Cargando…

Reliability of thermocautery-assisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status

OBJECTIVE: The objective of this study was to evaluate the reliability of thermocautery-assisted circumcision performed voluntarily in patients of poor countries. MATERIAL AND METHODS: Between 2016 and 2019, 32,000 children aged 7 days to 17 years were circumcised in multiple countries. The patients...

Descripción completa

Detalles Bibliográficos
Autores principales: Cakiroglu, Basri, Gozukucuk, Ali, Arda, Ersan, Tas, Tuncay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6792273/
https://www.ncbi.nlm.nih.gov/pubmed/31662793
http://dx.doi.org/10.1177/1756287219882598
_version_ 1783459116178472960
author Cakiroglu, Basri
Gozukucuk, Ali
Arda, Ersan
Tas, Tuncay
author_facet Cakiroglu, Basri
Gozukucuk, Ali
Arda, Ersan
Tas, Tuncay
author_sort Cakiroglu, Basri
collection PubMed
description OBJECTIVE: The objective of this study was to evaluate the reliability of thermocautery-assisted circumcision performed voluntarily in patients of poor countries. MATERIAL AND METHODS: Between 2016 and 2019, 32,000 children aged 7 days to 17 years were circumcised in multiple countries. The patients’ urological examinations were done before the administration of local anaesthesia. Patients revealed to have undescended testicle, inguinal hernia, hypospadias, varicocele, penile rotation anomaly, epispadias and infection were not circumcised. All procedures were performed under local anaesthesia by using thermocautery. Afterwards, mucosa and skin were sutured using absorbable suture and the circumcised penis was dressed. Patients were instructed to remove the dressing after 3 days. RESULTS: Bleeding, requiring surgical intervention and drug reactions were not observed. The most observed complication was mucosal oedema, which occurred in approximately one-quarter of patients (26%, 8320/32,000) and continued for 3–5 days after the surgery. The most serious complication was a trapped penis, which occurred in 25 patients (0.078%). In six (0.018%) cases, meatal stenosis developed. Wound infection developed in only 10 (0.03%) cases, through the formation of an aseptic environment. Penile adhesion was seen in 35 cases (0.1%) and improved with anti-inflammatory treatment without any surgical intervention. CONCLUSION: Thermocautery-assisted circumcision can be used as an effective, safe and useful technique with few complications and rapid healing rates.
format Online
Article
Text
id pubmed-6792273
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-67922732019-10-29 Reliability of thermocautery-assisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status Cakiroglu, Basri Gozukucuk, Ali Arda, Ersan Tas, Tuncay Ther Adv Urol Original Research OBJECTIVE: The objective of this study was to evaluate the reliability of thermocautery-assisted circumcision performed voluntarily in patients of poor countries. MATERIAL AND METHODS: Between 2016 and 2019, 32,000 children aged 7 days to 17 years were circumcised in multiple countries. The patients’ urological examinations were done before the administration of local anaesthesia. Patients revealed to have undescended testicle, inguinal hernia, hypospadias, varicocele, penile rotation anomaly, epispadias and infection were not circumcised. All procedures were performed under local anaesthesia by using thermocautery. Afterwards, mucosa and skin were sutured using absorbable suture and the circumcised penis was dressed. Patients were instructed to remove the dressing after 3 days. RESULTS: Bleeding, requiring surgical intervention and drug reactions were not observed. The most observed complication was mucosal oedema, which occurred in approximately one-quarter of patients (26%, 8320/32,000) and continued for 3–5 days after the surgery. The most serious complication was a trapped penis, which occurred in 25 patients (0.078%). In six (0.018%) cases, meatal stenosis developed. Wound infection developed in only 10 (0.03%) cases, through the formation of an aseptic environment. Penile adhesion was seen in 35 cases (0.1%) and improved with anti-inflammatory treatment without any surgical intervention. CONCLUSION: Thermocautery-assisted circumcision can be used as an effective, safe and useful technique with few complications and rapid healing rates. SAGE Publications 2019-10-13 /pmc/articles/PMC6792273/ /pubmed/31662793 http://dx.doi.org/10.1177/1756287219882598 Text en © The Author(s), 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Cakiroglu, Basri
Gozukucuk, Ali
Arda, Ersan
Tas, Tuncay
Reliability of thermocautery-assisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status
title Reliability of thermocautery-assisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status
title_full Reliability of thermocautery-assisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status
title_fullStr Reliability of thermocautery-assisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status
title_full_unstemmed Reliability of thermocautery-assisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status
title_short Reliability of thermocautery-assisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status
title_sort reliability of thermocautery-assisted circumcision: retrospective analysis of circumcision performed voluntarily in countries of low socioeconomic status
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6792273/
https://www.ncbi.nlm.nih.gov/pubmed/31662793
http://dx.doi.org/10.1177/1756287219882598
work_keys_str_mv AT cakiroglubasri reliabilityofthermocauteryassistedcircumcisionretrospectiveanalysisofcircumcisionperformedvoluntarilyincountriesoflowsocioeconomicstatus
AT gozukucukali reliabilityofthermocauteryassistedcircumcisionretrospectiveanalysisofcircumcisionperformedvoluntarilyincountriesoflowsocioeconomicstatus
AT ardaersan reliabilityofthermocauteryassistedcircumcisionretrospectiveanalysisofcircumcisionperformedvoluntarilyincountriesoflowsocioeconomicstatus
AT tastuncay reliabilityofthermocauteryassistedcircumcisionretrospectiveanalysisofcircumcisionperformedvoluntarilyincountriesoflowsocioeconomicstatus