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Peer-reviewedCC BY-NCJournal of surgical case reports

Circumcision under local anesthesia in a selected case with buried penis: a technique using the Alisklamp Nero M.

  1. 1Department of Urology, Beypazarı State Hospital, Ministry of Health, Ayvaşık Mahallesi, Beypazarı, Ankara 06730, Turkey.
  2. 2Department of Pediatric Surgery, Private Practice of Dr. Necip Fazıl Aras, Küçükkolpınar, Alaçam Cd. No:146/a, 55200 Atakum, Samsun, Turkey.

Abstract

Circumcision in patients with buried penis remains controversial because of the risk of recurrent concealment and secondary complications. This report describes a circumcision technique performed under local anesthesia in a selected case of buried penis. The technique preserves the outer preputial skin while excising only the inner preputial mucosa, using the Alisklamp Nero M device to achieve symmetrical mucosal alignment and protect the glans. Deep Buck's fascia-incorporating sutures at the 3- and 9-o'clock positions enhance penile stability. No early postoperative complications were observed. Because this is a single-case technical report without long-term follow-up data, the findings should be interpreted cautiously.

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BibTeX
@article{boyaci2026circumcision,
  title = {{Circumcision under local anesthesia in a selected case with buried penis: a technique using the Alisklamp Nero M.}},
  author = {Lutfi İhsan Boyaci and Necip Fazıl Aras},
  journal = {Journal of surgical case reports},
  year = {2026},
  month = oct,
  doi = {10.1093/jscr/rjag960},
  url = {https://europepmc.org/article/MED/42948291},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Circumcision under local anesthesia in a selected case with buried penis: a technique using the Alisklamp Nero M.
AU  - Lutfi İhsan Boyaci
AU  - Necip Fazıl Aras
PY  - 2026
DA  - 2026/10/27
JO  - Journal of surgical case reports
DO  - 10.1093/jscr/rjag960
UR  - https://europepmc.org/article/MED/42948291
AB  - Circumcision in patients with buried penis remains controversial because of the risk of recurrent concealment and secondary complications. This report describes a circumcision technique performed under local anesthesia in a selected case of buried penis. The technique preserves the outer preputial skin while excising only the inner preputial mucosa, using the Alisklamp Nero M device to achieve symmetrical mucosal alignment and protect the glans. Deep Buck's fascia-incorporating sutures at the 3- and 9-o'clock positions enhance penile stability. No early postoperative complications were observed. Because this is a single-case technical report without long-term follow-up data, the findings should be interpreted cautiously.
SN  - 2042-8812
ER  -