The Relationship Between Preoperative Examination and High Phimosis Complication in Thermocautery Assisted Circumcision in İnfancy

Yıl 2023, Cilt: 9 Sayı: 4, 563 - 571, 29.10.2023

Aybegum Kalyoncu Ayçenk

https://doi.org/10.19127/mbsjohs.1258505

Öz

Objective: To this study, we presented our experience with thermocautery assisted guillotine/clamp (TAG) method circumcisions on infant age and to share high rate of penile adhesions/phimosis complications that we found at the end of study.
Methods: A retrospective review between July 2020 and October 2022, 80 patients under the age of 1 who were circumcised by a single surgeon using the thermocautery assisted guillotine/clamp method, under the local anesthesia were included in the study (Thermo-Med TM 802B device; Thermo Medikal, Adana, Turkey).
Results: 80 patients were divided into 2 groups. Group 1 was 0-6 months old, group 2 was 6-12 months old. According to the weight percentile in group 1, 44.4% of the patients were above 75. percentile (p), in group 2, 34% of the patient were 25-50.p. In the preoperative evaluations, the presence of pubic fatty tissue was found in 24% of the patients in group 1 and 30% in group 2. Early complications occurred in 7 patients. Late complications were seen in 22 patients (27,5%). The presence of excess penile tissue was observed in 12 of them.
Conclusion: The TAG method is cheap, fast operation time and has a very good bleeding control. However, its use in infant group affects complication rates due to infant anatomical features. In the decision of circumcision in infant age, if there is a pubic fatty tissue in the preoperative examination, the high probability of complications should be taken into account when choosing the TAG method

Anahtar Kelimeler

Thermocautery, Circumcision, İnfant, Complication, Phimosis

Proje Numarası

1

Kaynakça

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