Scrotal injuries during neonatal circumcision

Bar-Yosef, Yuval; Dekalo, Snir; Bar-Yaakov, Noam; Binyamini, Joseph; Sofer, Mario; Ben‐Chaim, Jacob

doi:10.1016/j.jpurol.2018.10.009

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…A longitudinal population analysis of cumulative risks of circumcision 24 Revisions after unsatisfactory adult circumcisions 60 Serious complications in male infant circumcisions in Scandinavia indicate that this always be performed as a hospital-based procedure 32 15. Scrotal injuries Examination of short and long term complications of thermocautery, plastic clamping, and surgical circumcision techniques 23 Scrotal injuries during neonatal circumcision 67…”

Section: Nonhealing Woundmentioning

confidence: 99%

Systematic review of complications arising from male circumcision

2021

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Background: Neonatal male circumcision is the most common procedure performed on paediatric patients (Simpson et al., 2014) and one of the most common surgical procedures in the world (American Academy of Pediatrics, 2012).Methods: A search was conducted for articles about complications arising from male circumcision surgeries by entering the term 'male circumcision' into PubMed on June 16, 2020. Six thousand six hundred forty-one articles published from 1945 to 2020 were found. Seventy-eight articles were ultimately selected for the systematic review.Results: The 78 articles selected from the literature search were entered into one of three tables. The first table includes 15 articles pertaining to chart reviews and cohort studies and report complication rates. The second table reports specific complications from 51 case reports and case series, and the third table is a summary from 12 articles regarding physician questionnaires and society recommendations. Additionally, the 78 articles were used to compile a list of 47 specific complications arising from male circumcision surgeries.Conclusions: Complications from neonatal male circumcisions are common and healthcare providers need to be better informed of the potential complications of the surgery so that they can more effectively counsel their patients about potential risks, likelihood of complications and what can be done to prevent them. While experienced providers who practice in sterile settings have better outcomes with fewer complications, encouraging parents to take into account who is performing their son's circumcision, what was their training, how clean is their practice and how much experience they have and reminding them they have the option to decline the procedure entirely allow the parents to get a more complete picture and play an essential role in the decision-making process.

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