Circumcision methods - Revision history

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2025-09-08T12:39:45Z

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	[[Category:Genital surgery]]		[[Category:Genital surgery]]
	[[Category:Male genital mutilation]]		[[Category:Male genital mutilation]]
			[[Category:Penis]]
	[[Category:Trauma]]		[[Category:Trauma]]


	[[de:Beschneidungsmethoden]]		[[de:Beschneidungsmethoden]]

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	All of these methods have in common that the [[foreskin]] has to be separated from the [[Glans penis\|glans]] first. In case of the circumcision of a child, it is in most cases (see chart above) necessary to forcibly tear apart the [[synechia\| balanopreputial membrane]], which fuses the [[foreskin]] to the [[Glans penis\|glans]], either by violently retracting the [[foreskin]] or separating it by pushing a blunt instrument underneath the [[foreskin]], both of which can result in injuries and inflammations of the [[Glans penis\|glans]].		All of these methods have in common that the [[foreskin]] has to be separated from the [[Glans penis\|glans]] first. In case of the circumcision of a child, it is in most cases (see chart above) necessary to forcibly tear apart the [[synechia\| balanopreputial membrane]], which fuses the [[foreskin]] to the [[Glans penis\|glans]], either by violently retracting the [[foreskin]] or separating it by pushing a blunt instrument underneath the [[foreskin]], both of which can result in injuries and inflammations of the [[Glans penis\|glans]].
	{{SEEALSO}}		{{SEEALSO}}
			* [[Circumcision instruments]]
	* [[Pain]]		* [[Pain]]
	* [[Trauma]]		* [[Trauma]]
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	[[Category:Body modification]]		[[Category:Body modification]]
			[[Category:Circumcision]]
	[[Category:Education]]		[[Category:Education]]
	[[Category:Genital cutting]]		[[Category:Genital cutting]]
	[[Category:Genital surgery]]		[[Category:Genital surgery]]
			[[Category:Male genital mutilation]]
	[[Category:Trauma]]		[[Category:Trauma]]


	[[de:Beschneidungsmethoden]]		[[de:Beschneidungsmethoden]]

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 Generally, the [[foreskin]] is pulled forward and enough of it is removed to permanently expose the [[glans]] of the [[penis]]. Sometimes a protective device is used to avoid hurting the glans, and sometimes the circumciser simply performs the procedure freehand. In adults, stitches are used to stop the [[bleeding]] and help close the wound. In infants, circumcisers often use a clamp that crushes the foreskin and seals the wound, eliminating the need for stitches.
-== Circumcision in detail: Styles, techniques and instruments ==
+== Circumcision in detail: techniques and instruments ==
 During circumcision, the [[foreskin]] of the [[penis]] is partly or completely removed. The exact amount and type of [[skin]] removed depends on the style and technique used, and therefore also on the tools being used.
 === Techniques and instruments ===

WikiModEn2: Add categories.

2023-12-18T13:42:41Z

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← Older revision		Revision as of 13:42, 18 December 2023
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	[[Circumcision]] is performed in many ways which vary by culture, the person performing it, and the age of the subject. It may be performed by a specialized ritual circumciser in a non-medical setting, or a medical practitioner at a hospital or clinic. In some cultures, only the protruding end of the [[foreskin]] is cut off, and in others, the entire foreskin which covers the [[glans]] is removed. Some circumcisers take more [[skin]] than others, resulting in a "loose" or "tight" circumcision.		[[Circumcision]] is performed in many ways which vary by culture, the person performing it, and the age of the subject. It may be performed by a specialized ritual circumciser in a non-medical setting, or a medical practitioner at a hospital or clinic. In some cultures, only the protruding end of the [[foreskin]] is cut off, and in others, the entire foreskin which covers the [[glans]] is removed. Some circumcisers take more [[skin]] than others, resulting in a "loose" or "tight" circumcision.

	Generally, the foreskin is pulled forward and enough of it is removed to permanently expose the glans of the penis. Sometimes a protective device is used to avoid hurting the glans, and sometimes the circumciser simply performs the procedure freehand. In adults, stitches are used to stop the [[bleeding]] and help close the wound. In infants, circumcisers often use a clamp that crushes the foreskin and seals the wound, eliminating the need for stitches.		Generally, the [[foreskin]] is pulled forward and enough of it is removed to permanently expose the [[glans]] of the [[penis]]. Sometimes a protective device is used to avoid hurting the glans, and sometimes the circumciser simply performs the procedure freehand. In adults, stitches are used to stop the [[bleeding]] and help close the wound. In infants, circumcisers often use a clamp that crushes the foreskin and seals the wound, eliminating the need for stitches.

