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Published on: June 3, 2022
Dermatological complications of circumcision: lesson learned from cases in a pediatric dermatology practice
Therdpong Tempark1, Tim Wu, Craig Singer
1Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Insights
This study reviews 11 cases of late-occurring skin issues in boys after newborn circumcision. Dermatologists can use this to identify and manage complications like skin bridges and adhesions.
Area of Science:
- Pediatric Dermatology
- Urology
- Neonatal Care
Background:
- Circumcision is a common neonatal procedure.
- Potential for late cutaneous complications exists.
Observation:
- Eleven cases of boys with post-circumcision dermatologic issues were analyzed.
- Complications were often incidentally discovered during examinations.
- Manifestations included penile skin bridges, adhesions, concealed penis, and epidermal inclusion cysts.
Findings:
- Late cutaneous complications following newborn circumcision are identifiable.
- Common issues include penile skin bridges, glandular adhesions, concealed penis, and epidermal inclusion cysts.
- Most cases required minor surgical intervention under local anesthesia.
Implications:
- Dermatologists should be aware of these potential late complications.
- Early recognition and intervention can improve outcomes for affected boys.
- Understanding these complications aids in pediatric dermatology and urology management.
Abstract:
We discuss 11 cases of boys who presented with dermatologic complications of circumcision in an outpatient pediatric dermatology clinic. A medical practitioner had previously circumcised all patients during the newborn period. The majority of cases were found incidentally during initial thorough dermatologic examination. Late cutaneous complications included penile skin bridge, glandular adhesion of remnant foreskin, concealed penis, and a penile epidermal inclusion cyst. Minor surgical procedures under local anesthesia were performed in all but two cases. These cases should help dermatologists recognize the common late cutaneous complications of male newborn circumcision and provide insight into potential options for early intervention and management.
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