Complications of circumcision

British Journal of Surgery - Tập 80 Số 10 - Trang 1231-1236 - 2005
Nigel Williams1, L Kapila2
1Department of Surgery, Hope Hospital, Salford, Queen's Medical Centre, Nottingham, UK
2Department of Paediatric Surgery, University Hospital, Queen’s Medical Centre, Nottingham, UK

Tóm tắt

AbstractCircumcision remains a common operation, with over 30000 procedures performed annually in the UK, mostly on children. The British Medical Association has recommended that circumcision should be performed only for medical reasons. Despite this, controversy exists over whether too many circumcisions are being performed. Are patients being exposed to an unnecessary operation? It may be argued that in doubtful cases it is easier to proceed to circumcision on the assumption that the attendant risks are low, but the operation is associated with a definite morbidity and rare deaths have been reported. This review considers the spectrum of complications that may result from circumcision and discusses the possible aetiological mechanisms.

Từ khóa


Tài liệu tham khảo

Rickwood, 1989, Is phimosis overdiagnosed in boys and are too many circumcisions performed in consequence?, Ann R Coll Surg Engl, 71, 275

Williams, 1993, Why are children referred for circumcision?, BMJ, 306, 28, 10.1136/bmj.306.6869.28

Griffiths, 1985, A prospective study of the indications and morbidity of circumcision in children, Eur Urol, 11, 184, 10.1159/000472487

Gordon, 1993, Save the normal foreskin, BMJ, 306, 1, 10.1136/bmj.306.6869.1

Schoen, 1990, The status of circumcision of newborns, N Engl J Med, 322, 1308, 10.1056/NEJM199005033221810

Wiswell, 1987, Declining frequency of circumcision; implications for changes in the absolute incidence and male to female ratio of urinary tract infections in early infancy, Pediatrics, 79, 338, 10.1542/peds.79.3.338

Barrett, 1981, Circumcision: knowledge isn't enough, Pediatrics, 68, 750, 10.1542/peds.68.5.750

1949, A ritual operation, BMJ, ii, 1458

1979, The case against neonatal circumcision, BMJ, i, 1163

1975, Report of the Ad Hoc Task Force on Circumcision, Pediatrics, 56, 610, 10.1542/peds.56.4.610

Cuckow, 1993, Saving the normal foreskin, BMJ, 306, 459, 10.1136/bmj.306.6875.459-c

Kaplan, 1983, Complications of circumcision, Urol Clin North Am, 10, 543, 10.1016/S0094-0143(21)01717-1

Speert, 1953, Circumcision of the newborn; an appraisal of the present status, Obstet Gynecoil, 2, 164

Patel, 1966, The problem of routine circumcision, Can Med Assoc J, 95, 576

Fraser, 1981, A randomised trial to assess childhood circumcision with the Plastibell device compared to a conventional dissection technique, Br J Surg, 68, 593, 10.1002/bjs.1800680822

Leitch, 1970, Circumcision: a continuing enigma, Australian Pediatrics Journal, 6, 59

MacCarthy, 1952, Circumcision in a national sample of 4 year old children, BMJ, ii, 755, 10.1136/bmj.2.4787.755

Breuer, 1987, Circumcision complications and indications for recircumcision. Clinical experience and review of the literature, Isr J Med Sci, 23, 252

Redman, 1975, Postcircumcision phimosis and its management, Clin Pediatr (Phila), 14, 407, 10.1177/000992287501400415

Smey, 1985, Penile denudation injuries after circumcision, J Urol, 134, 1220, 10.1016/S0022-5347(17)47697-X

Sotolongo, 1985, Penile denudation injuries after circumcision, J Urol, 133, 102, 10.1016/S0022-5347(17)48807-0

Azmy, 1985, Successful reconstruction following circumcision with diathermy, Br J Urol, 57, 587, 10.1111/j.1464-410X.1985.tb05874.x

Byars, 1958, Some complications of circumcision and their surgical repair, Arch Surg, 76, 477, 10.1001/archsurg.1958.01280210147033

Gee, 1976, Neonatal circumcision: a ten year overview; with comparison of the Gomco clamp and the Plastibell device, Pediatrics, 58, 824, 10.1542/peds.58.6.824

Shulman, 1964, Surgical complications of circumcision, Am J Dis Child, 107, 149

Thorek, 1949, Reconstruction of the penis with split-thickness skin graft. A case of gangrene following circumcision for acute balanitis, Plast Reconstr Surg, 4, 469, 10.1097/00006534-194909000-00010

Pearlman, 1976, Reconstruction following iatrogenic burn of the penis, J Pediatr Surg, 11, 121, 10.1016/0022-3468(76)90190-1

