Limits...
It is not "Just Circumcision".

Yesildag E - Pak J Med Sci (2015 Jul-Aug)

Bottom Line: Nine hundred forty four boys were brought to pediatric surgery outpatient clinics in order to be circumcised.The operation was performed in 318 of them.The misleading perception of underestimation of the procedure where it is ritually performed, should be corrected.

View Article: PubMed Central - PubMed

Affiliation: Ebru Yesildag, MD. Associate Professor, Department of Pediatric Surgery, Namik Kemal University, Faculty of Medicine, Turkey.

ABSTRACT

Objective: Circumcision is one of the most commonly performed operations during childhood. The procedure is often underestimated in areas where it is frequently executed due to social and religion-based indications. In fact it might be an opportunity to detect and to correct any existing penile anomaly. The aim of the study was to retrospectively evaluate the boys who were admitted to a hospital for circumcision and the outcome of the procedure.

Methods: The boys who were brought to outpatient clinics for circumcision between 2009-2015, were retrospectively evaluated. The indications for hospital admission and the presence of associated penile anomalies were searched. All the boys were examined and operated by a single surgeon of the institution.

Results: Nine hundred forty four boys were brought to pediatric surgery outpatient clinics in order to be circumcised. The operation was performed in 318 of them. The physical examination revealed penile anomalies in 29 of the 318 cases. The detected anomalies were webbed penis, penile torsion, hypospadias, chordee without hypospadias and meatal stenosis.

Conclusions: The proper examination of the boys by a physician prior to circumcision provides the detection of penile anomalies which can be corrected at the same session. The arrangements for performing circumcision in hospitals by the medical staff should be favored. The misleading perception of underestimation of the procedure where it is ritually performed, should be corrected.

No MeSH data available.


Related in: MedlinePlus

(a) The penis is found to be rotated to counterclockwise direction. (b) Penile torsion is corrected.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4590374&req=5

Figure 3: (a) The penis is found to be rotated to counterclockwise direction. (b) Penile torsion is corrected.

Mentions: The most important advantage of admission to a hospital for circumcision is that the physical examination of the penoscrotal area by a surgical practitioner creates an opportunity to detect any hidden abnormality and if needed the child can be referred to an expert dealing with the surgical reconstruction of the genital anomalies. There is a wide spectrum of anomalies in the penoscrotal area.3-6 Different type of penile anomalies were detected in 9% of the circumcised boys in this series of patients. The penoscrotal angle is distorted in cases with webbed penis.6,10 Penoscrotal webbing was the most common accompanying anomaly in the presented series. Baldinger et al. stated that the penile torsion is observed in 2-27% of the newborns and added that there will not be any functional or physiologic significance unless the torsion is > 90°. The incidence of penile torsion was found to be 2% in the presented study and all of them were rotated counterclockwise (Fig. 3a and 3b). The torsion was corrected during circumcision.4,6


It is not "Just Circumcision".

Yesildag E - Pak J Med Sci (2015 Jul-Aug)

(a) The penis is found to be rotated to counterclockwise direction. (b) Penile torsion is corrected.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4590374&req=5

Figure 3: (a) The penis is found to be rotated to counterclockwise direction. (b) Penile torsion is corrected.
Mentions: The most important advantage of admission to a hospital for circumcision is that the physical examination of the penoscrotal area by a surgical practitioner creates an opportunity to detect any hidden abnormality and if needed the child can be referred to an expert dealing with the surgical reconstruction of the genital anomalies. There is a wide spectrum of anomalies in the penoscrotal area.3-6 Different type of penile anomalies were detected in 9% of the circumcised boys in this series of patients. The penoscrotal angle is distorted in cases with webbed penis.6,10 Penoscrotal webbing was the most common accompanying anomaly in the presented series. Baldinger et al. stated that the penile torsion is observed in 2-27% of the newborns and added that there will not be any functional or physiologic significance unless the torsion is > 90°. The incidence of penile torsion was found to be 2% in the presented study and all of them were rotated counterclockwise (Fig. 3a and 3b). The torsion was corrected during circumcision.4,6

Bottom Line: Nine hundred forty four boys were brought to pediatric surgery outpatient clinics in order to be circumcised.The operation was performed in 318 of them.The misleading perception of underestimation of the procedure where it is ritually performed, should be corrected.

View Article: PubMed Central - PubMed

Affiliation: Ebru Yesildag, MD. Associate Professor, Department of Pediatric Surgery, Namik Kemal University, Faculty of Medicine, Turkey.

ABSTRACT

Objective: Circumcision is one of the most commonly performed operations during childhood. The procedure is often underestimated in areas where it is frequently executed due to social and religion-based indications. In fact it might be an opportunity to detect and to correct any existing penile anomaly. The aim of the study was to retrospectively evaluate the boys who were admitted to a hospital for circumcision and the outcome of the procedure.

Methods: The boys who were brought to outpatient clinics for circumcision between 2009-2015, were retrospectively evaluated. The indications for hospital admission and the presence of associated penile anomalies were searched. All the boys were examined and operated by a single surgeon of the institution.

Results: Nine hundred forty four boys were brought to pediatric surgery outpatient clinics in order to be circumcised. The operation was performed in 318 of them. The physical examination revealed penile anomalies in 29 of the 318 cases. The detected anomalies were webbed penis, penile torsion, hypospadias, chordee without hypospadias and meatal stenosis.

Conclusions: The proper examination of the boys by a physician prior to circumcision provides the detection of penile anomalies which can be corrected at the same session. The arrangements for performing circumcision in hospitals by the medical staff should be favored. The misleading perception of underestimation of the procedure where it is ritually performed, should be corrected.

No MeSH data available.


Related in: MedlinePlus