	== Circumcision in detail: Styles, techniques and instruments ==		== Circumcision in detail: Styles, techniques and instruments ==
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	[[File:Circumpendium-6-2-2-Smartclamp.jpg\|center\|thumb\|Smartclamp]]		[[File:Circumpendium-6-2-2-Smartclamp.jpg\|center\|thumb\|Smartclamp]]
	The Smartclamp and a couple of similar designs are one way clamps, representing a mixture of the [[Gomco]] and [[Plastibell]] methods. The [[Glans penis\|glans]] is inserted into the plastic tube, the [[foreskin]] pulled over it. The base plate of the outer clamping mechanism is pushed over the [[foreskin]] and cocked shut, jamming the [[foreskin]] between the bulging lower rim of the tube and the lower base plate. The [[foreskin]] is now cut off along the upper side of the base plate. The entire clamping mechanism remains on the [[penis]], until it - like the [[Plastibell]] - falls off by itself after the clamped [[skin]] dies off in the following days.		The Smartclamp and a couple of similar designs are one way clamps, representing a mixture of the [[Gomco]] and [[Plastibell]] methods. The [[Glans penis\|glans]] is inserted into the plastic tube, the [[foreskin]] pulled over it. The base plate of the outer clamping mechanism is pushed over the [[foreskin]] and cocked shut, jamming the [[foreskin]] between the bulging lower rim of the tube and the lower base plate. The [[foreskin]] is now cut off along the upper side of the base plate. The entire clamping mechanism remains on the [[penis]], until it — like the [[Plastibell]] — falls off by itself after the clamped [[skin]] dies off in the following days.

	All of these methods have in common that the [[foreskin]] has to be separated from the [[Glans penis\|glans]] first. In case of the circumcision of a child, it is in most cases (see chart above) necessary to forcibly tear apart the [[synechia\| balanopreputial membrane]], which fuses the [[foreskin]] to the [[Glans penis\|glans]], either by violently retracting the [[foreskin]] or separating it by pushing a blunt instrument underneath the [[foreskin]], both of which can result in injuries and inflammations of the [[Glans penis\|glans]].		All of these methods have in common that the [[foreskin]] has to be separated from the [[Glans penis\|glans]] first. In case of the circumcision of a child, it is in most cases (see chart above) necessary to forcibly tear apart the [[synechia\| balanopreputial membrane]], which fuses the [[foreskin]] to the [[Glans penis\|glans]], either by violently retracting the [[foreskin]] or separating it by pushing a blunt instrument underneath the [[foreskin]], both of which can result in injuries and inflammations of the [[Glans penis\|glans]].
			{{SEEALSO}}
			* [[Pain]]
			* [[Trauma]]
			{{REF}}


	~~{{REF}}~~

			[[Category:Body modification]]
			[[Category:Education]]
			[[Category:Genital cutting]]
	[[Category:Genital surgery]]		[[Category:Genital surgery]]
			[[Category:Trauma]]


	[[de:Beschneidungsmethoden]]		[[de:Beschneidungsmethoden]]

WikiModEn2: /* Complex clamps */ Wikify.

2023-12-03T14:37:05Z

Complex clamps: Wikify.

← Older revision		Revision as of 14:37, 3 December 2023
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	==== Complex clamps ====		==== Complex clamps ====
	[[File:Circumpendium-6-2-2-Gomco-clamp.jpg\|center\|thumb\|Gomco clamp]]		[[File:Circumpendium-6-2-2-Gomco-clamp.jpg\|center\|thumb\|Gomco clamp]]
	One of the most widely used clamps in the USA is the Gomco clamp. First, a cut is placed into the [[foreskin]], then the metal bell is placed over the [[Glans penis\|glans]]. After that, the bell, together with the [[foreskin]], is pulled through the opening in the base plate and hung into the lever. By fastening the screw the lever pulls the bell upwards, jamming the [[foreskin]] between bell and base plate. After several minutes of clamping, the [[skin]] is cut off with a scalpel along the upper side of the base plate and the clamp removed.		One of the most widely used clamps in the USA is the [[Gomco]] clamp. First, a cut is placed into the [[foreskin]], then the metal bell is placed over the [[Glans penis\|glans]]. After that, the bell, together with the [[foreskin]], is pulled through the opening in the base plate and hung into the lever. By fastening the screw the lever pulls the bell upwards, jamming the [[foreskin]] between bell and base plate. After several minutes of clamping, the [[skin]] is cut off with a scalpel along the upper side of the base plate and the clamp removed.

