Les accidents de la circoncision à Yaoundé, Cameroun : à propos de cinq observations cliniques

Tambo, F.F. Mouafo

doi:10.1016/j.purol.2011.06.003

Cited by 8 publications

(3 citation statements)

References 5 publications

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“…Nonetheless, serious complications can result when this procedure is performed by unskilled persons. Circumcision-related complications could be diverse ranging from bleeding, and urethra-cutaneous fistulas to even penile amputation as it was in our cases presented [5].…”

Section: Discussionmentioning

confidence: 64%

Traumatic Penile Amputation Post Circumcision: A Series of 3 Cases

Tanyi,

Aurele,

Junior

et al. 2023

OJU

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Circumcision remains a frequently performed surgical procedure and could be associated with various complications, ranging from mild to catastrophic. Penile amputation is a rare and severe complication usually complex and challenging to manage. We describe three cases of penile amputation injuries following circumcision referred within a week at the urological service of the Yaoundé Central Hospital. The first case was a 5-year-old who had complete penile amputation during circumcision by a nurse assistant at a rural health center. The second was a 7-year-old boy who sustained total penile glans amputation while undergoing circumcision by a nurse under local anesthesia at a rural health facility. The third involved a 6-year-old who had total penile amputation with loss of the amputated stump during circumcision by a traditional practitioner at home. Non-microsurgical penile re-implantations were done with diverse outcomes. The preservation of the amputated stump, the ischemic time and the severity of injury are factors affecting surgical outcome. The aim of this study is to evaluate our management experience and outcome of penile amputation injuries in resource-limited settings. Microsurgical replantation remains the gold standard in the management of penile amputation injuries. However, in resource-limited settings macroscopic replantation could be used as an alternative remedy to salvage the amputated penis.

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Section: Discussionmentioning

confidence: 64%

Traumatic Penile Amputation Post Circumcision: A Series of 3 Cases

Tanyi,

Aurele,

Junior

et al. 2023

OJU

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“…These include intraoperative hemorrhage, wound infection, meatitis, penile edema, burns, incomplete circumcision, postoperative adhesions, glans necrosis, iatrogenic hypospadias, and urethral lesions. Glans or penis amputation is a rarely mentioned complication 10 .…”

Section: Discussionmentioning

confidence: 99%

Penile amputation after neonatal circumcision: a case report

Sheikh

Mohamed²,

Sarac

2023

Annals of Medicine &Amp; Surgery

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Introduction and Importance: In children, one of the most common surgical procedures worldwide is circumcision, which has strong religious implications and is frequently performed for nontherapeutic reasons. Circumcision is typically associated with old customs. Complete penile amputation is extremely uncommon, and the prognosis is little understood. Case Presentation: A 7-day-old male term baby was circumcised with a cauter by an unexperienced practitioner, and the patient was admitted to the department of pediatric surgery. Both the glans and the body had become discolored and necrotic. The patient was taken into the theater and given general anesthesia. The authors removed the debridement and inserted a catheter into the urethra to prevent urethral stenosis. Discussion: The procedure of circumcision has several medical benefits and is widely performed for religious, cultural, and medical reasons. It is generally agreed that circumcision prevents against sexually transmitted diseases, penile and cervical cancer in adults, as well as urinary tract infections in children. Partial or complete penile amputation injuries are rare and frequently the result of psychotic self-harm. Operators must correctly conduct the circumcision in order to prevent the potential complications that can happen when the procedure is performed out by untrained hands. The most common cause of penile amputation injuries, whether partial or total, is psychotic self-harm. Operators must carry out the procedure carefully to prevent the potential complications that can happen when circumcision is performed by untrained hands. Conclusion: The authors present here a case of a 7-day-old boy who had ritual circumcision with a cauter complicated by an entire penile amputation, which was treated with the insertion of a catheter to prevent the closure of the urethra. The patient reported his penis was circumcised with cautery one day later the glans and the entire penis became discolored and necrosis, unfortunately, the entire penis was lost with the overlying skin.

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“…Assault (often by wives in a domestic dispute),[1] Klingsor syndrome (genital self-mutilation),[2] punishment, accidental injuries and as a complication of circumcision[3] are some of the more often reported causes. In earlier days, the victim was left alone or was compelled to change the gender.…”

Section: Discussionmentioning

confidence: 99%