Urology Research & Practice
Original Article

Secondary phimosis after circumcision

1.

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

2.

Department of Pediatric Surgery, Katip Çelebi University Tepecik Training and Research Hospital, İzmir, Turkey

Urol Res Pract 2019; 45: 135-138
DOI: 10.5152/tud.2018.94984
Read: 3314 Downloads: 642 Published: 25 July 2019

Abstract

Objective: Male circumcision is one of the most common surgical procedures worldwide. Although it is widely performed because of health issues, in Muslim-majority countries, the primary motivation yielding to male circumcision is religious. It is a relatively safe procedure with a low overall complication rate. We herein report an underrated complication of circumcision that can be termed as “secondary phimosis.”

 

Material and methods: The medical records of 25 boys with post-circumcision secondary phimosis were reviewed. Demographics of the patients, method of circumcision, type of provider, peroperative findings and comorbidities were recorded.

 

Results: Between January 2005 and December 2016, 25 boys with post-circumcision secondary phimosis were treated surgically. The median age of the patients was 3 (2-5) years. The majority of the patients were circumcised by the Gomco clamp or Plastibell method (n=16). Of the patients’ circumcisions, six were performed by the freehand method, and three by the dorsal slit method. In 15 boys, circumcision was performed by a traditional provider. Of the boys, seven were circumcised by a physician, and three were circumcised by a pediatric surgeon. All the patients were re-circumcised. The common peroperative finding was the redundant mucosal inner layer of the prepucium. Excess suprapubic fat was present in 12 patients.

 

Conclusion: Although circumcision is known as a minor surgical practice with low complication rate, it must be performed safely and especially by experienced physicians/surgeons. Secondary phimosis is a technical error that is caused by insufficient removal of the inner mucosal layer of the prepucium. Re-circumcision of the patient is inevitable, causing the patient second trauma.

 

Cite this article as: Özdemir T, Sayan A, Candan B, Orhan G, Köylüoğlu G. Secondary phimosis after circumcision. Turk J Urol 2019; 45(2): 135-8.

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