Histopathological examination of the prepuce after circumcision: Is it a waste of resources?

Naji, Hussein; Jawad, Esraa; Ahmed, Husam A; Mustafa, Rajaa

doi:10.4103/0189-6725.115045

Cited by 17 publications

(14 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Escherichia coli and Proteus are the most commonly implicated organisms, and oral antibiotics are the first‐line treatment . However, circumcision may be considered as an option in those with recurrent episodes of balanoposthitis . If only the distal prepuce is erythematous and oedematous, this may be consistent with distal prepucitis secondary to chemical irritation from urea rather than true infection.…”

Section: Balanitis Xerotica Obliteransmentioning

confidence: 99%

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

Prabhakaran

Ljuhar

Coleman

et al. 2018

J Paediatrics Child Health

View full text Add to dashboard Cite

Circumcision is one of the most commonly performed surgical procedures in the world. Despite this, the practice of paediatric circumcision remains highly controversial, and continues to generate ongoing debate. This debate has become more relevant recently with the provisional guidelines from the Centers for Disease Control and Prevention recommending a change of practice. In this review article, we provide an overview of the history and incidence of circumcision, normal preputial development, types of phimosis, the absolute and relative indications for circumcision as well as the evidence base for its use as a preventative measure. Our aim is to provide paediatricians with a greater understanding of this common surgical procedure and the conditions it treats, to guide their clinical practice and parent counselling.

show abstract

Section: Balanitis Xerotica Obliteransmentioning

confidence: 99%

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

Prabhakaran

Ljuhar

Coleman

et al. 2018

J Paediatrics Child Health

View full text Add to dashboard Cite

show abstract

“…The results obtained by histopathologic analysis of the prepuce skin in this study correspond to the results obtained in other studies. (4,14).…”

Section: Discussionmentioning

confidence: 99%

Frequency of balanitis xerotica obliterans among boys with phimosis

Vujić¹,

Viduljević²,

Bizic³

2018

Medicinski podmladak

View full text Add to dashboard Cite

Introduction: Balanitis xerotica obliterans (BXO) is an inflammatory disease of unknown etiology and pathogenesis, that represents genital form of lichen sclerosus. Disease is located on foreskin, glans of penis and on urethra. It was discovered that BXO is common cause of phimosis. There is evidence of connections between balanitis xerotica obliterans and appearance of squamous cell carcinoma. The diagnosis of the disease can be clinical and pathohistological. Therapy can be conservative and surgical. The Aim: Determining the frequency of BXO among the boys with phimosis in the light of increasing number of evidence about importance of this clinical entity in development of many complications of urogenital system. Material and methods: Our research contained 470 male patients aged from 1 to 18 years. All the patients who were included in the study were surgically treated in period from 1. January 2014. till 1. January 2017. in University Children's Hospital and all of them had diagnosed phimosis. All the patients underwent circumcision. Foreskins that were suspicious of BXO diagnosis, but could not be diagnosed clinically, were sent to pathohistological analysis. Statistical methods used for measuring central tendency and for determining frequency of BXO were methods of descriptive statistics, or frequency analysis in IBM SPSS Statistics 22 program. Results: Patients with phimosis were in average age of 9.12 ± 4.46 (1-18) years. After data analysis, it was established that in the group of 470 patients there are 48 with BXO diagnosis (10.21%). Patients with BXO were in average age of 10.33 ± 3.14 (6-18) years. Conclusion: Our research has shown that the frequency of BXO among boys with phimosis population is coherent with results of other studies. We concluded that pathohistological analisys of the foreskin is necessary to avoid false negative results after clinical examination.

show abstract

“…Our calculated incidence was consistent with reported incidence of 10.6% in the study conducted by Liatsikos and colleagues (15) . The incidence of genital lichen sclerosus in young boys has been estimated at about 15% but the precise frequency is not known (4) . Out of 13 cases of BXO, 3 cases were seen in paediatric patients and 10 cases were seen in adult to elderly patients.…”

Section: Resultsmentioning

confidence: 99%

“…Many of the institutes do not perform routine histopathological examination following circumcision. But Naji H, et al proved that there is a place for routine histopathology after circumcision for medical indications (4) . Many pathological entities like inflammations, premalignant lesions and malignancies have been reported in foreskin, important among which is BXO.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Lesions of the Foreskin – Histopathological Study of Circumcision Specimens

Gosavi¹

2017

jmscr

View full text Add to dashboard Cite

show abstract

Histopathological examination of the prepuce after circumcision: Is it a waste of resources?

Abstract: There is a place for routine biopsy after circumcision for medical indications. The clinical examination failed to suspect 5 of the 8 cases of BXO that were diagnosed by histopathology.

Cited by 17 publications

References 6 publications

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

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

Frequency of balanitis xerotica obliterans among boys with phimosis

Lesions of the Foreskin – Histopathological Study of Circumcision Specimens

Contact Info

Product

Resources

About