Background: Circumcision remains one of the most commonly performed surgical procedures worldwide. Traditional methods involve manual excision and suturing, while newer stapler techniques offer potential advantages. This study aimed to compare outcomes between classical and stapler circumcision techniques.

Methods: A prospective randomized controlled trial was conducted with 50 male patients (age range: infants to adults) randomly assigned to either classical circumcision (Group A, n=25) or stapler circumcision (Group B, n=25). Primary outcomes measured included operative time, post-operative pain using Visual Analog Scale (VAS), complication rates, and recovery time. Patients were followed up at 1 and 2 weeks post-surgery.

Results: Stapler circumcision demonstrated significantly shorter operative times compared to classical technique (12 ± 2.5 minutes vs. 37 ± 7.5 minutes, p<0.001). Mean pain scores at 24 hours (4.0 ± 0.8 vs. 6.0 ± 1.2, p<0.001) and 48 hours (2.0 ± 0.6 vs. 4.0 ± 0.9, p<0.001) were significantly lower in the stapler group. Complication rates were higher in the classical group (40% vs. 12%, p=0.024), with swelling (20%), minor bleeding (12%), and infection (8%) being most common. Mean recovery time was shorter in the stapler group (7 ± 1 days vs. 11 ± 1 days, p<0.001).

Conclusion: Stapler circumcision offers significant advantages over classical techniques in terms of operative time, post-operative pain, complication rates, and recovery time. Despite higher procedural costs, these benefits may justify the use of stapler circumcision where resources permit.