Friday 7 September 2007

Pheww!!Alhamdulilah..

Oh no!!!It was extremely scary!!!!
I just can't do it.....

The SmartKlamp borrows some ideas from the Plastibell, in that it is a disposable plastic item, sold in various sizes, and sealed in a sterile pack until the point of use. It also works by crushing and cutting off the blood supply to the foreskin above the chosen point of removal. Likewise it remains in place on the penis for a few days until it has completed its work.

It differs in being less fiddly and quicker to apply, because it eliminates the need to judge the degree of surgical thread tension, and the tying of a surgical knot required to keep the Plastibell in place. One click and and it locks on in a with consistent precision. The manufacturers claim a product line quality control testing to within 1 micron.

It comes in two parts and at first glance looks a bit like an hourglass egg timer. However, the central clear plastic is a slightly tapered cylinder, not waisted. The top edge of this tube has a rectangular flange to engage with the outer frame, the bottom is circular. This difference is to ensure it cannot be fitted to the frame incorrectly. The frame has two vertical arms which have elbow hinges at their mid point. Before use these joints are flexed outwards.

As with all gadgets, which take time to apply, local anaesthetic by injection is a wise and caring pre-requirement.

Preparation is much the same as other methods, in that the foreskin has to be retracted. If it is adherent to the glans, it first has to be gently freed by passing a smooth probe between the two surfaces. If the foreskin opening is still too narrow to pass over the glans, it is divided by scissors or scalpel from the tip opening, down its length, almost to the corona or rim of the glans, so that the whole part can be completely exposed.

Prior to this, the outer foreskin will have been marked on its outer surface with a sterile pen, at the point where it is to be cut off - usually at or a little below the rim of the glans which can be seen or felt as a slight bulge.

The SmartKlamp comes in a range of sizes; currently ranging from babies to pre-pubescent boys of about twelve. Larger sizes for teenagers and adults are being trialled in Turkey. A card with a series of different sized punched holes is supplied with the kit, enabling the operator to select the correct size of SmartKlamp. He or she tests by passing the exposed glans through one of these holes. The closest fit indicates the numbered size of clamp to select.

With the foreskin fully retracted, the glans is slipped into the lower, rounded, end of the clear plastic tube. The foreskin is then pulled up on the outside of this tube until the mark indicating the cutting point is just above its lower end. The frame is then passed over it and the moulded top of it is engaged with the top of the tube by a quarter turn.

Having checked that the foreskin is straight in line, and still up the outside of the tube to the required mark, the operator pinches the two flexed arms together until a distinct click is heard and they are locked in a rigid straight position. This is the moment when the boy is effectively circumcised as his foreskin is crushed against the tube, perfectly cutting off the blood supply to all the flesh above but not severing the skin and thus preventing bleeding.

The operator then takes a scalpel and cuts through the foreskin all around and ABOVE the base ring of the frame, using it as a guide. This removes most of it without any bleeding. The open end of the tube allows for urination whilst the device stays in place for five days to complete its work. When this period has elapsed, the device is removed by using pliers to cut through two points at the top of the plastic frame, whereupon it falls apart and the tube can be removed. The fully circumcised penis will have a black ring of necrotic tissue all around where a small part of it has been trapped under the crushing edge of the SmartKlamp. This dead skin will quickly dry and rub away to reveal a perfectly neat, circular scar.

The SmartKamp is very similar to an earlier, single-piece, invention named the TaraKLamp. A more recent device called the Sunathrone Clamp also works on the same basic principle. The potential advantage of the SmartKlamp over the TaraKLamp is that it is easier to correctly position the foreskin over the separate tube without the clamping mechanism getting in the way.

All three of these devices seem to be made in or widely used in the far eastern asian muslim region around Indonesia where almost all boys are curcumcised for faith/cultural reasons somewhere between about five and twelve years of age. One snag with the SmartKlamp: If it doesn’t fall off on its own, it can be removed with only a little force! A petulant older child could open the SmartKlamp, (with potentially disaterous consequences!) but not the TaraKLamp! Whereas the lock on the TaraKLamp requires an instrument such as a fine screwdriver to force it

As far as I know none of these inventions have received official approval for use in the USA, UK, Canada Australia and NZ and are not marketed there... yet?.

p/s:Everybody please pray for me next year huh!..."again"??!!

1 comment:

Anonymous said...

sunat dolu.. baru la citer pasal klamps! ahahah baru la buleh tulih "base on my experience.. " emm.. ni "base on my papa's experience.. " ahahahahhaaha ooppsss..
shitsureishimashita.

qayyim.. nanti saing sekali dengan tsaqeef la senang..