Secondary Phimosis due to Circumcision

Yıl 2018, Cilt: 16 Sayı: 3, 28 - 36, 03.12.2018

Mesut Kaçar Erhan Demirelli , Ural Oğuz Ercan Öğreden

Öz

INTRODUCTION: In this study we aimed to present the secondary phimosis cases after circumcision as a complication of circumcision and demographic data of the patients.

METHODS: The data of 47 patients revised because of secondary phimosis developing after circumcision were analyzed retrospectively. The demographic data of the patients were evaluated.

RESULTS: The mean ages of 47 patients were 2.84 years (5 months-11 years). All of the patients had been circumcised under local anesthesia by a non-physician circumciser in the home environment. 37 patients were consulted in the first six months after circumcision, and the remaining 10 patients were consulted in the later period (6 months-8 years). It was found in all patients that both penile skin and mucous was left longer than usual and fibrotic ring which grew out during the healing tightened the glans penis. All disorders were corrected surgically. None of the patients in the early and late postoperative follow-up showed any complications.

DISCUSSION and CONCLUSION: Our study reveals that secondary phimosis is a complication requiring circumcision revision and may develop after circumcision made by non-physicians and out of the hospital or a health organization. Moreover, the study shows that sleeve resection technique circumcision is a safe and successful method for revision in the hospital. The limitations of our study are that it is retrospective and there is no control group.

Anahtar Kelimeler

Circumcision, complication, secondary phimosis, circumcision revision

Sünnete Bağlı Olarak Gelişen Sekonder Fimozis

Öz

GİRİŞ ve AMAÇ: Bu çalışmada bir sünnet komplikasyonu olarak sünnet
sonrası sekonder fimozis olgularını ve hastaların demografik verilerini
göstermeyi amaçladık.

YÖNTEM ve GEREÇLER: Sünnet sonrası gelişen sekonder fimozis nedeniyle
revizyon yapılan 47 hastanın verileri retrospektif incelendi. Hastaların
demografik verileri değerlendirildi.

BULGULAR: Kırk yedi hastanın yaş ortalaması 2.84 yıl (5 ay – 11 yıl) idi.
Hastaların tamamı hekim olmayan sünnetçiler tarafından lokal anestezi ile ev
ortamında sünnet edilmişti. 37 hasta sünnet sonrası ilk altı ay içinde, kalan
10 hasta ise daha geç dönemde (6 ay-8 yıl) başvurmuşlardı. Tüm hastalarda
mukozanın daha fazla olmak üzere hem mukoza hem de penil derinin normalden daha
uzun bırakıldığı ve iyileşme sırasında oluşan fibrotik halkanın glans penisi
sıktığı saptanmıştır. Ameliyatta tüm bozukluklar düzeltilmiştir. Postoperatif
erken ve geç dönem takiplerinde hastaların hiçbirisinde herhangi bir
komplikasyon görülmemiştir.

TARTIŞMA ve SONUÇ: Bizim çalışmamız, hastane ya da sağlık kuruluşları
dışında hekim olmayan kişilerce yapılan sünnetlerde sekonder fimozisin sünnet
revizyonu gerektiren bir komplikasyon olduğuna ve hastanede yapılan sünnet
revizyonlarında sleeve rezeksiyon tekniğinin güvenli ve başarılıyla
uygulanabileceğine dikkat çekmektedir. Çalışmamızın limitasyoları ise, bu
çalışmanın retrospectif olması ve bir kontrol grubunun bulunmamasıdır.

Anahtar Kelimeler

Sünnet, komplikasyon, sekonder fimosis, sünnet revizyonu

Kaynakça

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