Medical indications for circumcision

Rickwood, A. M. K.

doi:10.1046/j.1464-410x.1999.0830s1045.x

Cited by 93 publications

(58 citation statements)

References 5 publications

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“…A total of 162 patients attended for follow-up, 77 were discharged after satisfactory review ranging from 1-3 clinic visits, 74 were followed up further for synchronous urological pathology (mainly lower urinary tract symptoms) and one patient died of unrelated pathology prior to review. Of the remaining 9 patients, 2 were found to have haematomas at initial follow-up neither of which required intervention and both were subsequently discharged, 4 are awaiting follow-up at the time of data collection, and 3 are currently being followed up for balanitis xerotica obliterans (BXO) involving the glans penis. Only 10 patients were re-referred (Table 3) and all of these had their circumcisions done by a urologist.…”

Section: Methodsmentioning

confidence: 99%

Do men having routine circumcision need histological confirmation of the cause of their phimosis or postoperative follow-up?

Pearce¹,

Payne²

2002

Annals of the Royal College of Surgeons

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Objective: To assess the accuracy of pre-operative diagnosis of preputial pathology amongst urologists and general surgeons. Patients and Methods: Data were collected on 460 adult patients having had circumcision performed by either a general surgeon or a urologist over a 10-year period. Results: Pre-operative diagnosis was consistent with final histology in 83% of cases and further management was never altered by the histological result. Re-referral rates were 0% for general surgeons and 2.7% for urologists (P > 0.05) and there were no cases needing further surgical intervention. Conclusions: Routine submission of histological specimens for analysis and out-patient follow-up are not required following circumcision.Key words: Circumcision -Histology -Pathology - Follow-up Circumcision is one of the oldest and more frequently performed urological operations with over 35,000 being performed in England and Wales every year.' Several questions remain unanswered with regard to the management of this procedure: (i) what is the accuracy of pre-operative diagnosis compared with histological diagnosis; and (ii) does the histological diagnosis alter further management and do the patients require followup? Thus we retrospectively reviewed 460 consecutive patients who had a circumcision at our institution over a 10-year period.had circumcision performed at our institution for a variety of pathologies (Table 1). The clinical records were retrospectively analysed to determine the pre-operative diagnosis accuracy, frequency of histology requests and their effect on further management, and rates of follow-up. The incidence of re-referral and whether this led to surgical intervention were also assessed. For the purpose of analysis, a histological finding of non-specific inflammation or fibrosis was considered to be compatible with a preoperative diagnosis of phimosis. Results Patients and Methods

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Section: Methodsmentioning

confidence: 99%

Do men having routine circumcision need histological confirmation of the cause of their phimosis or postoperative follow-up?

Pearce¹,

Payne²

2002

Annals of the Royal College of Surgeons

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“…Alternative treatments such as preputioplasty, dorsal slit or steroid therapy can be attempted, but depending on the severity of the scar tissue, circumcision may be the only curative option when true phimosis is diagnosed [165][166].…”

Section: Pathological Phimosismentioning

confidence: 99%

CUA guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants

Davé

Afshar

Braga

et al. 2017

CUAJ

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“…The adhesion between the prepuce and glans will also separate gradually as a spontaneous biological process. [2][3][4] By the age of 3 years, 90% of prepuces are retractable. 1 6 of boys with a completely retractable prepuce by the age of 13 years.…”

Section: Physiological Phimosismentioning

confidence: 99%