A novel complication of self-circumcision: penile skin avulsion

Abstract

ÖzetTıraş bıçağı ile kendi kendine sünnet girişimine bağlı komplikasyon gelişen 19 yaşındaki erkek hasta sunulmaktadır. Hastanın herhangi bir anestetik olmaksızın kendi kendine uyguladığı sünnet, penis derisinin ve önderinin laserasyonu ve avülsiyonu ile sonuçlanmıştır. Hasta kendi kendine sünnetten iki saat sonra kontrol altına alınmış lokal kanama ile başvurdu. Hasta, yaşadığı bölgedeki genel sünnet yaşı dikkate alındığında duyduğu utanç nedeniyle kendi kendine sünnete kalkışmıştır. Acil olarak ameliyat odasına alınmıştır. Tampon amacıyla kullanılan bez parçası çözüldüğünde, belirgin kanama görülmemiştir. Öncelikle nekrotik doku alınmış, sonrasında sünnet ve penis derisinin avülsiyonunun onarımı yapılmıştır. Hasta operasyondan iki gün sonra komplikasyon olmaksızın taburcu edilmiştir.Anah tar söz cük ler: Avülsiyon; kendi kendine sünnet; komplikasyon. AbstractThe case of a 19-year-old man who suffered a complication after attempting self-circumcision with a razor blade was presented. He performed self-circumcision without any anesthetic which resulted in a laceration and avulsion of the penile skin and foreskin. The patient presented with controlled local bleeding two hours after self-circumcision. He attempted self-circumcision due to feelings of shame considering the usual age range of circumcision in his local area. He was admitted to the operation room urgently. There was no significant bleeding, when the piece of cloth that had been used for tampon was untied. Initially, the necrotic tissue was removed, then circumcision and repair of the penile skin avulsion were performed. He was discharged two days after operation without any complication.

Sophisticated self‐circumcision: Case report

“…In these cases, surgeries were performed without using any anesthesia. Unpleasant complications may include massive hemorrhage, possibly with laceration or penile skin avulsion 4,5 . Some European or US patients have misused either uncertified or other recommended and commercially available devices from online stores.…”

“…Unpleasant complications may include massive hemorrhage, possibly with laceration or penile skin avulsion. 4,5 Some European or US patients have misused either uncertified or other recommended and commercially available devices from online stores. These devices when used, after the two rings are properly applied inside and outside of the foreskin, halt blood flow to the foreskin by the pressure formed.…”

Severe foreskin adhesion and meatal stenosis – complications after Circumcision: A Case Report

“…Currently, MC is performed for social, cultural, and religious indications and often also for medical indications. 1 In Indonesia and other Muslim-majority countries, MC procedures are usually performed on all children and adolescents based on social and religious indications. Although several MC procedures are performed on patients with phimosis and any other pathological condition of the penile skin, including aesthetic reasons.…”

“…3-5 However, some complications can be found, such as; bleeding, infection, and urethral damage, such as meatal stenosis, penile strangulation, skin necrosis, lacerations, and phimosis after circumcision. 1 Figure 1. Severe foreskin adhesion and meatal stenotic was seen at the first presentation.…”