Objectives: Circumcision, the surgical removal of the foreskin covering the penile glans, is one of the oldest and most commonly performed surgical procedures worldwide. In recent years, thermocautery has gained popularity as a cost-effective and practical method. This study aims to present the results of the modified three-stage circumcision technique performed with the help of a thermocautery device in response to the intense demand for circumcision in our region and to contribute to the circumcision literature.

Materials and Methods: This retrospective study analyzed 604 circumcision patients operated on using the three-stage guillotine method with thermocautery while preserving the glans. These procedures were performed by a single surgeon in the first two years of his specialization at Siverek State Hospital between October 2022 and September 2024.

Results: The mean operative time was 12.5±2.8 minutes (range: 8–25 minutes). The mean age of the patients was 7.04±4.1 years (range: 0.33–15.7 years). Bleeding in the form of minor leakage was observed in 3 patients (0.52%). Complications such as infection, penile injury, meatal stenosis, or secondary phimosis were not encountered in any patient.

Conclusion: Thermocautery shortens the duration of the procedure, reducing the child's exposure to anesthesia and surgical stress, while also lowering the risk of bleeding. Circumcision performed with a thermocautery is practical and safe when conducted by trained doctors in an appropriate setting.

Keywords : circumcision, device, complication, thermocautery, diametric cautery