Objectives: To evaluate the effectiveness of the anti-hemorrhagic drug therapy protocol we implemented, as well as the surgical techniques adopted, in hemophilic patients undergoing circumcision.

Patients and Methods: This was a prospective study conducted over four months, from July 2025 to October 2025, in the Pediatric Surgery Department of the Albert Royer National Children’s Hospital and the National Blood Transfusion Center (CNTS), in which 20 files were collected. The therapeutic protocol consisted of injectable Kovaltry and Exacyl combined with hygiene and dietary measures. The surgical techniques were the guillotine technique with a loose transient tourniquet and the two-stage mucocutaneous section technique under guide clamp.

Results: Mean age was 8.7 years (range: 10 months to 16 years). Patients were classified by type of hemophilia and the severe type was the most frequent (9 of 20 patients). All patients received the pre-established anti-hemorrhagic protocol. The guillotine technique with a loose transient tourniquet was performed in 10 patients, and the two-stage mucocutaneous section technique under guide clamp in the other 10. Mean length of hospital stay was 4 days. Complications were dominated by postoperative hemorrhage, followed by infections.