Circumcision in the paediatric patient: A review of indications, technique and complications

Prabhakaran, Swetha; Ljuhar, Damir; Coleman, Robert E.; Nataraja, Ramesh M.

doi:10.1111/jpc.14206

Cited by 53 publications

(50 citation statements)

References 80 publications

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“…Although Jewish communities perform circumcision on the 8th day of life in accordance with the rules of Judaism given in Torah, many Muslims are circumcised in different ages [2]. The mean age of the study population was seen to correspond to the school ages.…”

Section: Discussionmentioning

confidence: 89%

“…It is also one of the oldest surgical procedures, performed for medical indications, such as phimosis, balanitis xerotica obliterans, recurrent balanoposthitis, paraphimosis, and urine outlet obstruction, as well [1]. Recommendations of American Academy of Pediatrics, American College of Obstetricians and Gynecologists, Centers for Disease Control and Prevention, and World Health Organization are present, based on its long-term benefits which outweigh any risks [2]. Circumcision is performed as an ambulatory surgery, which can provide more improved patient satisfaction, reduced complications, and more efficient care.…”

Section: Introductionmentioning

confidence: 99%

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Anxiety and cortisol levels during circumcision

Kara¹

2020

Ann Clin Anal Med

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Aim: In this study, we aimed to investigate whether circumcision is a stressor ambulatory surgical intervention for children and demonstrate the relationship between pre-and post-operative anxiety levels, blood cortisol levels (BCL), and salivary cortisol levels (SCL) in these children. Material and Method: Boys aged between 5 and 17 years, with a plan of circumcision, were prospectively included. Their preoperative anxiety levels, salivary cortisol levels (SCL), and blood total cortisol levels (BCL) were measured. After the operation, the same parameters were measured and preoperative values were compared with postoperative values. Also, the correlation between anxiety scores, SCL, and BCL was assessed. The Yale Preoperative Anxiety Scale was used to calculate the anxiety scores. Results: The mean age of 81 patients was 6.62 ± 1.40 years. The preoperative anxiety scores, SCL, and BCL were significantly lower than post-operative values (p<0.001 for each). The preoperative SCL were positively correlated with BCL and anxiety scores. Postoperative SCL were positively correlated with BCL and anxiety scores. Discussion: Circumcision is a cause of increment in anxiety, serum, and salivary cortisol levels in children. Salivary cortisol levels were correlated with simultaneously drawn serum cortisol levels. The preoperative and postoperative anxiety scores were correlated with BCL and SCL in children with circumcision operation.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Anxiety and cortisol levels during circumcision

Kara¹

2020

Ann Clin Anal Med

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“…Anahtar Kelimeler: Sünnet, Düşük Maliyetli ve Komplikasyonsuz Sünnet, Uygun Sünnet Zamanı INTRODUCTION Circumcision, in Turkey as a Muslim country is one of the most commonly performed operation (1). In US and many western countries, there is considered to be beneficial and recommended for health (2). There are many studies showing that circumcision decreases the risk of urinary tract infection in boys and the risk of transmission of sexually transmitted diseases in adults (3).…”

Section: Düşük Maliyetli Ve Komplikasyonsuz Bir Sünnet; Ne Zaman Nasmentioning

confidence: 99%

Düşük Maliyetli Ve Komplikasyonsuz Bir Sünnet; Ne Zaman, Nasıl, Nerede, Kim Tarafından Yapılmalı?

Kaya¹,

Özkan²,

Kabaklıoğlu³

2019

Konuralp Tıp Dergisi

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Objective: Circumcision, in Turkey as a Muslim country is one of the most commonly performed operation. The aim of this study is to retrospectively evaluated circumcision datas and discuss about 'a low cost and non-complicated circumcision; when, how, where, who should be made by'. Methods: 4059 patients who were circumcised between 2011-2018 were included in the study. The age of the patient, time of operation, presence of accompanying surgical pathology (inguinal hernia, undescended testis, hydrocele, etc.) and anesthesia type (local only, sedoanalgesia and general) were evaluated. Results: The mean age of 4059 patients was 4.1 years (± 3.29). The number of patients who had circumcised <2year was 1315 (32.40%), aged 2-6 who no recommended by child psychiatrists was 1154 (28.43%) and >6 year was 1590 (39.17%). 422 (10.40%) of patients who underwent circumcision had additional surgical pathology. The most common additional surgical pathologies were inguinal hernia (n=212, 50.24%), undescended testes (n=100, 23.70%) and hydrocele (n=32, 7.58%). Conclusions: Since the circulation of complicated surgical operations is intense, especially in the 3rd level public university hospitals are more appropriate to perform circumcision in patients who require additional operation to reduce the cost and hospitalization. If additional operation is not required, circumcision should be performed by private health institutions or certified 1st level family physicians. In terms of childhood psychology, it is important to take measures to increase the level of knowledge of families at this issue, since a significant number of families still circumcised their children aged 2-6 years.

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“…Circumcision is a common procedure in penile surgery. It can be performed using several methods and materials, including a conventional scalpel or laser technique [1,2]. The benefits of using a laser in circumcision include accurate cutting, hemostasis, and less tissue damage and pain [3,4].…”

Section: Introductionmentioning

confidence: 99%

Use of Holmium YAG laser in circumcision: a novel, less complicated and alternative procedure for adolescent

et al. 2020

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Background To evaluate the efficacy and safety of Holmium YAG laser circumcision in adolescents. Methods Eighty-one patients underwent circumcision for medical reasons, and patients’ requests were collected retrospectively during February 2017 to February 2019. They were divided into two groups: Holmium YAG laser (group 1, n = 41) and conventional group (group 2, n = 40). The guillotine method with a Holmium YAG laser was applied for circumcisions, and all the procedures were performed by a single urologist who was well-experienced with circumcision practices. Results The average age of group 1 was 15.53 ± 7.35 years old, and the average age was 16.34 ± 9.22 years old in group 2. There was no significant difference in age and indications. The average operative time was significantly shorter in group 1 than in group 2 (24.40 ± 3.94 vs. 27.25 ± 4.35 min, p < 0.01). The estimated blood loss was less in group 1 compared to group 2. There were fewer complications in group 1 than in group 2 (3/41 vs. 10/40, p < 0.01) and patients also felt less pain in group 1 (p < 0.01). All patients tolerated this procedure without severe side effects. Conclusions The use of Holmium YAG laser in circumcision is a novel, less complicated, easy, and less painful alternative procedure for circumcision in young males.

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Circumcision in the paediatric patient: A review of indications, technique and complications

Cited by 53 publications

References 80 publications

Anxiety and cortisol levels during circumcision

Anxiety and cortisol levels during circumcision

Düşük Maliyetli Ve Komplikasyonsuz Bir Sünnet; Ne Zaman, Nasıl, Nerede, Kim Tarafından Yapılmalı?

Use of Holmium YAG laser in circumcision: a novel, less complicated and alternative procedure for adolescent

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