Traumatic Penile Injury: From Circumcision Injury to Penile Amputation

Kim, Jae Heon; Park, Jae Young; Song, Yun Seob

doi:10.1155/2014/375285

Cited by 26 publications

(42 citation statements)

References 68 publications

(77 reference statements)

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“…Non-iatrogenic causes include most commonly being zipper injuries, child abuse, self-mutilation, animal attack, religions, congenital cause, and car accidents [2][3][4][5][6][7][8][9][10][11][12][13][14]. Zipper injuries are the only consistently reported etiology in the pediatric population [2]. Hair tourniquet can cause injury to prepuce, but the majority of hair tourniquet injuries involve the penile shaft [5,6].…”

Section: Discussionmentioning

confidence: 99%

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Isolated Injury to Prepuce After Motor Vehicle Collision

Capelli¹,

Gupta

Burgos

et al. 2020

Cureus

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A four-year-old male restrained passenger in the rear seat was in a motor vehicle collision. He had pain and swelling in the tip of the penis with the inability to micturate. The patient on evaluation had an isolated injury of the prepuce. The patient underwent an evaluation to rule out underlying penile/urethra and associated injury of kidney and bladder. The patient had an isolated injury to prepuce, causing urinary retention for which he underwent circumcision.

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Section: Discussionmentioning

confidence: 99%

“…Preputial injury is usually in association with other injuries [1]. Isolated injury to the prepuce is with zipper injuries commonly [2]. A motor vehicle collision and isolated preputial injury need an elaborate workup to rule out urethral/additional injuries.…”

Section: Introductionmentioning

confidence: 99%

Isolated Injury to Prepuce After Motor Vehicle Collision

Capelli¹,

Gupta

Burgos

et al. 2020

Cureus

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“…Although rare, traumatic complications of circumcisions have troubling consequences. Injury to the skin of the shaft [11,48], injury to the glans or urethra [49][50][51][52], or total amputation of the whole length of the phallus are reported [53,54]. These events, although very rare, are seen in rural regions where ritual mass circumcisions are performed by untrained individuals using primitive devices.…”

Section: Traumamentioning

confidence: 99%

Rare Yet Devastating Complications of Circumcision

Aldamanhori¹

2020

Circumcision and the Community

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Circumcision is by far the most common procedure done in hospitals of Muslim countries. Many research data have proven its benefits in protecting against numerous sexually transmitted diseases, urinary tract infections, and penile cancer in the patients and cervical cancer in partners. The procedure is quite safe, with a low overall complication rate. Most of the adverse events of circumcision are minor and can be managed conservatively. In some areas where circumcision is performed by an inexperienced individual, or are done in a non-sterile environment, or using the wrong equipment, complications requiring expert intervention are seen. Devastating results range from simple self-limiting swelling and superficial infection to the dreadful amputation to the glans or the whole phallus, necessitating an expert in reconstruction. Circumcision is a simple surgical procedure with minimal adverse events when done by competent trained medical personnel, in a wellcontrolled sterile environment, using the appropriate equipment.

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“…Mixed effects model were calculated using the packages 'lme4' [71] (V1. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] and 'lmerTest' [72] (V3.0-1). Likelihood ratio tests were performed using the R package 'lmtest' [73] (V0.9-36).…”

Section: Data Analysesmentioning

confidence: 99%

“…MNC is associated with intraoperative and postoperative complications including bleeding, inadequate skin removal, surgical site infection [13], inflammation and sepsis, circulatory shock, traumatic injury that result in partial or complete penile amputation or other injury to the penis [14], chordee, iatrogenic hypospadias, glanular necrosis, glanular amputation [13], and hemorrhage [15][16][17][18] that can result in death [17,19]. MNC can cause clinically significant pain despite the use of analgesia and severe pain when no analgesia is used [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Neonatal circumcision and prematurity are associated with sudden infant death syndrome (SIDS)

Elhaik

2018

J Clin Transl Res

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Background: Sudden infant death syndrome (SIDS) is the most common cause of postneonatal unexplained infant death. The allostatic load hypothesis posits that SIDS is the result of cumulative perinatal painful, stressful, or traumatic exposures that tax neonatal regulatory systems. Aims: To test the predictions of the allostatic load hypothesis we explored the relationships between SIDS and two common phenotypes, male neonatal circumcision (MNC) and prematurity. Methods: We collated latitudinal data from 15 countries and 40 US states sampled during 2009 and 2013. We used linear regression analyses and likelihood ratio tests to calculate the association between SIDS and the phenotypes. Results: SIDS mortality rate was significantly and positively correlated with MNC. Globally (weighted): Increase of 0.06 (95% CI: 0.01-0.1, t = 2.86, p = 0.01) per 1000 SIDS mortality per 10% increase in circumcision rate. US (weighted): Increase of 0.1 (95% CI: 0.03-0.16, t = 2.81, p = 0.01) per 1000 unexplained mortality per 10% increase in circumcision rate. US states in which Medicaid covers MNC had significantly higher MNC rates (χ = 0.72 vs 0.49, p = 0.007) and male/female ratio of SIDS deaths (χ = 1.48 vs 1.125, p = 0.015) than other US states. Prematurity was also significantly and positively correlated with MNC. Globally: Increase of 0.5 (weighted: 95% CI: 0.02-0.086, t = 3.37, p = 0.004) per 1000 SIDS mortality per 10% increase in the prematurity rates. US: Increase of 1.9 (weighted: 95% CI: 0.06-0.32, t = 3.13, p = 0.004) per 1000 unexplained mortalities per 10% increase in the prematurity rates. Combined, the phenotypes increased the likelihood of SIDS. Conclusions: Epidemiological analyses are useful to generate hypotheses but cannot provide strong evidence of causality. Biological plausibility is provided by a growing body of experimental and clinical evidence linking aversive preterm and early-life SIDS events. Together with historical and anthropological evidence, our findings emphasize the necessity of cohort studies that consider these phenotypes with the aim of improving the identification of at-risk infants and reducing infant mortality. Relevance for patients: Preterm birth and neonatal circumcision are associated with a greater risk of SIDS, and efforts should be focused on reducing their rates.

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Traumatic Penile Injury: From Circumcision Injury to Penile Amputation

Cited by 26 publications

References 68 publications

Isolated Injury to Prepuce After Motor Vehicle Collision

Isolated Injury to Prepuce After Motor Vehicle Collision

Rare Yet Devastating Complications of Circumcision

Neonatal circumcision and prematurity are associated with sudden infant death syndrome (SIDS)

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