Glans injury during ritual circumcision

Raisin, Galiya; Kocherov, Stanislav; Jaber, Jawdat; Shenfeld, Ofer Z.; Hardak, Benjamin; Chertin, Boris

doi:10.1016/j.jpurol.2020.06.014

Cited by 13 publications

(16 citation statements)

References 15 publications

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“…They also claimed that dual blood supply to the glans penis and corpora spongiosum is an excellent vascularity source to the imposed graft or flap. 9 However, in the present case, the patients referred to our center after 10 days, when the re-anastomosis was impossible. In amputation penile cases, preservation of the injured penis should be the first priority so that the penis should be rinsed with a normal saline solution, wrapped in saline-soaked gauze, and placed in a sealed sterile bag.…”

Section: Discussionmentioning

confidence: 66%

<p>Penile Injury During Ritual Circumcision</p>

Ahmed¹,

Al‐wageeh²,

Al-shami³

et al. 2020

RRN

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Purpose: Circumcision is one of the most prevalently performed surgeries worldwide. It is a common non-therapeutic procedure, which, based on the cultural and social background of people, could be performed by individuals at different levels of skill ranging from trained medical professionals to non-specialists. Therefore, this surgery could cause complications of varying frequencies and types. For example, penile damage during the circumcision procedure is a severe and rare complication leaving patients with morbidity and lifelong consequences. Here, we reported two cases of penile injury during a ritual circumcision. Patients and Methods: This study was approved by the ethics committee of Ibb University of Medical Sciences. Case 1: A 6-month-old child was brought to hospital by parents with complaints of purulent discharge around the penis after ritual circumcision performed 3 days ago with complete skin loss in the whole part of the penis extended to the scrotum and suprapubic area. Case 2: A 2-month-old child was brought to hospital with complaints of penile discharge and gangrene after ritual circumcision performed 10 days ago. Results: Case 1: He was treated with daily debridement and wound irrigation followed by a surgical procedure to bury the penis in the scrotum for future reconstructive surgery. Case 2: A suprapubic cystostomy was inserted into the bladder. Then, daily debridement and wound irrigation was performed for the child. To treat penile gangrene, two options were available. The first option was to bury the penis in the scrotum and do reconstructive surgery later. The second option was to change the child's anatomical sex from male to female. Conclusion: We suggest that every child, before a circumcision procedure, should be evaluated by a medically trained professional. This procedure should also be carried out in aseptic conditions. Additionally, the circumcision procedure needs to be performed by an experienced medical professional.

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Section: Discussionmentioning

confidence: 66%

<p>Penile Injury During Ritual Circumcision</p>

Ahmed¹,

Al‐wageeh²,

Al-shami³

et al. 2020

RRN

View full text Add to dashboard Cite

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“…A previous study showed that approximately eight hours after amputation, the glandular tissue still seemed to be viable. 10 Nevertheless, in our case, the patient was sent to our hospital after two days when re-anastomosis was unachievable. It has come to our attention that the preservation of the lacerated penis should be prioritized in this situation; it needs to be washed with a normal saline solution, then coated with saline-soaked gauze, and put in a sterile sealed bag.…”

Section: Discussionmentioning

confidence: 72%

Catastrophic Complications of Circumcision by Traditional Circumcisers

Ahmed¹,

Al‐wageeh²,

Ghabisha³

et al. 2021

OAEM

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Circumcision is one of the important public surgeries performed globally. It is a popular non-therapeutic procedure that can be performed by people of various abilities and skills, ranging from trained medical practitioners to non-specialists, depending on their cultural and social backgrounds. Consequently, this surgery may cause varying types and frequencies of complications. Glans amputation and death due to severe bleeding, as a complication of this procedure, are rare, and the patients are left with morbidity and life-long complications. Here, we describe two cases of catastrophic complications due to ritual circumcision (one penile glans amputation and one death).

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“…Families primarily seek this procedure based on religious, cultural, and medical purposes [ 1 ]. Complications of circumcision vary depending on several elements such as comorbid factors, type of anesthesia, practitioners' training and experience, and child age [ 2 , 3 ]. While, in developed countries, most complications are related to the type of anesthesia, in developing countries, most complications are caused by untrained practitioners, as in our case [ 1 , 3 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…The complication rate of this procedure is between 0.2% and 5%. It can range from mild loss of penile skin to significant complications such as glans amputation, total penile loss, and even death [ 2 ]. Complication rates depend on different elements, such as comorbid factors, type of anesthesia, practitioner's expertise, and child age [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…It can range from mild loss of penile skin to significant complications such as glans amputation, total penile loss, and even death [ 2 ]. Complication rates depend on different elements, such as comorbid factors, type of anesthesia, practitioner's expertise, and child age [ 2 , 3 ]. Since few cases of total penis skin loss in circumcision procedures have been reported, records of these complications and its consequences are required [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Repair of total penile skin loss after ritual circumcision using a scrotal flap: a case report

Qaid¹,

Ahmed²,

Al-shami³

et al. 2022

Pan Afr Med J

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Ritual circumcision is associated with a high rate of complications, mainly if performed by an untrained practitioner. Furthermore, excessive skin removal is a rare complication of this procedure that results in penis “trapping” underneath the skin and future sexual dysfunction. Here, we presented a 45-day-old Yemeni newborn with a trapped penis due to total loss of penile skin during a ritual circumcision performed by a traditional untrained practitioner using the guillotine technique one month ago. The patient underwent surgical exploration, and the penis was deliberated, released, and the skin defect was repaired with a single-step scrotal flap advancement over the penile shaft. At the six-month follow-up, the outcome was both functional and cosmetically satisfying. In conclusion, we recommend that the circumcision procedure be performed at the very least by an educated and skilled health professional. Additionally, a scrotal advancement flap is still an option in significant penile skin loss cases.

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Glans injury during ritual circumcision

Cited by 13 publications

References 15 publications

<p>Penile Injury During Ritual Circumcision</p>

<p>Penile Injury During Ritual Circumcision</p>

Catastrophic Complications of Circumcision by Traditional Circumcisers

Repair of total penile skin loss after ritual circumcision using a scrotal flap: a case report

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