Abstract
BackgroundCircumcision is a surgical removal process of the preputium. Surgical excision and electric current cause neurodegeneration in the excised tissue-related neural network. This study investigates if circumcision and current surgical methods would cause histopathological changes in the penile tissue innervating pudendal nerve dorsal root ganglia.ResultsVascular congestion occluded the microvessels, and degenerative changes were detected in postexcised penile tissue. Neuronal angulation, cytoplasmic condensation, nuclear shrinkage, and condensed nuclei were observed in the pudendal nerve ganglia. Moreover, the degenerated neuron (DN) densities of the pudendal nerve ganglia were 5 ± 2, 98 ± 22, 1093 ± 185, 236 ± 43 and 151 ± 19 in the control, the surgical circumcision, the monopolar cautery, the bipolar cautery and the thermocautery groups, respectively.ConclusionsAlthough only the pudendal nerve endings are affected secondary to prepusium excision another pudendal axons can be damaged during bleeding control with cautery, the destruction of the neuron that sends this axon initiates a general inflammation in that ganglion. As a result, there may be a somatosensitive innervation defect in extrapenile tissues innervated by this ganglion. High-voltage electric devices should not be used unless obligatory.
Highlights
Circumcision is a surgical removal process of the preputium
This study aims to investigate the neurovascular damage caused by the electric devices used for the circumcision procedure
Traumatic neuromatous masses are described as benign lesion that arises at site of prior trauma, surgery, amputation and named as scar, amputation or pseudoneuroma which develops as aberrant neural regeneration following injury
Summary
Circumcision is a surgical removal process of the preputium. Surgical excision and electric current cause neurodegeneration in the excised tissue-related neural network. This study investigates if circumcision and current surgical methods would cause histopathological changes in the penile tissue innervating pudendal nerve dorsal root ganglia. The penile artery, which is the main artery of the penis in the rabbit, is a branch of the internal pudendal artery. It divides into deep and dorsal penile arteries and creates an ischial arc and provides blood circulation to the penis and prepuceum [2]. Blood circulation of the penis is similar in humans. Various nerves of the pelvic plexus are responsible for autonomic control of pelvic visceral tissues.
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