Skin Bridge–A Complication of Paediatric Circumcision

Sathaye, Ulhas; Goswami, AK; Sharma, Swati

doi:10.1111/j.1464-410x.1990.tb14909.x

Cited by 14 publications

(4 citation statements)

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“…To avoid the hazardous electric current in bipolar scissors, circumcision is advised, since it is more effective and safer than the standard scalpel techniques in terms of morbidity [22]. Electrocautery is more commonly used in separating the prepuce from the glans in newborn circumcision; however, the glans is superficially injured and if the shaft skin or part of the circumcision wound adheres to this, it may cause epithelialisation and growth, causing a skin bridge [23,24]. The authors recommended that high-voltage electrocautery should not be employed in such circumstances.…”

Section: Discussionmentioning

confidence: 99%

Comparing the effects of current circumcision techniques on dorsal root ganglia: an experimental study

et al. 2021

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Background Circumcision is a surgical removal process of the preputium. Surgical excision and electric current cause neurodegeneration in the excised tissue-related neural network. This study investigates if circumcision and current surgical methods would cause histopathological changes in the penile tissue innervating pudendal nerve dorsal root ganglia. Results Vascular congestion occluded the microvessels, and degenerative changes were detected in postexcised penile tissue. Neuronal angulation, cytoplasmic condensation, nuclear shrinkage, and condensed nuclei were observed in the pudendal nerve ganglia. Moreover, the degenerated neuron (DN) densities of the pudendal nerve ganglia were 5 ± 2, 98 ± 22, 1093 ± 185, 236 ± 43 and 151 ± 19 in the control, the surgical circumcision, the monopolar cautery, the bipolar cautery and the thermocautery groups, respectively. Conclusions Although only the pudendal nerve endings are affected secondary to prepusium excision another pudendal axons can be damaged during bleeding control with cautery, the destruction of the neuron that sends this axon initiates a general inflammation in that ganglion. As a result, there may be a somatosensitive innervation defect in extrapenile tissues innervated by this ganglion. High-voltage electric devices should not be used unless obligatory.

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Section: Discussionmentioning

confidence: 99%

Comparing the effects of current circumcision techniques on dorsal root ganglia: an experimental study

et al. 2021

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“…It consists of permanent attachment of the glans to the penile shaft. The postulated causes of penile skin bridges may be inadequate separation of inner preputial epithelium or abrasion of the glans during circumcision .…”

Section: Discussionmentioning

confidence: 99%

“…The significance of skin bridges (other than poor cosmetic appearance) is that they may cause tethering of the erect penis, with resultant pain or penile curvature. Urethrocutaneous fistulas have also been found to coexist with penile skin bridges .…”

Section: Discussionmentioning

confidence: 99%

Dermatological Complications of Circumcision: Lesson Learned from Cases In a Pediatric Dermatology Practice

Tempark

Singer

et al. 2013

Pediatric Dermatology

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We discuss 11 cases of boys who presented with dermatologic complications of circumcision in an outpatient pediatric dermatology clinic. A medical practitioner had previously circumcised all patients during the newborn period. The majority of cases were found incidentally during initial thorough dermatologic examination. Late cutaneous complications included penile skin bridge, glandular adhesion of remnant foreskin, concealed penis, and a penile epidermal inclusion cyst. Minor surgical procedures under local anesthesia were performed in all but two cases. These cases should help dermatologists recognize the common late cutaneous complications of male newborn circumcision and provide insight into potential options for early intervention and management.

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“…Cilt köprüsü yeni doğan sünnetinin en sık karşılaşılan komplikasyonlarından [8] olup, sünnet derisi mukozasının glanstan tam ayrılmaması [17] veya sünnet sırasında glans yaralanması sonucu ya-ralı glans bölgesinin insizyon hattına birleşerek yapışması nedeniyle gelişir [18]. Bizim çalışmamıza bakıldığında cilt köprüsünün 12 yaş altında olduğunu görmekteyiz.…”

Section: Discussionunclassified

Comparison of circumcisions performed before and during adolescence

Utanğaç¹,

Yağmur²

2013

Diclemedj

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aimed to compare the complication rates of circumcisions that were performed before and during adolescence in our area.Methods: 296 uncircumcised boys aged between 8 and 20 years were enrolled. Patients were divided into two groups; patients aged <12 years and ≥ 12 years. Urogenital examinations were performed by the same urologist. Patients with additional urogenital pathologies were excluded. Circumcisions were carried out under local anesthesia. Early postoperative follow up were done and complications were noted.Results: The mean age in the first group (n=197) patients was 6.19±3.42 years and the second group (n=99) was 15.09±2.27 years. The surgical complications in group 1 were hemorrhage, local infection, ecchymosis, skin tag. Group 2 patients experienced hemorrhage and ecchymosis. The most frequent complication in both groups was postoperative bleeding with a rate of 5.6% and 5.1%; respectively (p>0.05). Adhesions were fixed by retraction of penis in patients with skin tag. There was no significant difference between groups with regard to the frequencies of local infection and ecchymosis (p>0.05). There was a negative correlation between age and local infection or skin tag (r: -0.136 and -0.176; respectively). Also there was a positive correlation between skin tag and local infection (r: 0.161).Conclusion: We observed no significant difference between complication and success rate of circumcision procedures before and during adolescence. In conclusion, circumcision, even at advanced age, should be regarded as a surgical procedure and has an acceptable complication rate depending on experience of surgeon. Key words: Circumcision, complication, adolescenc

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Skin Bridge–A Complication of Paediatric Circumcision

Cited by 14 publications

References 0 publications

Comparing the effects of current circumcision techniques on dorsal root ganglia: an experimental study

Comparing the effects of current circumcision techniques on dorsal root ganglia: an experimental study

Dermatological Complications of Circumcision: Lesson Learned from Cases In a Pediatric Dermatology Practice

Comparison of circumcisions performed before and during adolescence

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