Avoidance of Redundant Foreskin or Excessive Skin Removal at Circumcision with Reducing Early Post Operative Complications
Keywords:
Circumcision, Complications, Foreskin, Glans, Infant, NeonateAbstract
Circumcision is one of the world's most common and oldest medical procedures. Circumcision is the surgical removal of the prepuce (foreskin) covering the glans of the human penis It was highly regarded as a rite of passage to adulthood and a hygienic process. The most common indication of circumcision is social and ritual, millions of boys undergo circumcision for different reasons including religious, cultural, social and medical reasons. To study age group of boys undergone circumcision develop higher incidence of operative and postoperative early complications with avoiding or reducing of these complications. prospective study conducted over a period between November 2013 and October 2021, on boys ≤ 3 years, who attending surgical private clinic for circumcision, 380 boys were analyzed , the cases were divided into two groups according to age; Group A 240 neonate and infant (1 day to 1 year old ), while Group B toddler or children ( 1 year to 3 years old ). All the surgeries were performed by the same surgeon and all cases followed up for 1 month to record and treat any early complications may developed. This study revealed regular (symmetrical ) cut line at foreskin removal site without redundant skin or excessive skin removal after circumcision for all cases in this study . In general the neonates and infants had a lower risk of complications than children. Bleeding was the commonest early complication in in both groups. Prolong penile skin oedema was the least early complication developed. Infection and wound separation also developed in same small number of cases. , the appropriate age of circumcision is to be a neonate and infant. For prevention of debilitating and prolonged complications, it should only be performed in medical institutions by suitably trained surgeons.
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