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Microscopic Replantation of Penile Glans Amputation Due to Circumcision
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Post Circumcision Corona Obliteration.

Sody A Naimer1, Bezalel Sivan2

  • 1Community Pediatric Service, Kedumim Family Health Center, Clalit Health Services, Shomron District, Lev Shomron, Israel; Elon Moreh Clinic, Clalit Health Services, Shomron District, Lev Shomron, Israel; Department of Family Medicine, Siaal Family Medicine and Primary Care Research Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Journal of Pediatric Urology
|May 18, 2020
PubMed
Summary
This summary is machine-generated.

Neonatal ritual circumcision can lead to abnormal healing, causing corona obliteration in infants. This rare complication is often transient, resolving over time, but warrants further investigation.

Keywords:
AnatomyCircumcisionComplicationCorona obliterationGlans penis

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Area of Science:

  • Pediatric Surgery
  • Neonatal Care
  • Urology

Background:

  • Abnormal healing post-neonatal ritual circumcision is a significant parental concern.
  • Obliteration of the corona, the distinct structure of the glans penis, has been observed following this procedure.

Purpose of the Study:

  • To present a case series of male infants with corona obliteration after ritual circumcision.
  • To discuss potential pathogenetic mechanisms and review existing literature on this phenomenon.

Main Methods:

  • A case series of male infants with absent normal glans penis landmarks post-circumcision was compiled.
  • Illustrative cases were presented, and a literature search was conducted.

Main Results:

  • Eight otherwise normal male infants were diagnosed with corona obliteration.
  • The condition was transient and resolved spontaneously in all but one case, which resolved by 15 months.
  • No previous publications on this specific complication were found.

Conclusions:

  • Obliteration of the corona is a rare, unreported complication of circumcision.
  • Potential contributing factors include tissue injury, irritating substances, vascular compromise, or trauma response.
  • Further data collection is needed to understand incidence and impact, and preventive measures should be explored.