**14. Laser circumcision**

The laser beam cuts as well as controls bleeding from the skin, resulting in a very tidy wound. This technique allows exact proportions of skin and mucous membrane to be removed. Laser circumcision is the technique of choice for children circumcision and can also be applied to adult patients. Clinical comparative studies between the Neodymium:yttriumaluminumgarnet (Nd:YAG) laser and conventional circumcision in boys are very few. Vaos compared the clinical effects of the Nd:YAG laser contact technique with those of a conventional technique on the grounds of certain perioperative parameters, including operative time, length of hospital stay, postoperative complications and morbidity. Seventy-five patients undergoing circumcision were reviewed retrospectively. Operative time, length of hospital stay, and postoperative morbidity were analyzed. The study concluded the Nd:YAG laser contact technique is an effective laser-assisted procedure alternative to the conventional technique in circumcision with virtually no significant postoperative morbidity (Vaos,2004).

Similar study using Carbon dioxide laser circumcision found this technique to reduce operative time translating into cost effectiveness. Morbidity rates of laser circumcision compared favorably to those of conventional circumcision (How et al 2003).

Merits and Arguments Related to Circumcision 51

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