Neonatal Circumcision: First Cut Is The Deepest

Abstract

Background: Circumcision is the oldest surgical procedure in history and is a frequently performed procedure in neonates. The aim of this study was to evaluate the profile of complications seen in neonates following circumcision. Materials and Methods: This was a retrospective study of neonate (aged 28 days and below) who developed complications arising from circumcision. The following information was evaluated: age, weight and height of the neonate, presence/absence of congenital anomalies, indications and contraindications for the circumcision, method and complications of circumcision, and outcome of treatment. Results: A total of 3640 circumcisions were performed during the study period but 182 patients developed complications. This gave a complication rate of 5%. Cultural reason was the most common indication for circumcision and about 10% of the neonates were noticed to have congenital anomalies. Majority of the circumcisions were performed by nurses and plastibell method of circumcision was the predominant modality. Urethrocutaneous fistula was the most common complication arising from the circumcision but there was no mortality. Conclusion: Neonatal circumcision is a frequently performed procedure in infants. As much as 5% of the neonates developed complications following circumcision. Most of the circumcisions were performed by nurses and cultural reasons were the most common indication for circumcision. Urethrocutaneous fistula was the most common complication recorded and better training is recommended for nurses to minimize these complications.