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The relationship between obesity and complications after neonatal circumcision

Douglas W Storm1, Cheryl Baxter, Stephen A Koff

  • 1Department of Urology, Naval Medical Center, San Diego, California 92134-5000, USA. douglas.storm@med.navy.mil

The Journal of Urology
|August 25, 2011
PubMed

Insights

Newborn weight for length percentile may predict penile adhesions with hidden penis after circumcision, but not skin bridges. Early recognition of infant obesity is key for preventing complications.

Area of Science:

  • Pediatric Urology
  • Neonatal Complications
  • Surgical Outcomes

Background:

  • Penile adhesions and skin bridges are known complications following neonatal circumcision.
  • These complications appear more prevalent in overweight children.
  • Predictive neonatal parameters for circumcision complications are currently lacking.

Purpose of the Study:

  • To investigate if neonatal height and weight parameters can predict penile adhesions with hidden penis and penile skin bridges post-circumcision.
  • To identify potential predictive factors for circumcision complications in newborns.

Main Methods:

  • A case-control study was conducted involving boys under 5 years old.
  • Patients with penile adhesions/hidden penis post-circumcision were compared to controls without these complications.
  • Weight for length percentiles were analyzed at birth and during urological evaluation.

Main Results:

  • Boys with hidden penis exhibited a statistically higher weight for length percentile at birth and evaluation.
  • No statistical difference in weight for length percentile was observed for boys with penile skin bridges.
  • A total of 51 patients and 33 controls were included in the analysis.

Conclusions:

  • Increased weight for length percentile in male infants is associated with penile adhesions with hidden penis.
  • This association was not found for penile skin bridges.
  • Neonatal weight parameters may aid in counseling parents and emphasize genital hygiene for at-risk infants to prevent complications.
Abstract

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