A rare presentation of penile keloids after traditional circumcision: Case report

Cappuyns, Laura; Kumiponjera, Devor; Mungazi, Simbarashe Gift

doi:10.1016/j.ijscr.2019.05.059

Cited by 4 publications

(6 citation statements)

References 9 publications

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“…Patients typically present with a disfiguring mass that may lead to pressure and functional complications like abnormal micturition and difficult sexual intercourse. 12,19 Many factors such as skin tension, darker pigmented ethnicity, and genetic predisposition are parameters that play a major role in keloid development. Trauma is also considered a risk factor for keloid formation.…”

Section: Discussionmentioning

confidence: 99%

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The Role of Plastic Surgery in the Treatment of Recurrent and Large Penile Keloid

Alzeerelhouseini

Alzaro

2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Penile keloid is an extremely rare condition that most commonly occurs as a complication of circumcision. In this article, we describe a unique case of recurrent, large penile keloid formation after circumcision in an 11-year-old White boy. This was treated by surgical excision and reconstruction of penile shaft by skin graft followed by serial intradermal steroid injections. A good aesthetic outcome was achieved with no keloid recurrence during a 1-year follow-up. In addition, we extensively reviewed all available literature studies of penile keloid from 1966 to 2021 with their treatments and outcomes. We summarized all reported cases and presented them in a comprehensive table.

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Section: Discussionmentioning

confidence: 99%

“…Patients typically present with a disfiguring mass that may lead to pressure and functional complications like abnormal micturition and difficult sexual intercourse. 12,19…”

Section: Discussionmentioning

confidence: 99%

The Role of Plastic Surgery in the Treatment of Recurrent and Large Penile Keloid

Alzeerelhouseini

Alzaro

2022

Plastic and Reconstructive Surgery - Global Open

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“…To our knowledge, the literature about keloid formation after circumcision is limited to a few case reports. 3,4 Accordingly, the exact pathogenesis of keloid formation characterized by abnormal scar formation in the penis after circumcision remains unknown. As a matter of fact, the circumcision procedures performed by traditional circumcisers under unhygienic conditions in some regions around the world remain a serious risk factor for keloid formation following circumcision.…”

Section: Discussionmentioning

confidence: 99%

“…As a matter of fact, the circumcision procedures performed by traditional circumcisers under unhygienic conditions in some regions around the world remain a serious risk factor for keloid formation following circumcision. 4 Moreover, some plant leaves and plant products applied to circumcision wounds are considered to be associated with infection and collagen deposition.…”

Section: Discussionmentioning

confidence: 99%

Keloid Formation after Circumcision: A Case Report and Current Literature Review

Güler¹,

Erbin²,

Ozmerdiven³

2020

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Although penile keloid formation can be seen after major penile surgeries, it is rarely reported after circumcision and there is no standard method for the treatment of this complication. We present a patient who was admitted with a penile keloid mass that occurred after circumcision surgery and discuss the treatment we administered in light of the current literature review. A 7-year-old white boy was admitted to our clinic with a swollen stiff mass on the foreskin six months after circumcision. The parents indicated that no complication occurred in the early postoperative period. Physical examination revealed a white-colored stiff mass measuring approximately 2×1.5 cm in size along the penile ventral surface. Intralesional injection of 0.5 ml triamcinolone acetonide was administered for 12 weeks. At 9 months after circumcision, the keloid tissue was resected. Beginning from the first postoperative week, a silicone gel sheet and topical steroid application were administered for 8 weeks. At a 1-year follow-up, the penis had a satisfactory appearance.

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“…Oedema Evaluation of male circumcision: Retrospective analysis of one hundred and ninetyeight patients 45 Serious complications in male infant circumcisions in Scandinavia indicate that this always be performed as a hospital-based procedure 32 10. Keloids Keloid formation after pediatric male genital surgeries: An uncommon and difficult problem to manage 55 A rare presentation of penile keloids after traditional circumcision: Case report 56 Keloid formation after circumcision and its treatment 57…”

Section: Complete Penile Amputationmentioning

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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A rare presentation of penile keloids after traditional circumcision: Case report

Abstract: Highlights Penile keloids are rare. Traditional circumcision a risk factor. Treatment is multimodal.

Cited by 4 publications

References 9 publications

The Role of Plastic Surgery in the Treatment of Recurrent and Large Penile Keloid

The Role of Plastic Surgery in the Treatment of Recurrent and Large Penile Keloid

Keloid Formation after Circumcision: A Case Report and Current Literature Review

Systematic review of complications arising from male circumcision

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