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Microscopic Replantation of Penile Glans Amputation Due to Circumcision
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Secondary phimosis after circumcision.

Tunç Özdemir1, Ali Sayan1, Belce Candan1

  • 1Department of Pediatric Surgery, University of Medical Sciences, Tepecik Training and Research Hospital, İzmir, Turkey.

Turkish Journal of Urology
|March 16, 2019
PubMed
Summary

Secondary phimosis is an overlooked complication of male circumcision, often resulting from insufficient foreskin tissue removal. This requires re-circumcision, highlighting the need for careful surgical technique by experienced providers.

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Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • Male circumcision is a common procedure globally, performed for health and religious reasons.
  • While generally safe, complications can occur, including secondary phimosis.

Purpose of the Study:

  • To report on secondary phimosis as an underrated complication of male circumcision.
  • To analyze cases of secondary phimosis in boys.

Main Methods:

  • Retrospective review of medical records for 25 boys treated for post-circumcision secondary phimosis.
  • Data collected included patient demographics, circumcision method, provider type, and operative findings.

Main Results:

  • Twenty-five boys underwent surgical treatment for secondary phimosis between 2005 and 2016.
  • The most common finding was redundant inner mucosal layer of the prepuce; re-circumcision was performed on all patients.
  • Circumcisions were performed using various methods, with a significant number by traditional providers.

Conclusions:

  • Secondary phimosis is a technical error, often due to inadequate removal of the inner foreskin layer.
  • Safe circumcision requires experienced physicians/surgeons to prevent complications like secondary phimosis.
  • Re-circumcision is necessary, causing additional trauma to the patient.