Year 2020, Volume 17 , Issue 2, Pages 256 - 260 2020-08-20

Circumcision Complications: Our Eight-Year Experience
Sünnet Komplikasyonları: Sekiz yıllık deneyimimiz

Mustafa Erman DÖRTERLER [1]


Background: Most circumcision practices in our country are still carried out by medical officers or circumcisers. The present study aims to determine the types of circumcision complications, their frequencies and possible causes.
Methods: A total of 103 patients between 0-18 years of age, who were admitted to the Pediatric Surgery Clinic of our hospital due to circumcision complaints between January 2012 and December 2019, were included in the study. The demographic data, treatments, and clinical follow-up of the patients were obtained from file records retrospectively.
Results: The mean age of the patients was 3.9 ± 3.8 years. Of the circumcisions, 58 (56.3%) were performed at home or in a health cabin, while 45 (43.7%) were conducted in a hospital setting. Of these, 68 (66%) were performed by a circumciser or health officer, and 35 (34%) by a physician. The most common early circumcision complication was penile hemorrhage or hematoma (25.2%) and the most common late circumcision complication was inadequate circumcision and glans adherent skin bridges (17.5%). The major complications were glans penile amputation, necrosis, and excessive incision of the penis skin in 7 (6.7%) patients. Of these patients, 6 (85.7%) were circumcised by a health officer or circumciser.
Conclusions: Circumcision is a surgical procedure that should be performed by specialist physicians where the necessary conditions for the surgical procedure are met. As society becomes more aware of this issue, the frequency of circumcision complications and the risk of severe complications will decrease.

Amaç: Sünnet, dünyada en sık yapılan cerrahi işlemdir. Ülkemizde halen sünnetlerin büyük bir kısmı sağlık memurları veya sünnetçiler tarafından yapılmaktadır. Amacımız sünnete bağlı komplikasyon türlerini, sıklığını ve olası nedenlerini belirlemek.
Materyal ve metod: Çalışmaya Ocak 2012 ile Aralık 2019 tarihleri arasında sünnete bağlı şikayetler nedeni ile hastanemiz Çocuk Cerrahisi Kliniği’ne başvuran ve sünnet komplikasyonu saptanan 0-18 yaş arasında toplam 103 hasta alındı. Hastaların demografik verileri, uygulanan tedaviler ve klinik izlemleri retrospektif olarak dosya kayıtlarından elde edildi.
Bulgular: Hastalarının yaş ortalaması 3,9±3,8 yıl saptandı. Sünnetlerin 58’i (%56,3) ev veya sağlık kabininde, 45’i (%43,7) hastane koşullarında yapıldı. Bunların 68’i (%66) sünnetçi veya sağlık memuru tarafından, 35’i (%34) doktor tarafından yapıldı. En sık erken dönem sünnet komplikasyonu penil kanama veya hematom (%25,2), en sık geç dönem sünnet komplikasyonu yetersiz sünnet ve glansa yapışık cilt köprüleri (%17,5) olduğu saptandı. Hastaların 7’sinde (%6,7) majör komplikasyon (glans amputasyonu, penis cildinde nekroz ve sünnet derisinin fazla kesilmesi) saptandı. Bu hastaların 6’sı (%85,7) sağlık memuru veya sünnetçi tarafından sünnet edildi.
Sonuç: Sünnet, cerrahi işlem için gerekli şartların sağlandığı koşullarda uzman doktorlar tarafından yapılması gereken cerrahi bir işlemdir. Bu konuda toplumun bilinçlenmesi ile sünnete bağlı hem komplikasyonların sıklığı hem de ağır komplikasyon riski azalacaktır.
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Primary Language en
Subjects Medicine
Journal Section Research Article
Authors

Orcid: 0000-0001-9304-6830
Author: Mustafa Erman DÖRTERLER (Primary Author)
Institution: Harran Üniversitesi Tıp Fakültesi Çocuk Cerrahisi AD
Country: Turkey


Dates

Publication Date : August 20, 2020

Bibtex @clinical research { hutfd762906, journal = {Harran Üniversitesi Tıp Fakültesi Dergisi}, issn = {1304-9623}, eissn = {1309-4025}, address = {tipdergisi@harran.edu.tr}, publisher = {Harran University}, year = {2020}, volume = {17}, pages = {256 - 260}, doi = {10.35440/hutfd.762906}, title = {Circumcision Complications: Our Eight-Year Experience}, key = {cite}, author = {Dörterler, Mustafa Erman} }
APA Dörterler, M . (2020). Circumcision Complications: Our Eight-Year Experience . Harran Üniversitesi Tıp Fakültesi Dergisi , 17 (2) , 256-260 . DOI: 10.35440/hutfd.762906
MLA Dörterler, M . "Circumcision Complications: Our Eight-Year Experience" . Harran Üniversitesi Tıp Fakültesi Dergisi 17 (2020 ): 256-260 <https://dergipark.org.tr/en/pub/hutfd/issue/56155/762906>
Chicago Dörterler, M . "Circumcision Complications: Our Eight-Year Experience". Harran Üniversitesi Tıp Fakültesi Dergisi 17 (2020 ): 256-260
RIS TY - JOUR T1 - Circumcision Complications: Our Eight-Year Experience AU - Mustafa Erman Dörterler Y1 - 2020 PY - 2020 N1 - doi: 10.35440/hutfd.762906 DO - 10.35440/hutfd.762906 T2 - Harran Üniversitesi Tıp Fakültesi Dergisi JF - Journal JO - JOR SP - 256 EP - 260 VL - 17 IS - 2 SN - 1304-9623-1309-4025 M3 - doi: 10.35440/hutfd.762906 UR - https://doi.org/10.35440/hutfd.762906 Y2 - 2020 ER -
EndNote %0 Harran Üniversitesi Tıp Fakültesi Dergisi Circumcision Complications: Our Eight-Year Experience %A Mustafa Erman Dörterler %T Circumcision Complications: Our Eight-Year Experience %D 2020 %J Harran Üniversitesi Tıp Fakültesi Dergisi %P 1304-9623-1309-4025 %V 17 %N 2 %R doi: 10.35440/hutfd.762906 %U 10.35440/hutfd.762906
ISNAD Dörterler, Mustafa Erman . "Circumcision Complications: Our Eight-Year Experience". Harran Üniversitesi Tıp Fakültesi Dergisi 17 / 2 (August 2020): 256-260 . https://doi.org/10.35440/hutfd.762906
AMA Dörterler M . Circumcision Complications: Our Eight-Year Experience. Harran Üniversitesi Tıp Fakültesi Dergisi. 2020; 17(2): 256-260.
Vancouver Dörterler M . Circumcision Complications: Our Eight-Year Experience. Harran Üniversitesi Tıp Fakültesi Dergisi. 2020; 17(2): 256-260.
IEEE M. Dörterler , "Circumcision Complications: Our Eight-Year Experience", Harran Üniversitesi Tıp Fakültesi Dergisi, vol. 17, no. 2, pp. 256-260, Aug. 2020, doi:10.35440/hutfd.762906