision and Sexually transmitted Infections – An update. Indian J Sex Transm Dis AIDS [Internet]. 2021;42(1):1–6.
Arora P, Nagelkerke NJD, Jha P. A Systematic Review and Meta-Analysis of Risk Factors for Sexual Transmission of HIV in India. PLoS One [Internet]. 2012;7(8):e44094.
Chemtob D, Op de Coul E, van Sighem A, Mor Z, Cazein F, Semaille C. Impact of Male Circumcision among heterosexual HIV cases: comparisons between three low HIV prevalence countries. Isr J Health Policy Res [Internet]. 2015;4(1).
Pasaribu E, Fitri RF. Perbandingan Kecepatan Penyembuhan Luka Sirkumsisi dengan Teknik Konvensional dan Electro Cauter. J Kesehat Glob. 2020;3(2):85–90.
Czajkowski M, Czajkowska K, Zarańska K, Giemza A, Kłącz J, Sokołowska-Wojdyło M, et al. Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life. Sex Med [Internet]. 2021;9(2):100315.
Warees WM, Anand S, Leslie SW, Rodriguez AM. Circumcision. In: StatPearls [Internet]. Woodhull Hospital: StatPearls Publishing; 2025.
Omole F, Smith W, Carter-Wicker K. Newborn circumcision techniques. Am Fam Physician [Internet]. 2020;101(11):680–5.
Roth JD, Keenan AC, Carroll AE, Rink RC, Cain MP, Whittam BM, et al. Readmission characteristics of elective pediatric circumcisions using large-scale administrative data. J Pediatr Urol [Internet]. 2016;12(1):27.e1-6.
Vermund SH. Voluntary Medical Male Circumcision to Reduce HIV Acquisition and Transmission. Curr HIV/AIDS Rep [Internet]. 2022;19(6):471–3.
Shapiro SB, Laurie C, El-Zein M, Franco EL. Association between male circumcision and human papillomavirus infection in males and females: a systematic review, meta-analysis, and meta-regression. Clin Microbiol Infect [Internet]. 2023;29(8):968–78.
Price LB, Liu CM, Johnson KE, Aziz M, Lau MK, Bowers J, et al. The effects of circumcision on the penis microbiome. PLoS One. 2010;5(1):e8422.
Prodger JL, Kaul R. The biology of how circumcision reduces HIV susceptibility: broader implications for the prevention field. AIDS Res Ther. 2017;14:1–5.
Mehta SD, Nandi D, Agingu W, Green SJ, Otieno FO, Bhaumik DK, et al. Longitudinal Changes in the Composition of the Penile Microbiome Are Associated With Circumcision Status, HIV and HSV-2 Status, Sexual Practices, and Female Partner Microbiome Composition. Front Cell Infect Microbiol [Internet]. 2022;12.
Frisch M, Simonsen J. Non-therapeutic male circumcision in infancy or childhood and risk of human immunodeficiency virus and other sexually transmitted infections: national cohort study in Denmark. Eur J Epidemiol [Internet]. 2021;37(3):251–9.
Azizoglu M, Risteski T, Klyuev S. Alisklamp versus Conventional Dorsal Slit Circumcision: A Multicentric Randomized Controlled Trial. J Clin Med [Internet]. 2024;13(15):4568.
Güler Y. Comparison of a modified Mogen clamp and classic dorsal slit circumcision under local anesthesia: A clinical study. Curr Urol [Internet]. 2022;16(3):175–9.
Putri RA. Perbandingan Sirkumsisi Dengan Metode Dorsal Slit Dan Guillotine Ditinjau Dari Segi Kedokteran Dan Sudut Pandang Islam Di Klinik Dokter Khitan Pekanbaru. Universitas YARSI; 2018.
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