Keloid Formation after Circumcision: A Case Report and Current Literature Review

Güler, Yavuz; Erbin, Akif; Ozmerdiven, Gokhun

doi:10.3897/folmed.62.e49619

Cited by 5 publications

(4 citation statements)

References 10 publications

(11 reference statements)

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“…This seems to be related to the grater skin pigmentation of these patients (10) , and it was considered as a potential cause in our patient. Penile keloids have been described in the literature (11) , but in this case, we believe the problem should not be attributed to the patient's own scarring process, since there was an exogenous element justifying the persistence of the penile inflammatory-fibrotic reaction.…”

Section: Discussionmentioning

confidence: 77%

Severe penile fibrotic reaction secondary to a non-absorbable suture: a case report

Montero¹,

Hernández-Martín²,

González³

et al. 2023

Cir Pediatr

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Introduction. Circumcision is one of the most frequent urological surgical procedures in the pediatric population globally. Complications, although rare, can be severe.Clinical case. We present the case of a Senegalese 10-year-old male patient who had undergone ritual circumcision in his early childhood and developed a progressive circumferential tumor in the penile body with no further associated symptoms. Surgical exploration was carried out. A fibrotic-looking penile ring, which was interpreted as an injury secondary to the non-absorbable suturing material used in the previous surgery, was identified. The tissue involved was removed, and on-demand preputioplasty was conducted. Due to technical limitations, the resected tissue could not be analyzed, which means diagnosis could not be histopathologically confirmed. The patient had a favorable progression.Conclusions. This case demonstrates that the medical personnel in charge of performing circumcisions should be adequately trained in order to prevent severe complications.

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Section: Discussionmentioning

confidence: 77%

Severe penile fibrotic reaction secondary to a non-absorbable suture: a case report

Montero¹,

Hernández-Martín²,

González³

et al. 2023

Cir Pediatr

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“…15,24,25 In three of the patients in this review, some therapy was associated prior to surgical treatment, such as corticosteroid infiltration, application and massage with topical corticosteroids or silicone gel, as well as placement of a silicone plate for local compression. 10,15,26 Most patients were submitted to adjuvant therapies, also with corticosteroids and compression therapies, only in the postoperative period. In only one patient described, 7 adjuvant radiation was performed.…”

Section: Discussionmentioning

confidence: 99%

Keloids in male genitalia—Systematic review and illustrative case report

Isoldi,

Garcia,

Vieites

et al. 2024

Wound Repair Regeneration

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Keloid is the maximum expression of pathological fibroproliferative skin wound healing, whose pathophysiology is not yet fully understood. Its occurrence in the perineum and genitalia is uncommon. A systematic review was carried out regarding the occurrence and treatment of keloids on the penis. An illustrative case was also reported. The review used the PRISMA checklist and was registered in PROSPERO. The entire literature period up to April 2023 was searched in the EMBASE/Elsevier, Cochrane, Scopus, Medline, BVS, SciELO, and Lilacs databases. The inclusion criteria embraced primary studies, clinical trials, prospective or retrospective cohorts, case series, case–control studies and case reports. Three hundred and sixty‐one studies were found and 12 of them were included, consisting of 9 case reports and 3 case series. The most common triggering factor for keloid formation was circumcision, in 11 of the cases, of which more than half occurred in prepubescent children. Several therapies, associated or isolated, were used to treat the cases. Only one of the reported patients had scar recurrence after surgical treatment. Studies with better scientific evidence are needed to understand the involvement of keloids in male genitalia. However, keloid formation in this topography is rare, making it difficult to carry out more elaborate studies.

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“…Este hecho, que parece estar en relación con la mayor pigmentación cutánea presente en estas poblaciones (10) , fue considerado en nuestro paciente como posible factor causal. Existen descritos en la literatura los queloides peneanos (11) , pero en este caso creemos que el problema no puede ser atribuido a la cicatrización propia del paciente puesto que había un elemento exógeno que justificaba la persistencia de la reacción fibrótica-inflamatoria en el pene.…”

Section: Discussionunclassified

Reacción fibrótica peneana severa secundaria a una sutura no absorbible: reporte de un caso

Montero¹,

Martín²,

González³

et al. 2023

Cir Pediatr

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ResumenIntroducción. La circuncisión es uno de los procedimientos quirúrgicos urológicos más frecuentemente realizados en la población pediátrica en todo el mundo. Las complicaciones, aunque infrecuentes, pueden ser graves.Caso clínico. Presentamos el caso de un paciente varón senegalés de 10 años que fue sometido a una circuncisión ritual en la primera infancia y que desarrolló una tumoración circunferencial progresiva en el cuerpo del pene sin otra sintomatología asociada. Se realizó una exploración quirúrgica y se identificó un rodete peneano de aspecto fibrótico que se interpretó como lesión secundaria al material de sutura no absorbible utilizado en la cirugía anterior. Se realizó una exéresis del tejido afecto y una prepucioplastia a demanda. Por limitaciones técnicas, no se pudo analizar el tejido resecado y por tanto no se pudo confirmar histopatológicamente el diagnóstico. El paciente evolucionó favorablemente.Conclusiones. Este caso pone de manifiesto la necesidad de formar adecuadamente al personal que realiza la circuncisión para evitar complicaciones severas.

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Keloid Formation after Circumcision: A Case Report and Current Literature Review

Cited by 5 publications

References 10 publications

Severe penile fibrotic reaction secondary to a non-absorbable suture: a case report

Severe penile fibrotic reaction secondary to a non-absorbable suture: a case report

Keloids in male genitalia—Systematic review and illustrative case report

Reacción fibrótica peneana severa secundaria a una sutura no absorbible: reporte de un caso

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