Disposable Circumcision Tray

Circumcision kits come in various types, each designed to facilitate the procedure in different settings and for different age groups. Here are the main types of circumcision kits and their uses:

1. Gomco Clamp Kit

• Use: Commonly used in newborn circumcisions.
• Description: The Gomco clamp consists of a metal bell that fits over the glans and a clamping mechanism that applies pressure to the foreskin to prevent bleeding while it is cut away.
• Advantages: Reduces bleeding effectively; widely used and accepted.
• Disadvantages: Requires precision and experience to use correctly.

2. Plastibell Kit

• Use: Primarily used for newborns and infants.
• Description: The Plastibell device is a plastic ring that is placed under the foreskin and tied with a suture to cause the foreskin to fall off naturally within a few days.
• Advantages: Simple to use; minimizes bleeding; no sutures required.
• Disadvantages: Risk of ring displacement or infection if not monitored properly.

3. Mogen Clamp Kit

• Use: Suitable for both infants and adults.
• Description: The Mogen clamp is a metal device that clamps the foreskin, allowing it to be cut off quickly.
• Advantages: Quick procedure; minimal bleeding.
• Disadvantages: Does not provide a view of the glans during the procedure, posing a risk of accidental injury.

4. Shang Ring Kit

• Use: Typically used for adults and adolescents.
• Description: The Shang Ring is a circular device composed of two plastic rings that clamp the foreskin, which is then removed after a week or so.
• Advantages: Minimally invasive; minimal bleeding; quick recovery.
• Disadvantages: Requires follow-up for ring removal; discomfort during the wearing period.

5. Alisklamp Kit

• Use: Suitable for use in various age groups.
• Description: The Alisklamp uses a clamping mechanism to cut off blood supply to the foreskin, which is then excised.
• Advantages: Reduces bleeding significantly; relatively easy to use.
• Disadvantages: Device needs to remain in place for a few days; potential for infection if not monitored.

6. PrePex Kit

• Use: Mainly used in adult and adolescent circumcisions, particularly in resource-limited settings.
• Description: The PrePex device uses elastic rings to compress the foreskin, leading to necrosis and natural removal.
• Advantages: No anesthesia required; can be performed by trained healthcare workers in non-surgical settings.
• Disadvantages: Extended wearing period; some discomfort during necrosis.

7. AccuCirc Kit

• Use: Designed for neonatal circumcision.
• Description: The AccuCirc device has a shield and a circular blade to excise the foreskin in a single motion.
• Advantages: Quick and precise; minimal bleeding.
• Disadvantages: Single-use device; specific training required.

8. Traditional Surgical Kit

• Use: Suitable for all age groups but more commonly used in older children and adults.
• Description: Includes surgical instruments such as scissors, scalpels, forceps, and sutures for a traditional surgical circumcision.
• Advantages: Versatile and adaptable to different anatomical variations.
• Disadvantages: Requires surgical expertise and a sterile environment; higher risk of bleeding compared to clamping devices.

Considerations for Choosing a Kit:

• Age of the patient: Some devices are specifically designed for newborns, while others are better suited for older children or adults.
• Setting: Certain kits are more appropriate for use in resource-limited settings or in non-surgical environments.
• Experience of the practitioner: Some devices require specific training and experience to use effectively.
• Patient preference and cultural practices: Preferences and cultural practices can influence the choice of circumcision method and device.

Each type of circumcision kit has its specific applications, benefits, and limitations, and the choice of kit often depends on the individual circumstances and the practitioner’s expertise.