Major penile injuries as a result of cautery during newborn circumcision

Seleim, Hamed M.; Elbarbary, Mohamed M.

doi:10.1016/j.jpedsurg.2016.04.014

Cited by 20 publications

(16 citation statements)

References 19 publications

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“…In electrocautery circumcisions, the electrical current passes directly through the penile tissue, and if the preputium is cut by electrocautery after being clamped, there can be total phallic loss (grade V injuries) due to direct contact between the cautery and the clamp. 10 , 11 Electrocautery and thermocautery work on different principles. For example, the thermocautery device supplies the electrical energy by turning it into heat energy instead of passing it through the tissue.…”

Section: Discussionmentioning

confidence: 99%

Examination of short and long term complications of thermocautery, plastic clamping, and surgical circumcision techniques

Tuncer¹,

Erten²

2017

Pak J Med Sci

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Objective:In this study, thermocautery, plastic clamping, and conventional (open surgical) circumcision techniques were compared in terms of their complications.Methods:Male patients who underwent circumcisions between May 2014 and May 2015 in two separate pediatric surgery clinics were retrospectively analyzed using the hospital registry system. These patients were evaluated in terms of age, accompanying pathologies, anesthesia techniques, complication rates, duration of surgery, and circumcision techniques. A statistical analysis of the data was performed, with a P<0.05 considered to be statistically significant.Results:The patients were divided into three groups according to the circumcision method: conventional surgical circumcision (n=833), thermocautery (n=1011), and plastic clamp (n=218). Complications were observed in 21 cases (1%): bleeding (11), infection (2), trapped penis (6), meatitis (1), and scrotal injury (1). There were significantly fewer complications in the thermocautery technique when compared to the clamping and surgical circumcision techniques. The plastic clamping and thermocautery techniques were superior to a surgical circumcision in terms of the operation time.Conclusion:The thermocautery circumcision technique can be used easily in both the operating theatre and in designated circumcision rooms, with a lower complication rate, when compared to plastic clamping and surgical circumcisions.

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Section: Discussionmentioning

confidence: 99%

Examination of short and long term complications of thermocautery, plastic clamping, and surgical circumcision techniques

Tuncer¹,

Erten²

2017

Pak J Med Sci

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“…Salvage surgery was carried out on five cases of post-circumcision using electrocautery. One of these infants presented to the emergency department with septic shock and multiorgan dysfunction secondary to infective gangrene of whole external genitalia [22].…”

Section: Cauterymentioning

confidence: 99%

“…Trauma to the glans penis or even part of the penile shaft leaves behind a patient with low self-esteem and quality of life. Seleim and ElBarbany [22], after reviewing the literature, they did not find a grading system to define post-circumcision trauma to the penis. It was found that the term complete penile amputation, although obviously meant total penile loss, was used by authors to describe solitary glans amputation [55].…”

Section: Traumamentioning

confidence: 99%

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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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“…Hemorrhagic cases requiring hemotransfusion are rare but may be related primarily to coagulopathies or anomalous blood vessels. [102][103][104] The second most common postoperative complication is infection. Similar to bleeding, infection may also present as a spectrum ranging from mild, local wound infections to local inflammatory signs to severe cases such as deep infections such as necrotizing fasciitis and even systemic the septic shock.…”

Section: Contraindicationsmentioning

confidence: 99%

Phimosis and Circumcision: Concepts, History, and Evolution

2018

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Phimosis is classically characterized by the impossibility of completely withdrawing the foreskin and exposing the glans. A distal preputial narrowing occurs, which may be congenital or acquired. Excess foreskin and the presence of balanopreputial adhesions may be components of this spectrum. Circumcision corresponds to foreskin excision, one of the most commonly performed surgeries in boys, whether for medical or religious reasons. Such a procedure is considered sacred by many peoples around the world as a symbol of faith or even as a ritual of tribal emancipation. The appearance of the procedure in several places and times allowed the development of the surgical technique, today adapted to minimize complications and provide evident medical benefits. We present fundamental physiological and histological concepts, classically described, knowing the natural history of a potential disease. We discuss the emergence and development of surgical techniques still used today and identify factors that interfere with the disease and influence the treatment.

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Major penile injuries as a result of cautery during newborn circumcision

Cited by 20 publications

References 19 publications

Examination of short and long term complications of thermocautery, plastic clamping, and surgical circumcision techniques

Examination of short and long term complications of thermocautery, plastic clamping, and surgical circumcision techniques

Rare Yet Devastating Complications of Circumcision

Phimosis and Circumcision: Concepts, History, and Evolution

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