Sebastian O Ekenze1, Uchechukwu O Ezomike. 1. Department of Paediatric Surgery, University of Nigeria Teaching Hospital, 400001 Enugu, Nigeria. sebekenze@gmail.com
Abstract
OBJECTIVE: The recent scale-up in neonatal circumcision (NC) may require strategies to reduce complications. This study evaluated complications of NC requiring surgery. METHODS: A prospective analysis of 64 patients with complications of NC managed by surgery between June 2006 and May 2012 at the University of Nigeria Teaching hospital Enugu was conducted. RESULTS: Circumcision was performed by nurse in 54 (84.4%) patients, traditional practitioner in 5 (7.8%) and doctor in 5 (7.8%), at a median age of 9 days (range: 2-21 days). Complications noticed 1 day to 7 years (mean: 7.8 months) after circumcision were glanular adhesion in 27 (42.2%) children, meatal stenosis in 14 (21.9%), urethrocutaneous fistula in 11 (17.2%), trapped penis in 5 (7.8%), implantation dermoid in 4 (6.2%) and glans amputation in 3 (4.7%). After treatment, outcome was good in 59 (92.2%) patients, whereas 5 (7.8%) had residual defect. CONCLUSION: NC may be associated with serious complications in our setting. Adequate training of providers on safe procedure may minimize complications.
OBJECTIVE: The recent scale-up in neonatal circumcision (NC) may require strategies to reduce complications. This study evaluated complications of NC requiring surgery. METHODS: A prospective analysis of 64 patients with complications of NC managed by surgery between June 2006 and May 2012 at the University of Nigeria Teaching hospital Enugu was conducted. RESULTS: Circumcision was performed by nurse in 54 (84.4%) patients, traditional practitioner in 5 (7.8%) and doctor in 5 (7.8%), at a median age of 9 days (range: 2-21 days). Complications noticed 1 day to 7 years (mean: 7.8 months) after circumcision were glanular adhesion in 27 (42.2%) children, meatal stenosis in 14 (21.9%), urethrocutaneous fistula in 11 (17.2%), trapped penis in 5 (7.8%), implantation dermoid in 4 (6.2%) and glans amputation in 3 (4.7%). After treatment, outcome was good in 59 (92.2%) patients, whereas 5 (7.8%) had residual defect. CONCLUSION: NC may be associated with serious complications in our setting. Adequate training of providers on safe procedure may minimize complications.
Authors: Senol Bicer; Ufuk Kuyrukluyildiz; Fethi Akyol; Murat Sahin; Orhan Binici; Didem Onk Journal: Iran Red Crescent Med J Date: 2015-03-20 Impact factor: 0.611