Stapler Circumcision / Frenuloplasty

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Stapler Circumcision / Frenuloplasty Dr. Praveen Pandey

Stapler Circumcision / Frenuloplasty

Stapler circumcision, also known as ZSR circumcision, is a minimally invasive procedure using a specialized stapler device to remove the penile foreskin efficiently, often combined with frenuloplasty for addressing a tight frenulum (frenulum breve).

This approach is particularly relevant in urology for treating phimosis, recurrent balanitis, or frenular pain during erection, offering quicker recovery than traditional methods. This technique aligns with interest in advanced surgical options for patient treatment.

Procedure Overview

The stapler is fitted over the penis after measuring the foreskin length, then fired to excise excess tissue and seal the wound with staples and a silicone ring in under 10 minutes, preserving the frenulum if frenuloplasty is integrated via precise incision and lengthening. Local anesthesia (topical cream plus penile base injection) ensures a painless process, with discharge typically within 3-4 hours post-urination and pain subsidence. Frenuloplasty alone involves a horizontal incision near the frenulum's top, restitched vertically to elongate it, using dissolvable sutures.

Key Benefits

  • Minimal blood loss (5x less than open surgery) and reduced edema/infection risk due to the protective silicone ring.
  • Shorter healing (full recovery in 1-2 weeks) with staples shedding naturally, ideal for adults avoiding general anesthesia.
  • Combined procedures address hypersensitivity by exposing the glans gradually while resolving frenular tearing.

Recovery and Follow-Up

Patients apply antibiotic ointment, avoid strenuous activity for 1 week, and follow up in 2-3 days for wound checks, with staples often gone by week 2.