Contraindications for Disposable Circumcision Stapler

Patients Not Suitable for Disposable Circumcision Stapler

1. Severe phimosis with extremely tight preputial orifice

   The foreskin cannot be retracted to expose the glans adequately. The stapler requires sufficient space for placement and fixation; severe phimosis may lead to difficult device insertion, nonstandard cutting, or frenulum injury.
2. Severe adhesion between foreskin and glans

   The stapler performs a one‑step circular incision and cannot separate dense adhesions. Severe adhesions must be dissected manually; forced use may cause tissue tearing, bleeding, and poor healing.
3. Short frenulum, frenulum deformity, or requiring frenulum lengthening

   The stapler cannot adjust the length of the frenulum flexibly. Forced application may result in frenulum tear, pain during erection, or penile curvature.
4. Abnormal foreskin development, asymmetry, thickened foreskin, or keloid tendency

   The stapler provides standardized circular cutting and has poor adaptability to irregular foreskin. Patients with keloid tendency may develop excessive scarring around titanium staples.
5. Patients with acute balanoposthitis or active infection

   Using the stapler during infection may worsen inflammation, cause insecure stapling, and increase the risk of wound dehiscence. Infection must be controlled before surgery.
6. Patients with penile anatomical abnormalities

   Including penile curvature, concealed penis, webbed penis, etc. The stapler cannot correct anatomical deformities and may lead to unsatisfactory cosmetic and functional outcomes.
7. Coagulation disorders or bleeding tendency

   Although the stapler minimizes bleeding, patients with poor coagulation are still at risk of delayed postoperative hemorrhage. Manual surgery offers more controllable hemostasis.
8. Poorly controlled diabetes mellitus

   Delayed wound healing and prolonged staple shedding are common. Infection risk is significantly increased. Manual surgery is often preferred for easier wound observation and dressing changes.
9. Young children (usually under 3 years old)

   Poor cooperation, small penile size, and inappropriate device dimensions. Traditional circumcision or Shang Ring is safer in this age group.
10. Patients with known allergy to titanium

    Although rare, titanium allergy may cause foreign body reaction and inflammation around staples.

Simple Summary