Circumcision: postoperative complications that required reoperation

Area of Science:

• Urology
• Pediatric Surgery

Background:

• Circumcision is a common procedure with potential complications.
• Evaluating surgical techniques is crucial for patient safety and outcomes.

Purpose of the Study:

• To compare the rates of post-operative complications requiring surgical reintervention between the Plastibell device and the classic circumcision technique.
• To identify specific complications associated with each surgical method.

Main Methods:

• Retrospective analysis of medical records for 2,441 circumcisions performed between May 2015 and May 2016.
• Categorization of complications based on surgical technique (Plastibell vs. classic) and patient age.

Main Results:

• Overall reintervention rate was 3.27%. Plastibell: 3.4% reoperation rate; Classic: 3% reoperation rate (p=0.79).
• Preputial stenosis was significantly more frequent with the classic technique (p<0.001).
• Bleeding was more frequent with Plastibell, but not statistically significant (p=0.37). Patient age did not influence outcomes.

Conclusions:

• No statistically significant difference in overall complication rates requiring reintervention between Plastibell and classic circumcision techniques.
• Preputial stenosis is a notable complication of the classic technique, whereas bleeding is more prevalent with Plastibell.
• Patient age is not a significant factor in post-circumcision complications.