Revisions after unsatisfactory adult circumcisions

Fekete, Ferenc; Török, A; Nyírády, Péter

doi:10.1007/s11255-010-9820-x

Cited by 6 publications

(11 citation statements)

References 10 publications

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“…El 44% por cicatriz hipertrófica, el 13% por una línea de cicatrización irregular ("wrinkling"), el 11% por piel redundante y el 3,6% por parafimosis. 6 El manejo cuidadoso de los tejidos, el uso de suturas de bajo calibre y los puntos subcuticulares con poca tensión, son medios para optimizar el proceso de cicatrización, basados en el fundamento de que esta es una cirugía no solo funcional, sino reconstructiva y estética. Estas son medidas que previenen la isquemia de los tejidos y la formación de cicatrices hipertróficas.…”

Section: Discussionunclassified

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Reintroducción de la circuncisión como una técnica quirúrgica reconstructiva

Bencardino

Fernández

2020

Revista Urología Colombiana / Colombian Urology Journal

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ResumenLa circuncisión es una cirugía practicada frecuentemente en urología. Sin tener en cuenta los principios básicos de la cirugía reconstructiva, puede generar procesos de cicatrización anómalos, con resultados estéticos y funcionales inadecuados, fimosis secundaria, cicatrización hipertrófica, queloide o “pene enterrado.” El objetivo de este video es recordar la importancia de operar con las directrices de una cirugía reconstructiva, resaltando el cuidado de los tejidos y el uso de suturas de bajo calibre, para prevenir complicaciones y resultados insatisfactorios, resaltando la preservación de las zonas postuladas por Firlit. Se sospecha que las complicaciones de este procedimiento son subestimadas por los especialistas. El manejo cuidadoso de los tejidos, el uso de suturas de bajo calibre y los puntos subcuticulares con poca tensión, son medios para optimizar el proceso de cicatrización, evitando la isquemia y las cicatrices hipertróficas, basados en el fundamento de que esta es una cirugía no solo funcional, sino reconstructiva y estética. La circuncisión es un procedimiento que debe conservar la funcionalidad y estética del pene, por lo que debe ser realizado bajo las directrices de una cirugía reconstructiva.

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Section: Discussionunclassified

“…El punto de reparo glandular es relevante porque permite la tracción, movilización y exposición de los tejidos, facilitando el procedimiento para el cirujano, sin repercusiones en el paciente. 1,[6][7][8]…”

Section: Discussionunclassified

Reintroducción de la circuncisión como una técnica quirúrgica reconstructiva

Bencardino

Fernández

2020

Revista Urología Colombiana / Colombian Urology Journal

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“…The resultant scarring from chronic ulceration can cause obstruction of the orifice and lead to the development of concealed penis, phimosis, or meatal stenosis. It can also affect sexual function in adulthood .…”

Section: Discussionmentioning

confidence: 99%

Dermatological Complications of Circumcision: Lesson Learned from Cases In a Pediatric Dermatology Practice

Tempark

Singer

et al. 2013

Pediatric Dermatology

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We discuss 11 cases of boys who presented with dermatologic complications of circumcision in an outpatient pediatric dermatology clinic. A medical practitioner had previously circumcised all patients during the newborn period. The majority of cases were found incidentally during initial thorough dermatologic examination. Late cutaneous complications included penile skin bridge, glandular adhesion of remnant foreskin, concealed penis, and a penile epidermal inclusion cyst. Minor surgical procedures under local anesthesia were performed in all but two cases. These cases should help dermatologists recognize the common late cutaneous complications of male newborn circumcision and provide insight into potential options for early intervention and management.

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“…Nontherapeutic circumcision of minors as an ethically problematic form of iatrogenic injury 4 Secondary phimosis after circumcision 58 Acquired phimosis after plastibell circumcision: A preventable consequence 59 Complications of circumcision 27 Revisions after unsatisfactory adult circumcisions 60 Dermatological complications of circumcision: Lesson learned from cases in a pediatric dermatology practice 61 12. Sudden infant death syndrome Neonatal circumcision and prematurity are associated with sudden infant death syndrome (SIDS) 62 13.…”

Section: Phimosis (Referring To Pathological Phimosis)mentioning

confidence: 99%

Systematic review of complications arising from male circumcision

2021

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Background: Neonatal male circumcision is the most common procedure performed on paediatric patients (Simpson et al., 2014) and one of the most common surgical procedures in the world (American Academy of Pediatrics, 2012).Methods: A search was conducted for articles about complications arising from male circumcision surgeries by entering the term 'male circumcision' into PubMed on June 16, 2020. Six thousand six hundred forty-one articles published from 1945 to 2020 were found. Seventy-eight articles were ultimately selected for the systematic review.Results: The 78 articles selected from the literature search were entered into one of three tables. The first table includes 15 articles pertaining to chart reviews and cohort studies and report complication rates. The second table reports specific complications from 51 case reports and case series, and the third table is a summary from 12 articles regarding physician questionnaires and society recommendations. Additionally, the 78 articles were used to compile a list of 47 specific complications arising from male circumcision surgeries.Conclusions: Complications from neonatal male circumcisions are common and healthcare providers need to be better informed of the potential complications of the surgery so that they can more effectively counsel their patients about potential risks, likelihood of complications and what can be done to prevent them. While experienced providers who practice in sterile settings have better outcomes with fewer complications, encouraging parents to take into account who is performing their son's circumcision, what was their training, how clean is their practice and how much experience they have and reminding them they have the option to decline the procedure entirely allow the parents to get a more complete picture and play an essential role in the decision-making process.

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Revisions after unsatisfactory adult circumcisions

Cited by 6 publications

References 10 publications

Reintroducción de la circuncisión como una técnica quirúrgica reconstructiva

Reintroducción de la circuncisión como una técnica quirúrgica reconstructiva

Dermatological Complications of Circumcision: Lesson Learned from Cases In a Pediatric Dermatology Practice

Systematic review of complications arising from male circumcision

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