A Novel Tool to Predict the Cosmetic Outcome after Circumcision: Penile Visibility Index

Ilker Akyol,Hasan Soydan,Kadir Baykal,Ferhat Ates,Kenan Karademir,Hasan Kocoglu

doi:10.4236/ijcm.2014.510082

Abstract

Objectives: We aimed to evaluate the circumcision status and complications, and the value of penile visibility index in predicting circumcision complications among elementary school children. Patients and Methods: Elementary school students were evaluated with physical exam in terms of circumcision complications. Visible penile length/stretched penile length ratio was calculated for each subject and recorded as penile visibility index (PVI). Data were assessed with SPSS 15.0 software. Results: Average age was 9.04 (5 - 14) years. Circumcision complications were detected in 84 of 361 circumcised subjects (23.2%). There was no relationship between age at circumcision and complications (p > 0.05). Concealed penis was detected in 3.6% of all subjects. Mean PVI was significantly different between cases with and without glanular adhesion, and between cases with and without residual prepuce. On the overall, mean PVI in complication and no complication groups were 0.52 and 0.59 respectively, and the difference was statistically significant (p

Highlights

Circumcision has been one of the most frequently performed surgeries since ancient times
Neonatal circumcision is performed by doctors and nurses at the hospitals, but religious circumcision is frequently done by traditional circumcisers on sites out of hospitals [2] [4] [6]-[10]
Circumcision-related complications were detected in 84 subjects (23.2%) such that bad cosmesis in 24, glanular adhesion in 8, residual prepuce in 52 subjects

Summary

Introduction

Circumcision has been one of the most frequently performed surgeries since ancient times. Circumcision is performed due to cultural and religious. Circumcision rate is very low in European countries [3] [4] whereas it is quite common in the USA (80% - 85%) for medical reasons [5] [6]. The majority of the population in Turkey is Muslim, and circumcision rate is 99% [7]. How, when and who performs circumcision depends on cultural factors and why it is performed. Neonatal circumcision is performed by doctors and nurses at the hospitals, but religious circumcision is frequently done by traditional circumcisers on sites out of hospitals [2] [4] [6]-[10]

Objectives

Methods

Results

Conclusion