Abstract Objective： To investigate options and clinical efficacy of phimosis， prepuce surgical using traditional and new circumcision act.Method： The clinical data of 3000 patients were retrospectively analyzed， they used the traditional method（ n=500） and a new ring-cut method（ n=2500） treatment of phimosis or prepuce in our hospital. Then the two methods including the operative time， blood loss， postoperative pain and discomfort time， the surgeon and patient
satisfaction with surgery， postoperative complications， healing time， the foreskin edema， the patient satisfaction with postoperative appearance degrees were compared. Result： New circumcision spended short time， accompanied by less bleeding. There were 25 cases of postoperative wound bleeding（ 1%）， but had no knot. Patients didn’t need dressing and stitches and could take a bath. 50 cases happened adhesions and incarcerated of Foreskin and glans after surgery. This surgery was adapted to child. Traditional circumcision wasted of time and was easy bleeding. There were 10 cases of postoperative wound hematoma（ 2%）， residual bleeding knot. Edges of the incision was irregular. Patients needed dressing and stitches and could not take a bath. Adhesions and incarcerated of Foreskin and glans didn’t happen after surgery. This surgery was adapted to adult. Conclusion： The traditional circumcision is adapted to adult and the new circumcision is adapted to child for phimosis and prepuce. Surgical options should also be considered according to the different surgical techniques， surgical proficiency， the patient’s request and so on.
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