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Post-ritual Circumcision Bleeding-Characteristics and Treatment Outcome
Roy Mano1, Amihay Nevo1, Bezalel Sivan1
1Unit of Pediatric Urology, Schneider Children's Medical Center, Petach Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Urology
|April 9, 2017
Summary
Neonatal circumcision bleeding occurs in 0.32% of cases. Active bleeding at presentation and referrals from other hospitals predict the need for surgical intervention. Infants with active bleeding may require admission, while others can be observed.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Urology
Background:
- Post-circumcision bleeding is a potential complication in neonates.
- Understanding predictors of surgical intervention is crucial for effective management.
Purpose of the Study:
- To characterize neonatal post-circumcision bleeding.
- To identify factors predicting the need for surgical treatment.
Main Methods:
- Retrospective review of 90 neonates with post-circumcision bleeding (2009-2014).
- Analysis of circumcision performed with the Mogen clamp.
- Evaluation of predictors for surgical hemostasis.
Main Results:
- Bleeding rate was 0.32% (11/12% required surgery).
- Active bleeding on arrival (23% vs 2%) and referrals from other hospitals (43% vs 10%) significantly increased surgical need.
- No association found between abnormal blood tests and surgical treatment.
Conclusions:
- Surgical intervention is needed in 12% of emergency room presentations for neonatal post-circumcision bleeding.
- Active bleeding and out-of-hospital referrals are key predictors for surgery.
- Consider admission for active bleeding; observation may suffice for less severe cases.