Foreskin necrosis – Complication following self-circumcision

Ettanji, Adnane; Bencherki, Youssef; Wichou, El Mehdi; Dakir, Mohammed; Debbagh, Adil; Aboutaieb, Rachid

doi:10.1016/j.eucr.2021.101671

Cited by 4 publications

(4 citation statements)

References 5 publications

(1 reference statement)

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“…For example, this phenomenon may induce an increase in selfcircumcision practice, an emerging phenomenon [24,25]. In this context, misleading information may lead to a higher risk of complications, such as foreskin necrosis [26]. Secondly, we discovered that out of 60 videos, 75% were produced in India, a country with a high impact of penile cancer (incidence rate of up to 3.32 per 100,000 men in some regions) [27].…”

Section: Discussionmentioning

confidence: 88%

Analysis of quality information provided by “Dr. YouTubeTM” on Phimosis

et al. 2022

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The objective of the current study was to evaluate the quality of the information provided in YouTube TM videos on phimosis. The term "phimosis" was searched on YouTube TM , and the Patient Education Materials Assessment Tool (PEMAT) for Audio/Visual Materials (Understandability and Actionability sections, good-quality score of minimum 70%) and misinformation scale (rated from 1 to 5) were used to assess video quality. Quality assessment was investigated over time. Of all, 60 were eligible for analysis. Healthcare providers were the authors of 75.0% of the videos, and 73.3% of the videos were patient-targeted. The median Understandability score was 42.9% (interquartile range [IQR]:34.5-58.9) and ranged from 28.6 to 42.9% (2013)(2014)(2015)(2016)(2017)(2018)(2019)(2020). The median Actionability score was 50.0% (IQR:25.0-56.2) and ranged from 25.0 to 50.0% (2013)(2014)(2015)(2016)(2017)(2018)(2019)(2020). The median misinformation score was 2.8/5 (IQR:1.6-3.6), and although the score fluctuated over time, the median score was 2.6 both in 2013 and in 2020. According to our results, although an increase of PEMAT over time was observed, the overall quality of the information uploaded on YouTube TM is low. Therefore, at present, YouTube TM cannot be recommended as a reliable source of information on phimosis. Video producers should upload higher-quality videos to help physicians and patients in the decision-making process.

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Section: Discussionmentioning

confidence: 88%

Analysis of quality information provided by “Dr. YouTubeTM” on Phimosis

et al. 2022

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“…Of course, this requires more data to illustrate. Post-operative wound infection is a common complication after circumcision 25 , and post-circumcision wound infection may lead to occlusion of hair follicles or obstruction of exocrine ducts 22 , thereby increasing the occurrence of secondary epidermoid cysts of the penis. In this study, we did find that in patients with postoperative infection, the appearance of secondary epidermoid cysts of the penis was earlier (Tables 6 and 7 ), so the prevention of infection after circumcision is very important.Phimosis is one of the indications for circumcision, and it has been reported that secondary epidermoid cysts of the penis occurred in patients after phimosis 23 .…”

Section: Resultsmentioning

confidence: 99%

Analysis of related factors between the occurrence of secondary epidermoid cyst of penis and circumcision

Tang

Ding

2022

Sci Rep

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Secondary epidermoid cyst of the penis is a very rare epidermoid cyst that occurs in the penis. The purpose of this study was to investigate the relationship between the occurrence of secondary epidermoid cyst of penis and circumcision-related factors, and to provide possible reasonable and effective suggestions for circumcision. The data of all patients who visited the clinic for epidermoid cysts of the penis from September 2000 to September 2021 in Xiangya Hospital were collected. A retrospective study was carried out on whether the patients had been circumcised and the surgical method, anesthesia method, cyst location, surgical age, postoperative wound infection, whether they were phimosis patients, and the level of the surgeon. Among the 24 patients followed up, 95.8% had a history of circumcision, and only 4.2% had no history of circumcision, and the more traumatic surgical methods developed secondary epidermoid cyst of the penis after surgery the higher the probability. Injecting anesthesia at the base of the penis increases the chances of developing a secondary epidermoid cyst of the penis. Postoperative secondary epidermoid cyst of the penis were mainly located in the anterior segment and posterior segment, and the anterior segment had a higher proportion, followed by the posterior segment. Secondary epidermoid cyst of the penis occur mainly in adults. Postoperative wound infection accelerates the appearance of secondary epidermoid cyst of the penis. Patients with phimosis have an increased probability of developing secondary epidermoid cysts of the penis after surgery. The incidence of secondary epidermoid cysts and postoperative infection after manual circumcision by the attending physician was higher than that of the chief physician. Circumcision, injection of anesthesia at the base of the penis, ligation of the penis, and postoperative wound infection may be the etiologies and triggers of secondary epidermoid cysts of the penis. Adults and phimosis patients may be high-risk groups. Lower-level surgeons may increase the odds of postoperative secondary epidermoid cysts of the penis, and it is recommended that surgery be performed by a clinically-experienced, higher-level surgeon. The indications for circumcision should be strictly evaluated and the operation should be performed as soon as possible, and the less invasive surgical method and anesthesia method should be selected. Reduce irrelevant operations during surgery and avoid wound infection after surgery.

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“…13 Due to inadequate expertise or lack of proper equipment, accidental cuts or injuries can occur during circumcision procedures. 14 These injuries may range from minor lacerations to more severe damage such as partial amputation of the glans or shaft of the penis. Such traumatic incidents not only cause immediate physical harm but also have long-term psychological consequences for individuals affected.…”

Section: High Prevalence Of Complications In Male Circumcisionmentioning

confidence: 99%

Male Circumcision impacts on Sexual Function, Psychological Well-being, and Overall Quality of Life in Ghana and the sub-Saharan Africa: A Scoping Review

2023

IJFMR

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Male circumcision is a controversial topic that has sparked debates regarding its impact on sexual function, psychological well-being, and overall quality of life. Several empirical studies conducted in West Africa, particularly in Ghana, have shed light on this issue. The objective of these studies was to examine the effects of male circumcision on various aspects of men's lives. However, there are research gaps that need to be addressed to make the findings more robust. One such gap is the lack of long-term follow-up studies to assess the lasting effects of circumcision. Additionally, methodological weaknesses such as small sample sizes and self-reported data limit the generalizability of the findings. To fill these gaps, future research should focus on larger sample sizes and employ more objective measures for assessing sexual function and psychological well-being. This will provide a more comprehensive understanding of the impact of male circumcision. In conclusion, while several empirical studies have been conducted in West Africa and Ghana specifically, further research is needed to strengthen our knowledge about how male circumcision impacts sexual function, psychological well-being, and overall quality of life. It is crucial that we address these gaps to ensure evidence-based decision-making regarding this controversial practice.

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Foreskin necrosis – Complication following self-circumcision

Cited by 4 publications

References 5 publications

Analysis of quality information provided by “Dr. YouTubeTM” on Phimosis

Analysis of quality information provided by “Dr. YouTubeTM” on Phimosis

Analysis of related factors between the occurrence of secondary epidermoid cyst of penis and circumcision

Male Circumcision impacts on Sexual Function, Psychological Well-being, and Overall Quality of Life in Ghana and the sub-Saharan Africa: A Scoping Review

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