Surgical pathologies in children presenting for non-medical circumcision

Yıl 2016, Cilt: 29 Sayı: 2, 84 - 87, 01.04.2016

David Terence Thomas

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

Öz

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

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