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Severe Complications of Circumcision: An Analysis of 48 Cases

by Medindia Content Team on  April 15, 2007 at 3:25 PM Men´s Health News   - G J E 4
Severe Complications of Circumcision: An Analysis of 48 Cases
A study by Ceylan, from Turkey evaluated their experience in 48 cases of severe complications of circumcisions.
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Their patient's ages ranged from 5 months to 24 years with the mean age of 14 years. These circumcisions were performed at various centers or during religious ceremonies in environments other than health facilities.

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The group found that the most commonly observed complication was preputio-glandular fusion that was seen in 25 cases (52%.). The other complications were as follows: meatal stenosis in 11 (23%); urethral fistula in 5 (10.4%); partial glandular amputation in 4 (8%); and a distal urethral fistula in 3 (6%). Lysis of adhesions and revisions were performed in all cases of preputio-glandular fusion. The patients with meatal stenosis underwent meatotomies. The urethral fistula cases were repaired by simple closure and not a hypospadias type repair. Partial glans amputations were patched only with buccal mucosa. There was one patient with a completely open distal urethra that appeared to be more of a megameatus in my interpretation that was repaired by a Mathieu in a tabularized incised plate urethroplasty type technique.

The group concluded that circumcisions are routine but they may be associated with serious complications. The group felt that experience played a major role and that when circumcisions are performed, they should be done by educated experience personnel.

Source: Newswise
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