	[[File:Circumpendium-6-2-2-plastibell.jpg\|center\|thumb\|Plastibell method]]		[[File:Circumpendium-6-2-2-plastibell.jpg\|center\|thumb\|Plastibell method]]

WikiModEn2: /* Freehand-techniques */ Wikify.

2023-12-03T14:35:38Z

Freehand-techniques: Wikify.

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	[[File:Circumpendium-6-2-1-Mogen-clamp.jpg\|\|center\|thumb\|Mogen-clamp]]		[[File:Circumpendium-6-2-1-Mogen-clamp.jpg\|\|center\|thumb\|Mogen-clamp]]
	The Mogen-Clamp works in a similar way (middle), with the difference that it is locked shut after the [[foreskin]] is inserted, thus clamping it. After a few minutes the [[foreskin]] is cut in the same fashion as with the simple shield. The clamping is meant to reduce or prevent [[bleeding]] from the wound.		The [[Mogen]]-Clamp works in a similar way (middle), with the difference that it is locked shut after the [[foreskin]] is inserted, thus clamping it. After a few minutes the [[foreskin]] is cut in the same fashion as with the simple shield. The clamping is meant to reduce or prevent [[bleeding]] from the wound.

	[[File:Circumpendium-6-2-1-Sheldon-clamp.jpg\|\|center\|thumb\|Sheldon-Clamp]]		[[File:Circumpendium-6-2-1-Sheldon-clamp.jpg\|\|center\|thumb\|Sheldon-Clamp]]
	The Sheldon-Clamp (right) works in a similar way. The inner clamp grasps the tip of the [[foreskin]], pulling it into the outer clamp which is closed. The outer clamp then grips the [[skin]]. After a few minutes of pressure, the [[foreskin]] is cut between the two clamps.		The Sheldon-Clamp (right) works in a similar way. The inner clamp grasps the tip of the [[foreskin]], pulling it into the outer clamp which is closed. The outer clamp then grips the [[skin]]. After a few minutes of pressure, the [[foreskin]] is cut between the two clamps.

	The use of a shield, rather than forceps, is meant to provide a better protection of the [[Glans penis\|glans]] from cutting injuries. However, if used improperly both the Mogen and the Sheldon clamp are subject to the risk of the tip of the [[Glans penis\|glans]] being accidentally clamped and being cut into or severed.		The use of a shield, rather than forceps, is meant to provide a better protection of the [[Glans penis\|glans]] from cutting injuries. However, if used improperly both the [[Mogen]] and the Sheldon clamp are subject to the risk of the tip of the [[Glans penis\|glans]] being accidentally clamped and being cut into or severed.

	==== Complex clamps ====		==== Complex clamps ====

WikiModEn2: /* Restraint */ Revise text.

2022-11-17T14:45:02Z

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← Older revision		Revision as of 14:45, 17 November 2022
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	Over time, a vast variety of methods has been developed to remove the [[foreskin]]. A multitude of clamps and tools is available to ease the work of the circumciser, to improve the chance for visually symmetrical results and to prevent injuries to the [[Glans penis\|glans]] from inexpert cuts. I will introduce some of the most widely spread variants.		Over time, a vast variety of methods has been developed to remove the [[foreskin]]. A multitude of clamps and tools is available to ease the work of the circumciser, to improve the chance for visually symmetrical results and to prevent injuries to the [[Glans penis\|glans]] from inexpert cuts. I will introduce some of the most widely spread variants.
	====Restraint====		====Restraint====
	When an infant boy is to be [[circumcised]], it is the usual practice to immobilize the infant for the [[Pain\| painful]] surgery by securely tying his limbs to a molded plastic board specially made for that purpose. The infant thus is preventing from fighting or fleeing, which is the [[trauma]]-producing situation of ''inescapable [[shock]]'', described as a "physical condition in which the organism cannot do anything to affect the inevitable."<ref name="vanderkolk2014">{{REFbook		When an infant boy is to be [[circumcised]], it is the usual practice to immobilize the infant for the [[Pain\| painful]] surgery by securely tying his limbs to a molded plastic board, called a [[Circumstraint]], specially made for that purpose. The infant thus is preventing from fighting or fleeing, which is the [[trauma]]-producing situation of ''inescapable [[shock]]'', described as a "physical condition in which the organism cannot do anything to affect the inevitable."<ref name="vanderkolk2014">{{REFbook
	\|last=van der Kolk		\|last=van der Kolk
	\|first=Bessel A.		\|first=Bessel A.

WikiModEn2: /* Restraint */ Wikify.

2022-11-17T14:39:33Z

Restraint: Wikify.

