Surgical Complications of Circumcision

Complications of circumcision in male neonates, infants and children: a systematic review

“…Five of these were from the USA, two from Pakistan, one each from Israel, Oman and Turkey. Reported frequency of complications were slightly lower than for the prospective studies, with five studies finding very low frequencies (≤0.6%) [19,34-37] and four in the range 2-4% [38-41]. The study reporting the highest proportion (4% in neonates, 10% in infants) included late complications (most commonly foreskin adhesions (7.8%)), with 3 cases (1.3%) of meatitis and 3 requiring circumcision revision (1.3%) [42].…”

Penile skin necrosis: A case report of a rare complication associated with simultaneous circumcision utilizing a disposable circumcision suture device and genital beading surgery

“…In most cases, postcircumcision bleeding is effectively managed with direct pressure or silver nitrate, and wound exploration and suturing are rarely required. [ 12 , 17 , 18 ] The penis is supplied with blood from the superficial external pudendal artery and the internal pudendal artery, which connect at the coronal sulcus. [ 19 ] This dual supply explains the rarity of postcircumcision wound infections.…”

Risk factors for urinary tract infection in children: A population‐based study of 2856 children

“…The clinical management of children at risk of UTI has been hampered by sparse data on epidemiologically based risk factors. A young age, renal tract abnormalities and an uncircumcised state in boys are well established risk factors, but either not modifiable (age), only relevant to boys and with appreciable adverse effects (circumcision), 7–11 or correction confers partial benefit at best (correction of renal tract abnormalities) 4 . The only other intervention strategy for prevention, low‐dose, long‐term antibiotics, has unproven benefit and is unacceptable to many parents 3 .…”

“…Many strategies to prevent UTI recurrence are recommended (long‐term low‐dose antibiotics, reimplantation surgery, cranberry juice, reimplantation surgery for children with vesicoureteric reflux, circumcision), 3–6 but of these, only cranberry juice and circumcision have been shown to consistently reduce UTI 5,6 . Circumcision is only appropriate for boys, and has inherent complications, 7–11 and cranberry is only partially effective. Alternative preventative strategies are required.…”