Keloid formation after pediatric male genital surgeries: an uncommon and difficult problem to manage

Alyami, Fahad; Ferandez, N.; Koyle, Martin A.; Salle, Joao Pippi

doi:10.1016/j.jpurol.2018.08.003

Cited by 12 publications

(25 citation statements)

References 49 publications

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“…It was excised twice and the surrounding skin exposed to radiotherapy to prevent recurrence. Since then there have only been 11 paediatric cases occurring after circumcision described in the literature and these have been treated with a mixture of excision, triamcinolone acetate and topical steroid application, as summarised in Table 1 [11][12][13][14][15][16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

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Literature review and case report of post-circumcision keloid management

Buick

Abbas

Munro

2019

Arab Journal of Urology

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Keloid following circumcision has been described in the literature despite the rarity of its occurrence in penile skin. In this paper, we review the literature and report the successful management of post-circumcision keloid scarring in a 2-year-old boy. After circumcision a 2-year-old boy of African origin developed keloid scarring at the circumcision site. This was treated with three intralesional injections of triamcinolone acetate over 3 months, followed by surgical excision. There was no recurrence at 6 months after excision. To our knowledge this is the 12th case of keloid following paediatric circumcision described in the literature. There is a wide range of techniques described but all are recurrence free at 6 months following repeated intralesional triamcinolone acetate injection and surgical excision. While there is no current consensus in treating post-circumcision keloid, we find that intralesional injection followed by surgical excision provides an acceptable aesthetic result, which is recurrence free.

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Section: Discussionmentioning

confidence: 99%

“…Keloid formation has also been reported in penile surgery after operations for hypospadias. Recently, Alyami et al [20] reported six cases of phalloplasty and hypospadias with one case report of a keloid forming after circumcision. When choosing how to treat these cases there are a wide range of options available.…”

Section: Discussionmentioning

confidence: 99%

Literature review and case report of post-circumcision keloid management

Buick

Abbas

Munro

2019

Arab Journal of Urology

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“…Keloids in the groin, especially those affecting the penis, are extremely rare despite frequent surgeries in the genital area. Only a few cases reported in the literature [41][42][43][44][45], hence the actual incidence is unknown.…”

Section: Keloid Formationmentioning

confidence: 99%

“…It has been suggested that keloid scars form as a result of collagen build-up, from the effect of hostile or hypoxic environment on tissue, or the hyperactivity of mast cells and the release of histamine. It has also been suggested that tension at scar edges create abnormal healing and might aid in the production of keloids [43].…”

Section: Keloid Formationmentioning

confidence: 99%

Rare Yet Devastating Complications of Circumcision

Aldamanhori¹

2020

Circumcision and the Community

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Circumcision is by far the most common procedure done in hospitals of Muslim countries. Many research data have proven its benefits in protecting against numerous sexually transmitted diseases, urinary tract infections, and penile cancer in the patients and cervical cancer in partners. The procedure is quite safe, with a low overall complication rate. Most of the adverse events of circumcision are minor and can be managed conservatively. In some areas where circumcision is performed by an inexperienced individual, or are done in a non-sterile environment, or using the wrong equipment, complications requiring expert intervention are seen. Devastating results range from simple self-limiting swelling and superficial infection to the dreadful amputation to the glans or the whole phallus, necessitating an expert in reconstruction. Circumcision is a simple surgical procedure with minimal adverse events when done by competent trained medical personnel, in a wellcontrolled sterile environment, using the appropriate equipment.

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“…Although penile keloid formation can be seen after hypospadias and penile curvature repair and major penile surgeries such as phalloplasty, it is rarely re-ported after circumcision. 3 Keloids are defined as excessive accumulation of extracellular matrix, particularly collagen, in the dermis and subcutaneous tissue. Keloids may occur at any age, with a peak incidence during and after adolescence.…”

Section: Introductionmentioning

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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Keloid formation after pediatric male genital surgeries: an uncommon and difficult problem to manage

Cited by 12 publications

References 49 publications

Literature review and case report of post-circumcision keloid management

Literature review and case report of post-circumcision keloid management

Rare Yet Devastating Complications of Circumcision

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

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