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Complications of circumcision

N Williams¹, L Kapila

¹Department of Surgery, Hope Hospital, Salford, UK.

The British Journal of Surgery

|October 1, 1993

Summary

Male circumcision is a common procedure, but complications can arise. This review examines the risks and causes of adverse events following circumcision, questioning if it

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Area of Science:

Urology
Pediatric Surgery

Background:

Male circumcision is a prevalent surgical procedure, with over 30,000 performed annually in the UK, primarily on children.
The British Medical Association advises circumcision solely for medical indications.
A debate persists regarding the necessity and frequency of circumcision procedures.

Purpose of the Study:

To review the spectrum of complications associated with male circumcision.
To discuss potential etiological mechanisms underlying these complications.
To evaluate whether patients are subjected to unnecessary surgical risks.

Main Methods:

Literature review of circumcision complications and their causes.
Analysis of reported morbidity and mortality associated with the procedure.

Main Results:

Circumcision is associated with a defined rate of morbidity.
Rare but serious adverse outcomes, including death, have been reported.
The assumption of low risk in doubtful cases may overlook significant complications.

Conclusions:

The potential for complications necessitates careful consideration before performing non-medically indicated circumcisions.
Understanding the etiological factors is crucial for risk mitigation.
Further evaluation is needed to determine if the current rate of circumcision exposes patients to undue risks.

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