The Disposable Circumcision Suture Device (DCSD) has been shown to offer several benefits, including shorter surgery time, faster wound healing, less blood loss, and reduced pain during and after the procedure. It is also associated with a lower risk of infection and swelling and provides better cosmetic outcomes compared to traditional circumcision methods. This study aims to summarize our institution’s five-year experience using DCSD for pediatric circumcision.

We conducted a retrospective study of children aged 1 to 12 years who underwent circumcision using either the DCSD or conventional surgical methods between January 2020 and December 2024. Patients who had other concurrent surgeries, such as hernioplasty or orchidopexy, were excluded. We analyzed several factors, including age, BMI, the presence of phimosis or balanoposthitis, type of anesthesia used, operative time, hospital admission rates, and length of hospital stay for those who were admitted.

A total of 117 patients were included in the study, with 91 undergoing circumcision using the DCSD and 26 undergoing the conventional surgical method. There was no significant difference in age (9.2 ± 2.3 vs. 9.1 ± 2.7 years, p = 0.771), phimosis/paraphimosis and balanoposthitis rates between the groups. However, the DCSD group had a significantly lower BMI (17.4 ± 3.3 vs. 19.3 ± 4.4, p = 0.019). The DCSD group had a significantly shorter operative time (28.5 ± 12.3 vs. 42.9 ± 14.0 minutes, p < 0.0001) and tended to have a shorter hospital stay (2.3 ± 0.5 vs. 3.3 ± 1.4 days, p = 0.063). However, there were no significant differences in local anesthesia use (p = 0.579) or admission rates (p = 0.792). Several notable cases were identified. A 2-year-old patient could not undergo DCSD due to a small penile size, necessitating conversion to conventional circumcision. A 7-year-old patient required a switch to traditional circumcision due to severe adhesions and local inflammation. The notable postoperative complication was retained staples, necessitating either outpatient extraction or, in more severe instances, surgical intervention.

DCSD is a safe and efficient method for pediatric circumcision, offering a significantly shorter operative time and a trend toward reduced hospital stay. It provides good aesthetic outcomes with minimal complications, making it a favorable option for managing redundant prepuce and phimosis. Proper patient selection and postoperative care remain essential to optimizing outcomes.