The circumcision question

Robson, Wm. Lane M.; Leung, Alexander K. C.

doi:10.1080/00325481.1992.11701325

Cited by 18 publications

(12 citation statements)

References 35 publications

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“…In the United States it is practiced virtually universally. Also there are some who accept circumcision as a preventive measure for carcinoma of the penis, carcinoma of the cervix, urinary tract infections, and sexually transmitted diseases (11).…”

Section: S Su Um MM Ma Ar Ry Ymentioning

confidence: 99%

Evaluation of Circumcision in Turkey

Yıldırım¹,

Bedir²,

Ceylan³

et al. 2003

Journal of Ankara Medical School

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A Ai im m: : The aim of this study is to evaluate the frequency of the circumcision and complications due to this operation on young male starting their military obligation in Turkey and to investigate the performer, the place and the mean age. R Re es su ul lt ts s: : The mean age of the privates was found 20.6±1.4. We found that 99.4% of the participants have been circumcised. The average age for circumcision was found 6.1± 3.2 years. Only 15.2% of the circumcisions were performed by a surgeon and 83.3% of them were executed at home. 24 participants (0.7%) had minor complications and 4 (0.1%) had major complications. In all the cases with complication, circumcisions were performed neither at a health center nor by a surgeon. C Co on nc cl lu us si io on n: : The circumcision is a traditional application in a Muslim country like Turkey and performed mainly by traditional practitioners. Therefore, the frequency of acute and chronic complications may increase due to nonphyscian operators. It is impossible to give up circumcision in a Muslim population, but unhealthy conditions must be prevented. B Bu ul lg gu ul la ar r: : Çalışmaya katılan erbaş ve erlerin yaş ortalamasının 20.6 ± 1.4 olduğu bulunmuştur. Katılımcıların %99.4'ünün sünnet olduğu, ortalama sünnet olma yaşı 6.1 ± 3.2 iken sünnet olanların sadece %15.2'sinin bir hekim tarafından bu işlemine tabi tutulduğu ve %83.3'ünde ise işlemin evde yapıldığı saptanmıştır. Diğer taraftan erbaş ve erlerin 24'ünde (‰6.6) minör 4'ünde (‰1.1) ise majör sünnet komplikasyonu saptanmıştır. Sünnet komplikasyonu saptanan vakaların tamamının hekim dışı personel tarafından ve sağlık kurumu dışında bir yerde sünnet edildiği bulunmuştur. S So on nu uç ç: : Türkiye gibi Müslüman ülkelerde geleneksel olarak uygulanan sünnet işleminin büyük bir kısmının hekim dışı personel tarafından ve sağlık kurumu dışında bir yerde gerçekleştirmiş olması bu işleme bağlı olarak ortaya çıkabilecek akut ve kronik komplikasyonların sıklığını artırmaktadır. İşlemin sağlıksız koşullarda ve yetkin olmayan kişiler tarafından yapılması önlenmelidir.A An na ah ht ta ar r K Ke el li im me el le er r: : Sünnet, Sıklık, Komplikasyon

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Section: S Su Um MM Ma Ar Ry Ymentioning

confidence: 99%

Evaluation of Circumcision in Turkey

Yıldırım¹,

Bedir²,

Ceylan³

et al. 2003

Journal of Ankara Medical School

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“…The pathophysiology behind the meatal stenosis is debatable and has been attributed to non-specific meatitis or ischemia [2,6]. The key symptoms of meatal stenosis are pain at the tip of penis at beginning of micturition, narrow and/or deflected stream and prolonged micturition time [6].…”

Section: Discussionmentioning

confidence: 99%

“…The exact incidence of meatal stenosis is unclear but its most common etiology is considered to be inflammation, which results in scarring and circumferential narrowing of the meatus [2]. We believe that the scarring process may not always be the culprit in meatal occlusion.…”

Section: Introductionmentioning

confidence: 99%

Meatal Occlusive Disease in Adult Males: Are There Any Clinical Variations?

Gupta¹,

Dalela

Bansal³

et al. 2016

Urol Int

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Objective: The study aimed to document the types of meatal occlusive disease (MOD) in adult males in terms of its clinical presentation, management and prognosis. Material and Methods: Eighty-six adult males with MOD were assessed during the study period. The patients were divided into Group 1, having meatal opening that was occluded by flimsy adhesions (meatal synechia/adhesive type MOD), and Group 2 that included patients who had circumferential constriction of the meatus (meatal stenosis/constrictive type MOD). All patients underwent meatal dilatation up to 18 Fr followed by self-dilatation for 3 months with topical clobetasol for 4 weeks. Degree of discomfort during self-dilation, improvement in flow rate, International Prostate Symptom Score (IPSS score) and recurrences were recorded at pre-determined intervals. Results: Twenty-eight patients had meatal synechia (Group 1) and 48 had meatal stenosis (Group 2). Discomfort during self-dilatation in Group 1 patients was significantly less; there was improvement in IPSS and peak flow rate (mean follow-up 26.8 months) as compared to Group 2. With dilation alone, no recurrence was noted in Group 1; however, Group 2 showed 62.8% recurrence indicating poor outcome in this subset of patients. Conclusion: MOD in adult males consists of 2 separate clinical entities with different therapeutic outcomes.

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“…Generally the infections are local, but bacteraemia, meningitis, necrotizing fasciitis, scrotal abscess, disseminated staphylococcal and group B streptococcal sepsis have been reported [12]. Other complications include phimosis, concealed penis, skin bridge, urethrocutaneous fistula, penile necrosis, meatitis and meatal stenosis, chordee, inclusion cysts, lymphoedema, bivalve penis, hypospadias, epispadias, anaesthetic complications, gastric and bladder rupture, and death [3,5,9,10,12,15]. We report a rare complication of circumcision, acute obstructive uropathy.…”

Section: Introductionmentioning

confidence: 98%

“…Circumcision remains one of the most commonly practised surgical procedures world-wide [12]. Opinion is divided on whether circumcision should be performed routinely on all newborn boys, or only on a sub-group of older boys who fulfill certain medical criteria such as recurrent balanoposthitis.…”

Section: Introductionmentioning

confidence: 99%

Acute obstructive uropathy —a rare complication of circumcision

1994

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We report a rare complication of ritual circumcision in an 8-week-old boy. He presented 1 week after the procedure with reduced urine output, a grossly distended bladder and marked bilateral hydroureteronephrosis on ultrasonography. The acute partial urinary obstruction was due to the dressing which was applied after surgical removal of the foreskin and to oedema of the glans. He had abnormal renal function (creatinine 85 mumol/l, urea 8.5 mmol/l) and a hyperkalaemic metabolic acidosis with hyponatraemia (Na 127 mmol/l, K 6.9 mmol/l, HCO3 16 mmol/l), which were attributed to obstructive uropathy. Because of prolonged secondary bladder dysfunction he required urinary catheterisation for 1 week. There was significant post obstructive diuresis and parenteral fluid therapy was given for 7 days. Whilst urinary retention is a well recognized complication of circumcision, this is the first report of significant obstructive uropathy and renal impairment due to surgical excision of the foreskin.

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The circumcision question

Cited by 18 publications

References 35 publications

Evaluation of Circumcision in Turkey

Evaluation of Circumcision in Turkey

Meatal Occlusive Disease in Adult Males: Are There Any Clinical Variations?

Acute obstructive uropathy —a rare complication of circumcision

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