Rarely seen complications of circumcision, and their management

İnce, Bilsev; Dadacı, Mehmet; Altuntaş, Zeynep; Bilgen, Fatma

doi:10.5152/tud.2016.78972

Cited by 13 publications

(17 citation statements)

References 9 publications

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“…The most serious complication of circumcision is amputation of the penis or glans penis, with an inappropriate circumcision method the most significant cause (14). In a series of 6 patients with major circumcision complications such as excess circumcision, penile necrosis, and penile amputation, Ince et al reported that all patients were circumcised by circumcisers (15). Similarly, in the present study, 85.7% of the major complicated cases were circumcised by circumcisers.…”

Section: Discussionsupporting

confidence: 70%

Sünnet Komplikasyonları: Sekiz yıllık deneyimimiz

Dörterler

2020

Harran Üniversitesi Tıp Fakültesi Dergisi

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Background: Most circumcision practices in our country are still carried out by medical officers or circumcisers. The present study aims to determine the types of circumcision complications, their frequencies and possible causes. Materials and Methods: A total of 103 patients between 0-18 years of age, who were admitted to the Pediatric Surgery Clinic of our hospital due to circumcision complaints between January 2012 and December 2019, were included in the study. The demographic data, treatments, and clinical follow-up of the patients were obtained from file records retrospectively. Results: The mean age of the patients was 3.9 ± 3.8 years. Of the circumcisions, 58 (56.3%) were performed at home or in a health cabin, while 45 (43.7%) were conducted in a hospital setting. Of these, 68 (66%) were performed by a circumciser or health officer, and 35 (34%) by a physician. The most common early circumcision complication was penile hemorrhage or hematoma (25.2%) and the most common late circumcision complication was inadequate circumcision and glans adherent skin bridges (17.5%). The major complications were glans penile amputation, necrosis, and excessive incision of the penis skin in 7 (6.7%) patients. Of these patients, 6 (85.7%) were circumcised by a health officer or circumciser. Conclusions: Circumcision is a surgical procedure that should be performed by specialist physicians where the necessary conditions for the surgical procedure are met. As society becomes more aware of this issue, the frequency of circumcision complications and the risk of severe complications will decrease.

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Section: Discussionsupporting

confidence: 70%

Sünnet Komplikasyonları: Sekiz yıllık deneyimimiz

Dörterler

2020

Harran Üniversitesi Tıp Fakültesi Dergisi

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“…Several mechanisms may explain skin loss in the penile region following a circumcision. It can occur after direct excision during the major surgical procedure or following a postoperative skin infection or during postoperative debridement indicated for skin necrosis [21]. This loss of substance exposes the penis with subsequent major risk of infection and erectile dysfunction [19].…”

Section: Discussionmentioning

confidence: 99%

“…Several reconstruction techniques are possible, they are functions of the extent of the loss of substance, ranging from directed healing to skin grafts using thin or thick flaps [21]; fasciocutaneous advancement flap using a flap from the inguinal, femoral [22] and even scrotal region. In the case presented, the authors opted for a skin advancement flap using the scrotal skin.…”

Section: Discussionmentioning

confidence: 99%

Successful Reconstruction of the Penile Skin Loss Using a Scrotal Flap as a Result of Complete Resection Following a Traditional Circumcision: A Case Report

Nwaha¹,

Sala²,

Tchuenkam³

et al. 2019

TOUNJ

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Background: Circumcision is the oldest and most common surgical procedure in the world. One out of three adult males is subjected to this procedure at some point in their lives. Circumcision is done for different reasons, most often to meet religious and/or cultural obligations. Though rare, there exist medical indications for this procedure. As in all surgical procedures, there are early or late complications or morbidities associated with circumcision ranging from mild to severe. The factors that influence the rate of occurrence of complications include: the surgical technique applied, the degree of asepsis during the procedure, and the expertise of the practitioner carrying out the procedure. Case Presentation: This is the case of a 20-year-old black male. He presented in the emergency department of the Douala Laquintinie Hospital (DLH) two hours after circumcision with persistent bleeding from the penile wound. This was performed by a traditional healer using the technique of guillotine. Examination of the external genitalia revealed a wound on the penis with loss of skin over the whole penile shaft. Under spinal anesthesia, a reconstruction intervention which involved a single step scrotal skin flap advancement over the penile shaft was done. We noted satisfactory healing process with a pleasing aesthetic appearance of the penis. He confirmed satisfactory penile erection and sexual activity two months after hospital discharge. Conclusion: Circumcision is a simple surgical procedure that can result to life threatening complications or high morbidity more often when performed by an unskilled practitioner. Education of the population on the safer sites of circumcision can help in the prevention and early management of complications.

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“…Amputation of the whole shaft of the penis after traditional ritual circumcision performed by a family member or unexperienced individual have been reported necessitating reconstructive expert in reimplantation. Untrained individuals who perform circumcisions are to be held responsible for the complications that arise and need to be stopped [11].…”

Section: Practitioner Experiencementioning

confidence: 99%

“…Although rare, traumatic complications of circumcisions have troubling consequences. Injury to the skin of the shaft [11,48], injury to the glans or urethra [49][50][51][52], or total amputation of the whole length of the phallus are reported [53,54]. These events, although very rare, are seen in rural regions where ritual mass circumcisions are performed by untrained individuals using primitive devices.…”

Section: Traumamentioning

confidence: 99%

Rare Yet Devastating Complications of Circumcision

Aldamanhori¹

2020

Circumcision and the Community

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Circumcision is by far the most common procedure done in hospitals of Muslim countries. Many research data have proven its benefits in protecting against numerous sexually transmitted diseases, urinary tract infections, and penile cancer in the patients and cervical cancer in partners. The procedure is quite safe, with a low overall complication rate. Most of the adverse events of circumcision are minor and can be managed conservatively. In some areas where circumcision is performed by an inexperienced individual, or are done in a non-sterile environment, or using the wrong equipment, complications requiring expert intervention are seen. Devastating results range from simple self-limiting swelling and superficial infection to the dreadful amputation to the glans or the whole phallus, necessitating an expert in reconstruction. Circumcision is a simple surgical procedure with minimal adverse events when done by competent trained medical personnel, in a wellcontrolled sterile environment, using the appropriate equipment.

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Rarely seen complications of circumcision, and their management

Cited by 13 publications

References 9 publications

Sünnet Komplikasyonları: Sekiz yıllık deneyimimiz

Sünnet Komplikasyonları: Sekiz yıllık deneyimimiz

Successful Reconstruction of the Penile Skin Loss Using a Scrotal Flap as a Result of Complete Resection Following a Traditional Circumcision: A Case Report

Rare Yet Devastating Complications of Circumcision

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