Dorsal Slit-Sleeve Technique for Male Circumcision

Sir,

The author of this paper has described in detail the surgical technique of combining dorsal slit and the sleeve methods of circumcision as a single procedure of circumcision of choice in their center.[1] The described technique is simple, easy to follow and readily reproducible. The author was able to show also that the complication rate of the procedure is comparable with complication rate reported for other methods employed in the male circumcision.[2]

With the current body of evidence in the literature showing the public health benefits of male circumcision,[3,4,5] one can say that the dorsal slit-sleeve technique would be a useful and handy procedure to offer patients, especially the older children and adults desirous of circumcision. It is in these categories of patients that the already known methods of circumcision have done relatively poorly as regards complications rates.[2,4]

In our practice however, we have found the caudal epidural anesthesia particularly useful in the neonates for control of both procedural and immediate post-operative pain. This may be anesthesia of choice for those surgeons who like working on an untampered tissue which may not be attainable with field block of the penis as described by the author of this article.

Sir, permit us to congratulate the author on the presentation of this simple yet invaluable technique of male circumcision.