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Increased morbidity after circumcision from a hidden complication.
M K Atikeler1, R Onur, I Gecit
1Department of Urology, Firat University School of Medicine, Elazig, Turkey. matikeler@yahoo.com
BJU International
|February 20, 2002
Summary
A rare late complication of circumcision can cause a subcutaneous mass in boys. Histopathology reveals foreign-body giant cells, highlighting the need for awareness and early detection.
Area of Science:
- Pediatric Surgery
- Urology
- Pathology
Background:
- Circumcision is a common procedure in male infants.
- Late complications, though rare, can occur after circumcision.
- Subcutaneous masses following circumcision require investigation.
Purpose of the Study:
- To describe a late complication of circumcision.
- To investigate the role of surgical materials or foreign bodies in subcutaneous mass development.
- To raise awareness of this potential complication.
Main Methods:
- A cohort of 646 circumcised boys was followed.
- 523 boys were re-examined for subcutaneous masses.
- Masses were surgically removed and histopathologically examined.
Main Results:
- A subcutaneous mass was identified in 5% of re-examined boys.
- The average delay between circumcision and mass detection was 3.2 months.
- Histopathology confirmed granulation tissue with foreign-body giant cells.
Conclusions:
- Minor complications, such as subcutaneous masses, can occur post-circumcision.
- Foreign bodies or surgical materials may contribute to mass formation.
- Early detection of asymptomatic masses is crucial to prevent severe outcomes.
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