Abstract
IntroductionOnly few cases of penile keloids have been reported in the literature. There have been no published reports on penile keloids following traditional circumcision in Africa. Case reportWe present a case of a 13-year-old boy with penile keloids following traditional circumcision. The patient was successfully treated with complete excision of the keloid followed by a course of adjuvant treatment with corticosteroid injection. DiscussionPenile keloids are a rare complication despite penile surgery being common. Male circumcision is a standard operation performed worldwide for medical, religious as well as cultural reasons. Traditional circumcision continues to be practised in many African countries. Keloids are a benign hyperproliferative growth of scar tissue that can complicate wound healing. Successful treatment is classically multimodal. ConclusionThis case highlights one of the more serious complications of circumcision. Although penile keloids are rare, the techniques involved in traditional circumcision potentially predispose to keloid formation in a genetically prone population.
Highlights
Few cases of penile keloids have been reported in the literature
In individuals who are prone to keloids, surgical techniques that result in excessive skin tension, delayed wound healing, infection and foreign body reaction further increase the likelihood of keloid formation [6,7]
There was no significant change in the size of the scar and the patient was treated with another course of 6 weekly corticosteroid injections successfully
Summary
Few cases of penile keloids have been reported in the literature. There have been no published reports on penile keloids following traditional circumcision in Africa. CASE REPORT: We present a case of a 13-year-old boy with penile keloids following traditional circumcision. The patient was successfully treated with complete excision of the keloid followed by a course of adjuvant treatment with corticosteroid injection. DISCUSSION: Penile keloids are a rare complication despite penile surgery being common. Traditional circumcision continues to be practised in many African countries. Keloids are a benign hyperproliferative growth of scar tissue that can complicate wound healing. CONCLUSION: This case highlights one of the more serious complications of circumcision. Penile keloids are rare, the techniques involved in traditional circumcision potentially predispose to keloid formation in a genetically prone population
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