Circumcision: postoperative complications that required reoperation

Author:

Talini Carolina1ORCID,Antunes Letícia Alves1ORCID,Carvalho Bruna Cecília Neves de1ORCID,Schultz Karin Lucilda1ORCID,Del Valle Maria Helena Camargo Peralta1ORCID,Aranha Junior Ayrton Alves1ORCID,Cosenza Wilmington Roque Torres1ORCID,Amarante Antonio Carlos Moreira1ORCID,Silveira Antonio Ernesto da1ORCID

Affiliation:

1. Hospital Pequeno Príncipe, Brazil

Abstract

ABSTRACT Objective To evaluate post-operative complications of circumcision requiring surgical reintervention. Methods Retrospective analysis of medical records of patients submitted to circumcision from May 1st, 2015 to May 31st, 2016. Results A total of 2,441 circumcisions were performed; in that, 1,940 using Plastibell and 501 by the classic technique. Complications requiring surgical reintervention were found in 3.27% of patients. When separated by surgical technique, 3.4% of circumcisions using Plastibell device required reoperation, as compared to 3% of conventional technique (p=0.79). Preputial stenosis was most frequently found in classic circumcision, with statistical significance (p<0.001). Bleeding was more frequent when using Plastibell device, but the difference was not statistically different (p=0.37). Patients’ age was also evaluated to investigate if this variable influenced on the postoperative outcome, but no significant difference was found. Conclusion There was no statistically significant difference when comparing complications between the different techniques performed at this hospital. Preputial stenosis was most frequently found in the classic circumcision, while bleeding was more prevalent when using Plastibell device. Patients’ age did not influence in complications.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference14 articles.

1. Complications of circumcision;Krill AJ;Scientific World Journal,2011

2. Circumcisions for medical reasons in the Brazilian public health system: epidemiology and trends;Korkes F;einstein,2012

3. Complication rate after circumcision in a paediatric surgical setting should not be neglected;Thorup J;Dan Med J,2013

4. Readmission characteristics of elective pediatric circumcision using large-scale administrative data;Roth JD;J Pediatr Urol,2016

5. Revision of circumcision in children: Report of 56 cases;Brisson PA;J Pediatr Surg,2002

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