Thermocautery circumcision linked to far fewer early complications than bipolar sleeve or scalpel
Retrospective · J Pediatr Urol · 2026-11-06. Number 3 in the UrologyWatch Top 5 for November 8, 2026.
In a frequency-matched retrospective cohort of 31,100 boys, thermocautery guillotine circumcision had a complication rate of 0.6% versus 8.68% (bipolar sleeve) and 7.21% (scalpel guillotine), with zero bleeding events requiring suture ligation versus 15 and 25 respectively.
Why it matters: Raises the question of whether thermocautery technique reduces early circumcision complications, though retrospective design and single-center practice patterns limit causal inference.
Limitation: Retrospective cohort from presumably one or few centers; technique choice may be confounded by surgeon preference, case selection, and era effects despite frequency matching.
Source: J Pediatr Urol · PubMed 42987576 · DOI 10.1016/j.jpurol.2026.106345
Loading today's edition…