Myiasis as a Rare Complication of Male Circumcision: A Case Report and Review of Literature

Abstract

Introduction. Circumcision is a common procedure carried out around the world. Due to religious reasons, it is routinely done in Bangladesh, by both traditional as well as medically trained circumcisers. Complications include excessive bleeding, loss of foreskin, infection, and injury to the glans penis. Myiasis complicating male circumcision appears to be very rare. Case Presentation. In 2010, a 10-year-old boy presented to the OPD of Dhaka Medical College Hospital with severe pain in his penile region following circumcision 7-days after. The procedure was carried out by a traditional circumciser using unsterilized instruments and dressing material. After examination, unhealthy granulation tissue was seen and maggots started coming out from the site of infestation, indicating presence of more maggots underneath the skin. An emergency operation was carried out to remove the maggots and reconstruction was carried out at the plastic surgery department. Conclusion. There is scarcity of literature regarding complications following circumcision in developing countries. Most dangerous complications are a result of procedure carried out by traditional circumcisers who are inadequately trained. Incidence of such complications can be prevented by establishing a link between the formal and informal sections of healthcare to improve the safety of the procedure.

Factors Associated with the Acceptability of Male Circumcision among Men in Jamaica

“…These challenges threaten the potential impact of MC to reduce the incidence of HIV, since high uptake is required to substantially reduce transmission of the infection [7]. Major barriers to the acceptance of MC include concerns about pain during and after the procedure, cost, fear of complications and adverse events such as bleeding, adhesion, and infections [7,18,19]. Factors such as perceptions of improved penile hygiene [20-22], reduced risk of infection (including HIV/STIs) [7,20,22,23], and beliefs that MC will increase sexual pleasure [22,24] have been identified as facilitators of MC.…”

Miasis genital como complicación de circuncisión debido a fimosis: reporte de caso

“…Postoperatorio de circuncisión y biopsia prepucial, se aprecia persistencia de fibrosis por balanitis xerótica obliterante Fuente: autores ocular, la anal, la cerebral y la nasofaringe son sitios poco usuales. La miasis genital es poco común, probablemente por el aislamiento que ejerce la ropa al contacto con las moscas, sin embargo, la vestimenta corta predispone una mayor oviposición en esta zona debido a una exposición más asequible 3,5,9 . Figura 3.…”

“…Hossain et al informaron sobre un niño de 10 años con miasis en la región del pene que fue el único caso encontrado en la literatura sobre miasis posterior a la circuncisión. Si bien, el caso desarrollado por Hossain et al y el presente caso comparten la misma complicación post operatoria, son de notar algunas diferencias importantes; en el caso del niño, la intervención quirúrgica fue realizada por un circuncidador no calificado sin instrumentos ni esterilización adecuada, el tiempo para manifestarse la infestación fue menor pero con un mayor tiempo de hospitalización, las larvas recorrieron una mayor extensión del pene hasta su raíz por lo que fue necesario realizar una hendidura dorsal en la piel para poder extraer las larvas y además se obtuvo ayuda del departamento de cirugía plástica para el manejo estético del sitio con injerto de piel, lo cual no fue necesario en el presente caso 3 .…”

Systematic review of complications arising from male circumcision

“…Surgically correctable morbidity from male circumcision: Indications for specialist surgical care in Lagos 43 Circumcision mishaps in Nigerian children 20 Complications of neonatal circumcision requiring surgical intervention in a developing country 40 Circumcision-related tragedies seen in children at the Komfo Anokye Teaching Hospital, Kumasi, Ghana 38 Nontherapeutic circumcision of minors as an ethically problematic form of iatrogenic injury 4 Dermatological complications of circumcision: Lesson learned from cases in a pediatric dermatology practice 61 Penile epidermal inclusion cyst 80 Complications of circumcision 27 Penile epidermal inclusion cyst 89 Epidermal inclusion cyst as a rare complication of neonatal male circumcision: A case report 90 38. Myiasis (fly infestation) Myiasis as a rare complication of male circumcision: A case report and review of literature 91 39. Denuded penis Penile resurfacing for denuded penis following circumcision 37 40.…”