Circumcision: postoperative complications that required reoperation

Abstract

Objective To evaluate post-operative complications of circumcision requiring surgical reintervention.Methods Retrospective analysis of medical records of patients submitted to circumcision from May 1st, 2015 to May 31st, 2016.Results A total of 2,441 circumcisions were performed; in that, 1,940 using Plastibell and 501 by the classic technique. Complications requiring surgical reintervention were found in 3.27% of patients. When separated by surgical technique, 3.4% of circumcisions using Plastibell device required reoperation, as compared to 3% of conventional technique (p=0.79). Preputial stenosis was most frequently found in classic circumcision, with statistical significance (p<0.001). Bleeding was more frequent when using Plastibell device, but the difference was not statistically different (p=0.37). Patients’ age was also evaluated to investigate if this variable influenced on the postoperative outcome, but no significant difference was found.Conclusion There was no statistically significant difference when comparing complications between the different techniques performed at this hospital. Preputial stenosis was most frequently found in the classic circumcision, while bleeding was more prevalent when using Plastibell device. Patients’ age did not influence in complications.

Termokoterle Yapılan Sünnet Sonrası Gelişen Fimozisin Tedavisinde Topikal Steroid Kremin Etkinliği

“…In a recent study, the plastibell technique was compared with the conventional method. The rate of development of secondary phimosis was found to be 2.4% in the conventional method which was reported to be statistically significant (10). A new generation of devices using thermocautery to perform circumcision is commonly used in developing countries.…”

Histology and immunohistochemical evaluation of phimotic prepuce: The role of steroid therapy

“…Compared to the healthcare policy, several studies have estimated that the overall cost of circumcision is about 25% higher than steroid therapy (Blank et al, 2012;Esposito et al, 2008;Sneppen & Thorup, 2016;Talini et al, 2018).…”

Rare Yet Devastating Complications of Circumcision

“…There was no statistically significant difference when comparing complications between the different methods performed. In one study, preputial stenosis was most frequently found in the traditional circumcision, while bleeding was more prevalent when using a Plastibell device [15]. A different controlled trial compared adverse events rate for circumcision using the three devices (the Gomco clamp, the Mogen clamp, and the Plastibell device) and showed that adverse events rate did not differ by the method [16].…”

“…Another study has shown that a worn out, and overused Gomco clamp has less of a vessel crushing effect, hence more bleeding [26]. Another study has found that bleeding was more prevalent when using a Plastibell device [15].…”