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Surgical pathologies in children presenting for non-medical circumcision

Year 2016, Volume: 29 Issue: 2, 84 - 87, 01.04.2016

David Terence Thomas

https://doi.org/10.5472/MMJoa.2902.04

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

Surgical pathologies in children presenting for non-medical circumcision

Year 2016, Volume: 29 Issue: 2, 84 - 87, 01.04.2016

David Terence Thomas

https://doi.org/10.5472/MMJoa.2902.04

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

Sünnet Fizik muayene İnsidans

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
There are 21 citations in total.

Details

Subjects Clinical Sciences
Other ID JA46CP62GA
Journal Section Review Makaleler
Authors

David Terence Thomas This is me

Publication Date April 1, 2016
Published in Issue Year 2016 Volume: 29 Issue: 2

Cite

APA Thomas, D. T. (2016). Surgical pathologies in children presenting for non-medical circumcision. Marmara Medical Journal, 29(2), 84-87. https://doi.org/10.5472/MMJoa.2902.04
AMA Thomas DT. Surgical pathologies in children presenting for non-medical circumcision. Marmara Med J. April 2016;29(2):84-87. doi:10.5472/MMJoa.2902.04
Chicago Thomas, David Terence. “Surgical Pathologies in Children Presenting for Non-Medical Circumcision”. Marmara Medical Journal 29, no. 2 (April 2016): 84-87. https://doi.org/10.5472/MMJoa.2902.04.
EndNote Thomas DT (April 1, 2016) Surgical pathologies in children presenting for non-medical circumcision. Marmara Medical Journal 29 2 84–87.
IEEE D. T. Thomas, “Surgical pathologies in children presenting for non-medical circumcision”, Marmara Med J, vol. 29, no. 2, pp. 84–87, 2016, doi: 10.5472/MMJoa.2902.04.
ISNAD Thomas, David Terence. “Surgical Pathologies in Children Presenting for Non-Medical Circumcision”. Marmara Medical Journal 29/2 (April 2016), 84-87. https://doi.org/10.5472/MMJoa.2902.04.
JAMA Thomas DT. Surgical pathologies in children presenting for non-medical circumcision. Marmara Med J. 2016;29:84–87.
MLA Thomas, David Terence. “Surgical Pathologies in Children Presenting for Non-Medical Circumcision”. Marmara Medical Journal, vol. 29, no. 2, 2016, pp. 84-87, doi:10.5472/MMJoa.2902.04.
Vancouver Thomas DT. Surgical pathologies in children presenting for non-medical circumcision. Marmara Med J. 2016;29(2):84-7.