Circumcision revision in male children

OBJECTIVE: To determine indications for circumcision revision and to identify the specialty of the person who performed unsatisfactory primary circumcision. MATERIALS AND METHODS: The authors reviewed medical records of 52 cases that underwent circumcision revision over a 6-year period (1998 to 2004). Sleeve surgical technique was used for revision in patients with redundant foreskin or concealed penis, penoplasty for partial or complete degloving of the penis and meatotomy for external meatal stenosis. The mean age of children was 32 months (range 6 months to 9 years). RESULTS: Most of unsatisfactory primary circumcisions (86.7%) were performed by laymen. All patients who underwent circumcision revision had good to excellent cosmetic results. CONCLUSION: Primary circumcision performed by laymen carry a high complication rate and serious complications may occur. A period of training and direct supervision by physicians is required before allowing laymen to perform circumcision independently.

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Main Authors: Al-Ghazo,Mohammed A., Banihani,Kamal E.
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Urologia 2006
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382006000400013
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spelling oai:scielo:S1677-553820060004000132006-10-23Circumcision revision in male childrenAl-Ghazo,Mohammed A.Banihani,Kamal E. penis circumcision surgical injuries reoperation OBJECTIVE: To determine indications for circumcision revision and to identify the specialty of the person who performed unsatisfactory primary circumcision. MATERIALS AND METHODS: The authors reviewed medical records of 52 cases that underwent circumcision revision over a 6-year period (1998 to 2004). Sleeve surgical technique was used for revision in patients with redundant foreskin or concealed penis, penoplasty for partial or complete degloving of the penis and meatotomy for external meatal stenosis. The mean age of children was 32 months (range 6 months to 9 years). RESULTS: Most of unsatisfactory primary circumcisions (86.7%) were performed by laymen. All patients who underwent circumcision revision had good to excellent cosmetic results. CONCLUSION: Primary circumcision performed by laymen carry a high complication rate and serious complications may occur. A period of training and direct supervision by physicians is required before allowing laymen to perform circumcision independently.info:eu-repo/semantics/openAccessSociedade Brasileira de UrologiaInternational braz j urol v.32 n.4 20062006-08-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382006000400013en10.1590/S1677-55382006000400013
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country Brasil
countrycode BR
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libraryname SciELO
language English
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author Al-Ghazo,Mohammed A.
Banihani,Kamal E.
spellingShingle Al-Ghazo,Mohammed A.
Banihani,Kamal E.
Circumcision revision in male children
author_facet Al-Ghazo,Mohammed A.
Banihani,Kamal E.
author_sort Al-Ghazo,Mohammed A.
title Circumcision revision in male children
title_short Circumcision revision in male children
title_full Circumcision revision in male children
title_fullStr Circumcision revision in male children
title_full_unstemmed Circumcision revision in male children
title_sort circumcision revision in male children
description OBJECTIVE: To determine indications for circumcision revision and to identify the specialty of the person who performed unsatisfactory primary circumcision. MATERIALS AND METHODS: The authors reviewed medical records of 52 cases that underwent circumcision revision over a 6-year period (1998 to 2004). Sleeve surgical technique was used for revision in patients with redundant foreskin or concealed penis, penoplasty for partial or complete degloving of the penis and meatotomy for external meatal stenosis. The mean age of children was 32 months (range 6 months to 9 years). RESULTS: Most of unsatisfactory primary circumcisions (86.7%) were performed by laymen. All patients who underwent circumcision revision had good to excellent cosmetic results. CONCLUSION: Primary circumcision performed by laymen carry a high complication rate and serious complications may occur. A period of training and direct supervision by physicians is required before allowing laymen to perform circumcision independently.
publisher Sociedade Brasileira de Urologia
publishDate 2006
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382006000400013
work_keys_str_mv AT alghazomohammeda circumcisionrevisioninmalechildren
AT banihanikamale circumcisionrevisioninmalechildren
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