Late complications of circumcision

Abstract

Background/Purpose The aim of this work was to evaluate the late complications after circumcision. Patients and methods A retrospective file review of 45 boys, (3 months to 5 years) referred, over the last 5 years (September 2005–September 2010) for circumcision-related complications to pediatric surgery consultation circumcision was performed by health professionals with the use of Plastibell, whereas in others it was performed by local nonmedical personnel. The complications were observed late; usual time for consultation was between 4 and 10 months after circumcision operation. Results A total of 45 children were operated for late complications, 16 cases were incomplete circumcision with redundant foreskin, 12 cases were with postcircumcision phimosis, nine cases had foreskin adherent to the glans, three cases had a completely buried penile shaft (concealed penis), four cases were with meatal stenosis and one case was with scar due to degloving of the penile skin. Conclusion The use of various techniques without proper knowledge and skills results in a significant number of complications that can be avoided if the operation is performed with adequate training in the technique and its postoperative care. Keywords: circumcision, pitfall, complications, management