Abstract
Objectives: Circumcision is the most commonly performed surgical procedure in the world. In this study, we determined the frequency of additional surgical pathologies in patients presenting for non-medical circumcision.Material and Method: Children presenting to a secondary healthcare facility between June 2013 - June 2014 for non-medical circumcision were included in this study. Patients’ ages, presenting at outpatient clinics were noted together with the results of physical examinations.Results: A total of 2088 children presented for non-medical circumcision. Their average age was 5.2 years. 56.3% of patients presented to the Pediatric Surgery outpatient clinic, 25.3% presented to the Urology outpatient clinic and 18.3% presented to the General Surgery outpatient clinic. Additional surgical pathologies were noted in 3.9% of patients and these were: phimosis (n=36), inguinal hernia/hydrocele (n=12), buried penis (n=10), undescended testis (n=9), retractile testis (n=5), hypospadias (n=3), megameatus (n=2), umbilical hernia (n=2) and varicocele(n=2). The surgical plans for 37 (1.8%) patients changed due to the findings at examination.Conclusion: Changes in surgical plans were required for 1.8% of patients. It is therefore important that all patients, including those presenting with a request for circumcision, have a detailed physical examination.Keywords: Circumcision, Physical examination, Incidence
References
- Malone P, Steinbrecher H. Medical aspects of male circumcision. BMJ 2007;335:1206-9. doi: 10.1136/
- bmj.39385.382708.AD
- Morris BJ, Waskett JH, Banerjee J, et al. A “snip” in time: what is the best age to circumcise? BMC Pediatr 12 2012;12: 20. doi: 10.1186/1471-2431-12-20
- {American Academy of Pediatrics Task Force on Circumcision}, Circumcision policy statement. Pediatrics
- 130: 585-6. doi: 10.1542/peds.2012-1989
- Castellsagué X, Bosch FX, Muñoz N, et al. Male circumcision, penile human papillomavirus infection, and cervical cancer in female partners. N Engl J Med 2002;346 :1105-12. doi: 10.1056/NEJMoa011688
- Karabulut B. One surgeon experiences in childhood inguinal hernias. J Korean Surg Soc 2011;81:50-3. doi: 10.4174/jkss.2011.81.1.50
- Wang KS. Assessment and management of inguinal hernia in infants. Pediatrics 2012;130: 768-73. doi: 10.1542/peds.2012-2008
- Matsuo N, Ishii T, Takayama JI, et al. Reference standard of penile size and prevalence of buried penis in Japanese newborn male infants. Endocr J 2014;61: 849-53. doi: 10.1507/endocrj.EJ14-0069
- Scorer CG. The descent of the testis. Arch Dis Child 1964;39: 605-9. doi: 10.1136/adc.39.208.605
- Barthold JS, González R. The epidemiology of congenital cryptorchidism, testicular ascent and orchiopexy. J Urol 2003;170: 2396-401. doi: 10.1097/01.ju.0000095793.04232. d8
- Karabulut R, Turkyilmaz Z, Sonmez K, et al. Twenty-four genes are upregulated in patients with hypospadias. Balkan J Med Genet 2013;16: 39-44. doi: 10.2478/bjmg-2013-0030
- Oster J. Varicocele in children and adolescents. An investigation of the incidence among Danish school children. Scand J Urol Nephrol 1971;5:27–32. doi: 10.3109/00365597109133569
- Yesildag E. It is not “Just Circumcision”. Pak J Med Sci Q 2015;31: 975-9. doi: 10.12669/pjms.314.7689
- Turk E, Karaca F, Edirne Y. Determining external genital abnormalities with a pre-circumcision examination in
- previously undiagnosed male school children. Urol J 2014;11:141-4.
- Yilmaz E, Batislam E, Basar MM, et al. Psychological trauma of circumcision in the phallic period could be avoided by using topical steroids. Int J Urol 2003;10:651–6. doi: 10.1046/j.1442-2042.2003.00722.x
- Cansever G. Psychological effects of circumcision. Br J Med Psychol 1965;38:321-31. doi: 10.1111/j.2044-8341.1965.tb01314.x
- Kennedy H. Trauma in childhood. Signs and sequelae as seen in the analysis of an adolescent. Psychoanal Study Child 1986;41:209-19.
- Yorke C. Reflections on the problem of psychic trauma. Psychoanal Study Child 1986;41:221-36.