Levitt, 1976, Iatrogenic microphallus secondary to circumcision, Urology, 8, 472, 10.1016/0090-4295(76)90278-8

Kon, 1983, A rare complication of circumcision; the concealed penis, J Urol, 130, 573, 10.1016/S0022-5347(17)51313-0

Radhakrishnan, 1984, Penoplasty for buried penis secondary to radical circumcision, J Pediatr Surg, 19, 629, 10.1016/S0022-3468(84)80344-9

Gearhart, 1989, Total ablation of the penis after circumcision with electrocautery: a method of management and long term follow-up, J Urol, 142, 799, 10.1016/S0022-5347(17)38893-6

Brimhall, 1902, Gangrene following use of a rubber band in circumcision, St Paul Medical Journal, 4, 490

McGowan, 1969, A complication of circumcision, JAMA, 207, 2104, 10.1001/jama.1969.03150240124028

Ruff, 1982, Myocardial injury following immediate postnatal circumcision, Am J Obstet Gynecol, 144, 850, 10.1016/0002-9378(82)90364-7

Auerbach, 1978, Recurrence of pneumothorax as a possible complication of circumcision, J Pediatr, 132, 583

Berman, 1975, Urinary retention due to ritual circumcision, Pediatrics, 56, 621

Amir, 1986, Circumcision and urinary tract infection in infants, Am J Dis Child, 140, 1092

Horowitz, 1976, Abdominal distension following ritual circumcision, Pediatrics, 57, 579, 10.1542/peds.57.4.579a

Frand, 1974, Complication of ritual circumcision in Israel, Pediatrics, 54, 521, 10.1542/peds.54.4.521

Lee, 1990, Ruptured bladder following circumcision using Plastibell device, Br J Urol, 65, 216, 10.1111/j.1464-410X.1990.tb14709.x

Sterenberg, 1981, Necrosis of the glans penis following neonatal circumcision, Plast Reconstr Surg, 68, 237, 10.1097/00006534-198108000-00022

Mor, 1987, Tachycardia and heart failure after circumcision, Arch Dis Child, 62, 80, 10.1136/adc.62.1.80

Denton, 1978, Circumcision complication. Reaction to treatment of local hemorrhage with topical epinephrine in high concentration, Clin Pediatr (Phila), 17, 285, 10.1177/000992287801700312

Lackey, 1968, Urethral fistula following circumcision, JAMA, 206, 2318, 10.1001/jama.206.10.2318b

Limaye, 1968, Penile urethral fistula as a complication of circumcision, J Pediatr, 72, 105, 10.1016/S0022-3476(68)80410-X

Gairdner, 1949, The fate of the foreskin. A study of circumcision, BMJ, ii, 1433, 10.1136/bmj.2.4642.1433

Gosden, 1935, Tetanus following circumcision, Trans R Soc Trop Med Hyg, 28, 645, 10.1016/S0035-9203(35)90035-9

Crowley, 1990, Ritual circumcision (Umkhwehta) amongst the Xhosa of the Ciskei, Br J Urol, 66, 318, 10.1111/j.1464-410X.1990.tb14936.x

Woodside, 1980, Necrotising fasciitis after neonatal circumcision, Am J Dis Child, 134, 301

Woodside, 1980, Circumcision disasters, Pediatrics, 65, 1053, 10.1542/peds.65.5.1053a

duToit, 1979, Gangrene of the penis after circumcision: a report of three cases, S Afr Med J, 55, 521

Sussman, 1978, Fournier's syndrome. Report of three cases and review of the literature, Am J Dis Child, 132, 1189, 10.1001/archpedi.1978.02120370037009

Annunziato, 1978, Staphylococcal scalded skin syndrome; a complication of circumcision, Am J Dis Child, 132, 1187, 10.1001/archpedi.1978.02120370035008

Stranko, 1986, Impetigo in newborn infants associated with a plastic bell clamp circumcision, Pediatr Infect Dis J, 5, 597, 10.1097/00006454-198609000-00027

Rosenstein, 1941, Wound diphtheria in the newborn infant following circumcision, J Pediatr, 18, 657, 10.1016/S0022-3476(41)80224-8

Cleary, 1979, Overwhelming infection with group B β-hemolytic streptococci associated with circumcision, Pediatrics, 64, 301, 10.1542/peds.64.3.301

Kirkpatrick, 1974, Neonatal septicaemia after circumcision, Clin Pediatr (Phila), 13, 767, 10.1177/000992287401300914

Scurlock, 1977, Neonatal meningitis and circumcision, Med J Aust, 1, 332, 10.5694/j.1326-5377.1977.tb76718.x

Procopis, 1982, Complication of circumcision, Med J Aust, 1, 15, 10.5694/j.1326-5377.1982.tb132115.x

