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Complications of traditional male circumcision

A Ahmed1, N H Mbibi, D Dawam

  • 1Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

Annals of Tropical Paediatrics
|December 22, 1999
PubMed

Insights

Complications from traditional male circumcision, including hemorrhage and infection, affected 48 boys. Increased surgical fees correlated with fewer circumcisions and more complications, highlighting the need for safe facilities.

Area of Science:

  • Pediatric Surgery
  • Urology

Background:

  • Male circumcision is a common procedure with potential complications.
  • Understanding these complications is crucial for patient safety and informed consent.

Purpose of the Study:

  • To analyze the complications associated with traditional male circumcision.
  • To identify trends in complication rates and their potential causes.

Main Methods:

  • Retrospective review of 48 male circumcision cases between 1981 and 1995.
  • Data collection on patient age, complications, management, and hospital stay.

Main Results:

  • Hemorrhage (52%) and infection (10%) were the most frequent complications.
  • Penile amputation, meatal stenosis, and urethro-cutaneous fistula were also observed.
  • Complication rates increased during 1991-1995, coinciding with the introduction of surgical fees and a decrease in procedures.

Conclusions:

  • Traditional male circumcision carries significant risks, including severe complications requiring surgical intervention.
  • The introduction of surgical fees may have influenced complication rates, possibly due to a shift towards less experienced practitioners or inadequate facilities.
  • There is a need for adequate and safe facilities to manage the demand for circumcision safely.

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