- Armagan A, Silay MS, Karatag T, et al. Circumcision during the phallic period: does it affect the psychosexual functions in adulthood? Andrologia 2014;46:254-7. doi: 10.1111/and.12071
Abstract
Objectives: Circumcision is the most commonly performed surgical procedure in the world. In this study, we determined the frequency of additional surgical pathologies in patients presenting for non-medical circumcision.Material and Method: Children presenting to a secondary healthcare facility between June 2013 - June 2014 for non-medical circumcision were included in this study. Patients’ ages, presenting at outpatient clinics were noted together with the results of physical examinations.Results: A total of 2088 children presented for non-medical circumcision. Their average age was 5.2 years. 56.3% of patients presented to the Pediatric Surgery outpatient clinic, 25.3% presented to the Urology outpatient clinic and 18.3% presented to the General Surgery outpatient clinic. Additional surgical pathologies were noted in 3.9% of patients and these were: phimosis (n=36), inguinal hernia/hydrocele (n=12), buried penis (n=10), undescended testis (n=9), retractile testis (n=5), hypospadias (n=3), megameatus (n=2), umbilical hernia (n=2) and varicocele(n=2). The surgical plans for 37 (1.8%) patients changed due to the findings at examination.Conclusion: Changes in surgical plans were required for 1.8% of patients. It is therefore important that all patients, including those presenting with a request for circumcision, have a detailed physical examination.Keywords: Circumcision, Physical examination, Incidence
Keywords
References
- Malone P, Steinbrecher H. Medical aspects of male circumcision. BMJ 2007;335:1206-9. doi: 10.1136/
- bmj.39385.382708.AD
- Morris BJ, Waskett JH, Banerjee J, et al. A “snip” in time: what is the best age to circumcise? BMC Pediatr 12 2012;12: 20. doi: 10.1186/1471-2431-12-20
- {American Academy of Pediatrics Task Force on Circumcision}, Circumcision policy statement. Pediatrics
- 130: 585-6. doi: 10.1542/peds.2012-1989
- Castellsagué X, Bosch FX, Muñoz N, et al. Male circumcision, penile human papillomavirus infection, and cervical cancer in female partners. N Engl J Med 2002;346 :1105-12. doi: 10.1056/NEJMoa011688
- Karabulut B. One surgeon experiences in childhood inguinal hernias. J Korean Surg Soc 2011;81:50-3. doi: 10.4174/jkss.2011.81.1.50
- Wang KS. Assessment and management of inguinal hernia in infants. Pediatrics 2012;130: 768-73. doi: 10.1542/peds.2012-2008
- Matsuo N, Ishii T, Takayama JI, et al. Reference standard of penile size and prevalence of buried penis in Japanese newborn male infants. Endocr J 2014;61: 849-53. doi: 10.1507/endocrj.EJ14-0069
- Scorer CG. The descent of the testis. Arch Dis Child 1964;39: 605-9. doi: 10.1136/adc.39.208.605
- Barthold JS, González R. The epidemiology of congenital cryptorchidism, testicular ascent and orchiopexy. J Urol 2003;170: 2396-401. doi: 10.1097/01.ju.0000095793.04232. d8
- Karabulut R, Turkyilmaz Z, Sonmez K, et al. Twenty-four genes are upregulated in patients with hypospadias. Balkan J Med Genet 2013;16: 39-44. doi: 10.2478/bjmg-2013-0030
- Oster J. Varicocele in children and adolescents. An investigation of the incidence among Danish school children. Scand J Urol Nephrol 1971;5:27–32. doi: 10.3109/00365597109133569
- Yesildag E. It is not “Just Circumcision”. Pak J Med Sci Q 2015;31: 975-9. doi: 10.12669/pjms.314.7689
- Turk E, Karaca F, Edirne Y. Determining external genital abnormalities with a pre-circumcision examination in
- previously undiagnosed male school children. Urol J 2014;11:141-4.
- Yilmaz E, Batislam E, Basar MM, et al. Psychological trauma of circumcision in the phallic period could be avoided by using topical steroids. Int J Urol 2003;10:651–6. doi: 10.1046/j.1442-2042.2003.00722.x
- Cansever G. Psychological effects of circumcision. Br J Med Psychol 1965;38:321-31. doi: 10.1111/j.2044-8341.1965.tb01314.x
- Kennedy H. Trauma in childhood. Signs and sequelae as seen in the analysis of an adolescent. Psychoanal Study Child 1986;41:209-19.
- Yorke C. Reflections on the problem of psychic trauma. Psychoanal Study Child 1986;41:221-36.
- Armagan A, Silay MS, Karatag T, et al. Circumcision during the phallic period: does it affect the psychosexual functions in adulthood? Andrologia 2014;46:254-7. doi: 10.1111/and.12071
Details
| Subjects | Clinical Sciences |
|---|---|
| Other ID | JA46CP62GA |
| Journal Section | Review Makaleler |
| Authors | |
| Publication Date | April 1, 2016 |
| Published in Issue | Year 2016 |