← Older revision		Revision as of 14:39, 17 November 2022
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	Over time, a vast variety of methods has been developed to remove the [[foreskin]]. A multitude of clamps and tools is available to ease the work of the circumciser, to improve the chance for visually symmetrical results and to prevent injuries to the [[Glans penis\|glans]] from inexpert cuts. I will introduce some of the most widely spread variants.		Over time, a vast variety of methods has been developed to remove the [[foreskin]]. A multitude of clamps and tools is available to ease the work of the circumciser, to improve the chance for visually symmetrical results and to prevent injuries to the [[Glans penis\|glans]] from inexpert cuts. I will introduce some of the most widely spread variants.
	====Restraint====		====Restraint====
	When an infant boy is to be circumcised, it is the usual practice to immobilize the infant for the [[Pain\| painful]] surgery by securely tying his limbs to a molded plastic board specially made for that purpose. The infant thus is preventing from fighting or fleeing, which is the trauma-producing situation of ''inescapable [[shock]]'', described as a "physical condition in which the organism cannot do anything to affect the inevitable."<ref name="vanderkolk2014">{{REFbook		When an infant boy is to be [[circumcised]], it is the usual practice to immobilize the infant for the [[Pain\| painful]] surgery by securely tying his limbs to a molded plastic board specially made for that purpose. The infant thus is preventing from fighting or fleeing, which is the [[trauma]]-producing situation of ''inescapable [[shock]]'', described as a "physical condition in which the organism cannot do anything to affect the inevitable."<ref name="vanderkolk2014">{{REFbook
	\|last=van der Kolk		\|last=van der Kolk
	\|first=Bessel A.		\|first=Bessel A.

WikiAdmin: wikify Bessel van der Kolk

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wikify Bessel van der Kolk

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	When an infant boy is to be circumcised, it is the usual practice to immobilize the infant for the [[Pain\| painful]] surgery by securely tying his limbs to a molded plastic board specially made for that purpose. The infant thus is preventing from fighting or fleeing, which is the trauma-producing situation of ''inescapable [[shock]]'', described as a "physical condition in which the organism cannot do anything to affect the inevitable."<ref name="vanderkolk2014">{{REFbook		When an infant boy is to be circumcised, it is the usual practice to immobilize the infant for the [[Pain\| painful]] surgery by securely tying his limbs to a molded plastic board specially made for that purpose. The infant thus is preventing from fighting or fleeing, which is the trauma-producing situation of ''inescapable [[shock]]'', described as a "physical condition in which the organism cannot do anything to affect the inevitable."<ref name="vanderkolk2014">{{REFbook
	\|last=van der Kolk		\|last=van der Kolk
	\|first=Bessel		\|first=Bessel A.
	\|init=B		\|init=BA
			\|author-link=Bessel van der Kolk
	\|year=2014		\|year=2014
	\|title=The Body Keeps the Score		\|title=The Body Keeps the Score

WikiAdmin: wikify shock

2022-05-30T13:32:43Z

wikify shock

← Older revision		Revision as of 13:32, 30 May 2022
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	Over time, a vast variety of methods has been developed to remove the [[foreskin]]. A multitude of clamps and tools is available to ease the work of the circumciser, to improve the chance for visually symmetrical results and to prevent injuries to the [[Glans penis\|glans]] from inexpert cuts. I will introduce some of the most widely spread variants.		Over time, a vast variety of methods has been developed to remove the [[foreskin]]. A multitude of clamps and tools is available to ease the work of the circumciser, to improve the chance for visually symmetrical results and to prevent injuries to the [[Glans penis\|glans]] from inexpert cuts. I will introduce some of the most widely spread variants.
	====Restraint====		====Restraint====
	When an infant boy is to be circumcised, it is the usual practice to immobilize the infant for the [[Pain\| painful]] surgery by securely tying his limbs to a molded plastic board specially made for that purpose. The infant thus is preventing from fighting or fleeing, which is the trauma-producing situation of ''inescapable shock'', described as a "physical condition in which the organism cannot do anything to affect the inevitable."<ref name="vanderkolk2014">{{REFbook		When an infant boy is to be circumcised, it is the usual practice to immobilize the infant for the [[Pain\| painful]] surgery by securely tying his limbs to a molded plastic board specially made for that purpose. The infant thus is preventing from fighting or fleeing, which is the trauma-producing situation of ''inescapable [[shock]]'', described as a "physical condition in which the organism cannot do anything to affect the inevitable."<ref name="vanderkolk2014">{{REFbook
	\|last=van der Kolk		\|last=van der Kolk
	\|first=Bessel		\|first=Bessel