Prise en charge des complications de la circoncision

Diabaté, I.; Ondo, Cyril Zé; Diallo, H.D.; Thiam, Massamba; Bâ, A.

doi:10.1016/j.sexol.2016.10.003

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…In our series, treatment consisted of a meatoplasty with satisfactory results in terms of urination but poor aesthetic outcomes, leading to an unfavorable social prognosis in a context where respecting the body's integrity is sacred. We report one case of penile denudation in our study, with similar results found in the literature (4,10). This injury occurs after excessive removal of penile skin due to exaggerated traction of the skin covering the glans.…”

Section: Revision Of Circumcisionsupporting

confidence: 89%

“…Glans amputation, one of the most horrifying aspects of circumcision accidents, occurred in 13.04% (n = 3) of our patients. Diabaté et al (10) in Senegal found similar results in 2016.…”

Section: Revision Of Circumcisionsupporting

confidence: 52%

“…Treatment involved debridement and a wet oily dressing for healing, although other authors opt for a skin graft. Some studies rank infectious complications as the second most common issue after hemorrhage (2,10). These complications result from inadequate asepsis and the presence of skin flora (8).…”

Section: Revision Of Circumcisionmentioning

confidence: 99%

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Complications of non-medical assisted circumcision in Burkina Faso. Clinical presentation, management, and outcomes - about 23 cases and literature review

Ouattara¹,

Paré²,

Yé³

et al. 2023

Arch Ital Urol Androl

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Objective: To report the clinical presentation of circumcision complications encountered at our center and evaluate their management and outcomes. Patients and methods: A retrospective and descriptive study was conducted at Souro Sanou University Hospital between January 1, 2014, and December 31, 2018. All patients presenting with circumcision complications were included. Parameters related to clinical aspects of circumcision complication, their management and outcomes were studied. Results: During the study period, 23 cases of circumcision complications were reported. The average age of patients with circumcision complications was 8.3 years ± 3.5 years, with ages ranging from 18 months to 65 years old. Circumcision was performed by nurses in 12 cases and traditional practitioners in 11 cases. Observed complications included post-circumcision bleeding and hematoma (n = 8), leading to surgical exploration and hemostasis; total or partial amputation of the glans (n = 4), requiring regularization and meatoplasty; infectious complications (n = 3), managed with combined resuscitation, antibiotic administration, and penile debridement; penile urethra-cutaneous fistulas (n = 2), which were repaired; and stenosis of the external urethral meatus (n = 2), treated by meatoplasty. No deaths were reported. Conclusions: Circumcision complications presented various clinical manifestations, including hemorrhagic complications, glans amputation, infection, penile fistulas, and meatal stenosis. These complications were effectively managed from a functional perspective; however, aesthetic issues may persist. Emphasis should be placed on preventing these complications by ensuring circumcisions are performed by appropriately trained medical professionals.

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Section: Revision Of Circumcisionsupporting

confidence: 89%

“…Glans amputation, one of the most horrifying aspects of circumcision accidents, occurred in 13.04% (n = 3) of our patients. Diabaté et al (10) in Senegal found similar results in 2016.…”

Section: Revision Of Circumcisionsupporting

confidence: 52%