Aetiology and management of injuries to male external genitalia in Nigeria

Circumcision mishaps in Nigerian children

“…[12] Treatments for circumcision mishaps accounted for 24% of pediatric urological workload during the study period, which tallies with earlier observations in similar referral centers. [10][11][12][13] Although religious and cultural circumcisions were performed in Hence children with hemorrhage, although many were in shock on arrival, presented earlier than those with penile adhesions; and those circumcised by doctors presented earlier than those circumcised by persons who were not doctors, as also reported by previous authors. [10,11] Although all circumcisionists recorded complications, the range of mishaps and time lag before presentation differ considerably.…”

“…[10][11][12][13] Although religious and cultural circumcisions were performed in Hence children with hemorrhage, although many were in shock on arrival, presented earlier than those with penile adhesions; and those circumcised by doctors presented earlier than those circumcised by persons who were not doctors, as also reported by previous authors. [10,11] Although all circumcisionists recorded complications, the range of mishaps and time lag before presentation differ considerably. The level of training, place of circumcision and post-circumcision care were important factors in determining the type of injury, mode of presentation, challenges of treatment and final outcome.…”

“…[10] Consequently, unacceptable complications and poor cosmetic outcomes increased as the level of training of the circumcisionists decreased, as also observed by other researchers. [5,6,[10][11][12][13][14] Proximal migrations of plastibell rings were recorded by house officers and nurses only. This is perhaps because plastibell circumcision method may not have been mastered by the practitioners, which is in agreement with the reports by other authors.…”

“…The transmissions of hepatitis and neonatal tetanus were associated with big challenges and higher to be in color********** morbidity and mortality as the children were presented when they were in the terminal stages of the disease. [10,11] These could have been prevented if postoperative antibiotics were given and the children presented early for treatment. Application of native concoctions by traditional circumcisionists compounded the problems and resulted in penile tissues fasciatis.…”

“…[1,4] Hence circumcision remained an accepted practice by the literate and illiterate before and even after the advent of western civilization. Many literatures [8][9][10][11] reported complications following circumcision. These brought into question the rationale for circumcision, which resulted in a tilt towards "no circumcision" in many highly developed cultures.…”