Revision sheet

Adult circumcision

11 steps, each one the authored title and caption from the interactive animation, with the frame captured from that step. Read it before the case, or print it and work through the steps in order.

Teaching only, not for diagnosis or treatment decisions. The text on this sheet is the animation's own step copy, reproduced verbatim.

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UrOops3D · UroRef · © Nity G

  1. 01

    External marking

    Adult circumcision. Step 1: External marking. Captured frame from the interactive animation.
    • With the foreskin in its natural position and the penis unstretched, the outer skin line is drawn around the shaft with a marker pen.
  2. 02

    Two clips on the distal foreskin

    Adult circumcision. Step 2: Two clips on the distal foreskin. Captured frame from the interactive animation.
    • Two artery forceps take the distal edge of the foreskin, either side of the dorsal midline, to hold and retract it.
  3. 03

    External incision

    Adult circumcision. Step 3: External incision. Captured frame from the interactive animation.
    • The marked outer line is incised all the way round, skin only.
  4. 04

    Layered dorsal slit

    Adult circumcision. Step 4: Layered dorsal slit. Captured frame from the interactive animation.
    • At 12 o'clock the outer layer is slit back to the external incision, then the inner layer, stopping 0.5 cm short.
    • The meatus stays in view throughout.
  5. 05

    Evert the foreskin

    Adult circumcision. Step 5: Evert the foreskin. Captured frame from the interactive animation.
    • The clips draw the slit foreskin back and evert it, turning the inner layer outwards.
  6. 06

    Mark the collar

    Adult circumcision. Step 6: Mark the collar. Captured frame from the interactive animation.
    • A 0.5 cm mucosal collar is marked on the everted inner layer, measured from the coronal sulcus.
  7. 07

    Collar incision

    Adult circumcision. Step 7: Collar incision. Captured frame from the interactive animation.
    • The collar mark is incised all the way round, meeting the apex of the dorsal slit.
  8. 08

    Excise the sleeve

    Adult circumcision. Step 8: Excise the sleeve. Captured frame from the interactive animation.
    • Scissors join the internal and external incisions in the superficial plane and the foreskin sleeve comes away for histology.
  9. 09

    Frenulum: bipolar and box stitch

    Adult circumcision. Step 9: Frenulum: bipolar and box stitch. Captured frame from the interactive animation.
    • The frenulum is handled under direct vision: bipolar to the frenular artery, then a box stitch at the frenulum.
  10. 10

    Closure

    Adult circumcision. Step 10: Closure. Captured frame from the interactive animation.
    • The shaft skin is closed to the collar all the way round with interrupted Vicryl Rapide.
  11. 11

    Dressing

    Adult circumcision. Step 11: Dressing. Captured frame from the interactive animation.
    • Jelonet on the suture line, then gauze, then a crepe bandage if wanted; the crepe is optional.

Derived from CircumcisionScene.tsx at build time: every step title and caption above is the authored ProcedureDef text, reproduced verbatim, and this page shares its readable-points renderer with the animation itself. 11 of 11 steps have a captured frame.

Text fingerprint 9d6377836938384e. A caption edit without a re-capture fails the production check, so the sheet and the animation cannot drift apart silently.