Severe complications of circumcision: An analysis of 48 cases

Ceylan, Kadir; Köseoğlu, Burhan; Yılmaz, Yüksel; Can, Şaban; Alpaslan, Kus; Güneş, Mustafa

doi:10.1016/j.jpurol.2006.02.009

Cited by 77 publications

(42 citation statements)

References 12 publications

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“…The reported rate is 23%. (11,12) In the present study, no case of lichen sclerosis, post-prostate cancer treatment or meatal stenosis secondary to circumcision was found during study period.…”

Section: Discussioncontrasting

confidence: 38%

An analytical study of stricture urethra by retrograde urethrography

Joshi¹

2017

Int j curr adv res

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Section: Discussioncontrasting

confidence: 38%

An analytical study of stricture urethra by retrograde urethrography

Joshi¹

2017

Int j curr adv res

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“…A sub-meatal urethral stenosis with normal external meatus can have different aethiologies including infection and urological instrumentation, especially after a prostate transurethral resection [9] However, pure meatal stenosis (even when the stenosis is wide enough to include the navicular fossa) is more frequently observed associated to lichen sclerosus even if it has also been found in circumcised patients because of a previous phimosis no matter if the surgery was performed for religious, cultural or hygienic reasons [10] . Moreover, the existing literature on the subject provides the doctor trying to treat this pathology with a confusing selection of therapeutic options because such publications include patients with pure meatal stenosis, meatal stenosis which extends to the distal urethra, sub-meatal stenosis with a normal meatus and any type of narrowness whichever may be the aethiology [11] .…”

Section: Discussionmentioning

confidence: 99%

Long-Term Follow-up of Malone Meatoplasty for Meatal Stenosis in Patients with Lichen Sclerosus

Verdejo¹,

Navalon-Monllor²,

Calaforra³

et al. 2017

J Anesth Surg

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Objective: To show our experience in the treatment of meatal stenosis secondary to balanitis xerotica obliterans by the use of a dorsal meatoplasty technique. Materials and methods:We have performed dorsal meatoplasty to 57 patients suffering from meatal stenosis caused by lichen sclerosus. In all cases the individuals were operated on under local anesthesia and following Malone's original technique: plasty through "inverted V" incision. Results: In almost all the operated patients, we observed a significant improvement in urine flow and an excellent aesthetic result with very low incidence of disperse micturition. We have noted a high satisfaction rate by carrying out a survey. We didn't register any post-operative complication. In 2 patients (3.5%) the stenosis reappeared and persisted during an average time of 39.5 months (range 6 -130). Conclusions: Dorsal meatoplasty with "inverted V" incision is an easily executable technique that can be performed under local anesthesia, avoids post-operative hypospadias and gives excellent aesthetic and functional results with low recurrence rate, which is why we hold the opinion that this procedure should be included in the daily practice of the urologist.

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“…49,50 There are some other less-common but severe complications, including urethrocutaneous fistula, glans amputation, and iatrogenic buried penis. 51,52 These have long-term physiological and psychological consequences for both the patient and family. Surgical technique and the surgeon's awareness of limitations of each method of circumcision is important.…”

Section: Risks and Complications Of Circumcisionmentioning

confidence: 99%