Sauer, 1943, Fatal staphylococcal bronchopneumonia following ritual circumcision, Am J Obstet Gynecol, 46, 583, 10.1016/S0002-9378(15)30033-8

Johnson, 1949, Persistent urethral fistula following circumcision, US Navy Medical Bulletin, 49, 120

Redman, 1988, Rare penile anomalies presenting with complication of circumcision, Urology, 32, 130, 10.1016/0090-4295(88)90314-7

Lau, 1981, Subglandular urethral fistula following circumcision; repair by the advancement method, J Urol, 126, 702, 10.1016/S0022-5347(17)54698-4

Mackenzie, 1966, Meatal ulceration following circumcision, Obstet Gynecol, 28, 221

Linshaw, 1977, Circumcision and obstructive renal disease, Pediatrics, 59, 790, 10.1542/peds.59.5.790

Sathaye, 1990, Skin bridge – a complication of paediatric circumcision, Br J Urol, 66, 214, 10.1111/j.1464-410X.1990.tb14909.x

Michalowski, 1983, Silica granuloma at the site of circumcision for phimosis: a case report, Dermatologica, 166, 261, 10.1159/000249882

Rubenstein, 1968, Complication of circumcision done with a plastic bell clamp, Am J Dis Child, 116, 381

Stinson, 1973, Impotence and adult circumcision, J Natl Med Assoc, 65, 161

Palmer, 1979, Impotence following anesthesia for elective circumcision, JAMA, 241, 2635, 10.1001/jama.1979.03290500043021

Hanash, 1976, Plastic reconstruction of partially amputated penis at circumcision, Urology, 18, 121

Wolbarst, 1932, Circumcision and penile cancer, Lancet, i, 150, 10.1016/S0140-6736(01)24346-3

Rogus, 1987, Squamous cell carcinoma in a young circumcised man, J Urol, 138, 861, 10.1016/S0022-5347(17)43402-1

Boczko, 1979, Penile carcinoma in circumcised males, N Y State J Med, 79, 1903

Poland, 1990, The question of routine neonatal circumcision, JAMA, 322, 1312

Bissada, 1986, Post-circumcision carcinoma of the penis I. Clinical aspects, J Urol, 135, 283, 10.1016/S0022-5347(17)45614-X

Bissada, 1988, Post-circumcision carcinoma of the penis, II. Surgical management, J Surg Oncol, 37, 80, 10.1002/jso.2930370203

Koreich, 1987, Penile shaft carcinoma in pubic circumcision, Br J Urol, 60, 77, 10.1111/j.1464-410X.1987.tb09139.x

Freud, 1952, The Role of Bodily Illnesses in the Mental Life of Children, 75

Nunberg, 1947, Circumcision and problems of bisexuality, Int J Psychoanal, 28, 145

Cansever, 1965, Psychological effects of circumcision, Br J Med Psychol, 38, 321, 10.1111/j.2044-8341.1965.tb01314.x

Anders, 1974, The effects of circumcision on sleep wake states in human neonates, Psychosom Med, 36, 174, 10.1097/00006842-197403000-00009

Marshall, 1979, Circumicision: effects upon newborn behaviour. A controlled blind observational study, Pediatr Res, 12, 334

Talbert, 1976, Adrenal cortical response to circumcision in the neonate, Obstet Gynecol, 48, 208

Rawlings, 1980, The effect of circumcision on transcutaneous Po2 in term infants, Am J Dis Child, 134, 676

Emde, 1971, Stress and neonatal sleep, Psychosom Med, 33, 491, 10.1097/00006842-197111000-00002

Walter, 1990, Genital self mutilation; attempted foreskin reconstruction, Br J Psychiatry, 156, 125, 10.1192/bjp.156.1.125

Levin, 1976, Circumcision and uncircumcision, S Afr Med J, 50, 913

Mohl, 1981, Prepuce restoration seekers: psychiatric aspects, Arch Sex Behav, 10, 383, 10.1007/BF01565542

Thompson, 1983, Male genital self mutilation after paternal death, BMJ, 287, 727, 10.1136/bmj.287.6394.727-a

Flaherty, 1980, Circumcision and schizophrenia, J Clin Psychiatry, 41, 96

Morgan, 1965, The rape of the phallus, JAMA, 193, 123, 10.1001/jama.1965.03090030045013

Morgan, 1967, Penile plunder, Med J Aust, 1, 1102, 10.5694/j.1326-5377.1967.tb20892.x

Preston, 1970, Whither the foreskin? A consideration of routine neonatal circumcision, JAMA, 213, 1853, 10.1001/jama.1970.03170370037006

Harnes, 1971, The foreskin saga, JAMA, 217, 1241, 10.1001/jama.1971.03190090063015