Outcome of Circumcision Using Bipolar Diathermy: An Observational Study

Open Access

Abstract

Background: Circumcision is a common surgical procedure, and achieving optimal outcomes with minimal complications remains a priority. Bipolar diathermy is increasingly used for its precision and reduced bleeding risk, but limited prospective data exist on its efficacy in resource-constrained settings like Bangladesh. Objective: This study aimed to evaluate the postoperative outcomes of circumcision using bipolar diathermy. Methods & Materials: This retrospective observational study was conducted at the Department of Surgery, Delta Medical College & Hospital, Dhaka, Bangladesh. (Jan 2022- Dec 2023) Included 86 patients undergoing bipolar diathermy circumcision. We used purposive sampling to assess operative time, blood loss, postoperative pain (VAS), healing time, and complications at 24h, 7d, and 14d follow-ups. Data were analyzed using descriptive statistics in MS Excel. Ethical approval was obtained, with informed consent from all participants. Results: The study of 86 patients revealed a mean operative time of 18.7 minutes with minimal blood loss (5.2 mL). Postoperative pain scores decreased from 4.2 (Day 1) to 1.3 (Day 7) on VAS, with 88.4% achieving wound healing within 10 days. Complication rates were low (13.9%), primarily mild edema and infections. Patient satisfaction was high (93% good/excellent outcomes), supporting bipolar diathermy as an effective circumcision method. Conclusion: Bipolar diathermy circumcision demonstrated excellent safety and efficacy, with minimal blood loss, rapid healing, and high patient satisfaction. The technique appears particularly suitable for resource-limited settings. Further comparative studies are recommended to establish its advantages over conventional methods.