Manual for Male Circumcision under Local Anaesthesia

Male circumcision under local anaesthesia
Version 3.1 (Dec09)
Fig. 5.27 Superficial incision used to mark the line of incision on a man
with deeply pigmented skin.
Step 5. Grasp the foreskin with artery forceps at the 3 o’clock and 9
o’clock positions. Take care to apply the artery forceps so that there is
equal tension on the inner and outer aspects of the foreskin (Fig 5.28).
Fig. 5.28 Tensioning the foreskin.
Step 6. Place two artery forceps on the foreskin in the 11 o’clock and 1
o’clock positions (Fig. 5.29). Check that the inside blades of the two
artery forceps are lying between the glans and foreskin, and have not
been inadvertently passed up the urethral meatus.
Fig. 5.29 Placing artery forceps at the 11 o’clock and 1 o’clock
positions (In the drawing the forceps in 3 and 9 o’clock positions are
not shown).
Step 7. Between the two artery forceps, in the 12 o’clock position, use
dissection scissors to make a cut (the dorsal slit) up to but not beyond
the previously marked incision line (Fig. 5.30).
Surgical procedures for adults and adolescents Chapter 5-24