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- Title
Secondary phimosis after circumcision.
- Authors
Özdemir, Tunç; Sayan, Ali; Candan, Belce; Orhan, Gizem; Köylüoğlu, Gökhan
- Abstract
Objective: Male circumcision is one of the most common surgical procedures worldwide. Although it is widely performed because of health issues, in Muslim-majority countries, the primary motivation yielding to male circumcision is religious. It is a relatively safe procedure with a low overall complication rate. We herein report an underrated complication of circumcision that can be termed as "secondary phimosis." Material and methods: The medical records of 25 boys with post-circumcision secondary phimosis were reviewed. Demographics of the patients, method of circumcision, type of provider, peroperative findings and comorbidities were recorded. Results: Between January 2005 and December 2016, 25 boys with post-circumcision secondary phimosis were treated surgically. The median age of the patients was 3 (2-5) years. The majority of the patients were circumcised by the Gomco clamp or Plastibell method (n=16). Of the patients' circumcisions, six were performed by the freehand method, and three by the dorsal slit method. In 15 boys, circumcision was performed by a traditional provider. Of the boys, seven were circumcised by a physician, and three were circumcised by a pediatric surgeon. All the patients were re-circumcised. The common peroperative finding was the redundant mucosal inner layer of the prepucium. Excess suprapubic fat was present in 12 patients. Conclusion: Although circumcision is known as a minor surgical practice with low complication rate, it must be performed safely and especially by experienced physicians/surgeons. Secondary phimosis is a technical error that is caused by insufficient removal of the inner mucosal layer of the prepucium. Re-circumcision of the patient is inevitable, causing the patient second trauma.
- Subjects
CIRCUMCISION; MEDICAL personnel; PEDIATRICIANS; PHIMOSIS; PHYSICIANS; COMORBIDITY; CHILDREN
- Publication
Turkish Journal of Urology, 2019, Vol 45, Issue 2, p135
- ISSN
1300-5804
- Publication type
Article
- DOI
10.5152/tud.2018.94984