Related Experiment Videos
Penile adhesions after neonatal circumcision
L E Ponsky1, J H Ross, N Knipper
1Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
The Journal of Urology
|July 14, 2000
Summary
Penile adhesions in circumcised boys decrease with age and often resolve spontaneously. This study suggests non-intervention for most adhesions, except those on the circumcision line.
Area of Science:
- Pediatric Urology
- Dermatology
Background:
- Penile adhesions are a common post-circumcision complication in boys.
- The natural history and optimal management of these adhesions remain debated.
- Spontaneous resolution is a key consideration in clinical decision-making.
Purpose of the Study:
- To investigate the incidence of penile adhesions in circumcised boys based on age.
- To assess the natural history and spontaneous resolution rates of penile adhesions.
- To inform management guidelines for penile adhesions in pediatric patients.
Main Methods:
- A retrospective evaluation of 254 circumcised boys presenting to a pediatric urology clinic.
- Classification of adhesions using a 4-grade system (0-3) based on severity and extent.
- Data collection included patient age, adhesion grade, previous treatments, and presence of skin bridges.
Main Results:
- Adhesion rates decreased significantly with age: 71% in boys <12 months, 28% in 13-60 months, 8% in 61-108 months, and 2% in older boys.
- Severe adhesions (grade >1) were most common in infants (<12 months) and rare in older children.
- Only 7 patients had prior treatment, with 3 experiencing recurrence; skin bridges were noted in 6 cases.
Conclusions:
- Penile adhesions are age-dependent, with a high incidence in infants that declines with age.
- Findings suggest that penile adhesions commonly resolve spontaneously without intervention.
- Non-operative management is recommended, except possibly for adhesions involving the circumcision line.