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Published on: June 3, 2022
To circumcise or not to circumcise? Circumcision in patients with bleeding disorders
V Rodriguez1, R Titapiwatanakun, C Moir
1Division of Pediatric Hematology and Oncology, Mayo Clinic, Rochester, MN 55905, USA. rodriguez.vilmarie@mayo.edu
Summary
Circumcision in patients with bleeding disorders presents a notable risk of complications, with an overall bleeding incidence of 23%. Even with factor replacement, significant bleeding can occur, necessitating informed consent regarding potential risks.
Area of Science:
- Pediatric Surgery
- Hematology
- Genetics
Background:
- Circumcision is a common procedure in male neonates.
- Limited data exists on circumcision outcomes in patients with bleeding disorders.
Purpose of the Study:
- To analyze circumcision outcomes in children with bleeding disorders.
- To determine complication extent and provide management guidelines.
Main Methods:
- Retrospective review of medical records from 2000-2007.
- Identified 55 children and young adults who underwent circumcision.
- Documented complications and management strategies.
Main Results:
- 48 patients underwent circumcision; 21 had known bleeding disorders, 27 diagnosed later.
- Overall bleeding complication incidence was 23% (11/48).
- Significant bleeding occurred despite adequate factor replacement in some cases.
Conclusions:
- Circumcision in patients with bleeding disorders has a comparable bleeding risk to the general population.
- Informed consent is crucial, highlighting potential bleeding risks even with factor replacement.
- Guidelines for managing circumcision in this population are needed.
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