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Systematic review of complications arising from male circumcision

BACKGROUND: Neonatal male circumcision is the most common procedure performed on paediatric patients (Simpson et al., 2014) and one of the most common surgical procedures in the world (American Academy of Pediatrics, 2012). METHODS: A search was conducted for articles about complications arising fro...

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Autores principales: Iacob, Stanca Iris, Feinn, Richard S., Sardi, Lauren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8988744/
https://www.ncbi.nlm.nih.gov/pubmed/35474726
http://dx.doi.org/10.1002/bco2.123
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author Iacob, Stanca Iris
Feinn, Richard S.
Sardi, Lauren
author_facet Iacob, Stanca Iris
Feinn, Richard S.
Sardi, Lauren
author_sort Iacob, Stanca Iris
collection PubMed
description BACKGROUND: Neonatal male circumcision is the most common procedure performed on paediatric patients (Simpson et al., 2014) and one of the most common surgical procedures in the world (American Academy of Pediatrics, 2012). METHODS: A search was conducted for articles about complications arising from male circumcision surgeries by entering the term ‘male circumcision’ into PubMed on June 16, 2020. Six thousand six hundred forty‐one articles published from 1945 to 2020 were found. Seventy‐eight articles were ultimately selected for the systematic review. RESULTS: The 78 articles selected from the literature search were entered into one of three tables. The first table includes 15 articles pertaining to chart reviews and cohort studies and report complication rates. The second table reports specific complications from 51 case reports and case series, and the third table is a summary from 12 articles regarding physician questionnaires and society recommendations. Additionally, the 78 articles were used to compile a list of 47 specific complications arising from male circumcision surgeries. CONCLUSIONS: Complications from neonatal male circumcisions are common and healthcare providers need to be better informed of the potential complications of the surgery so that they can more effectively counsel their patients about potential risks, likelihood of complications and what can be done to prevent them. While experienced providers who practice in sterile settings have better outcomes with fewer complications, encouraging parents to take into account who is performing their son's circumcision, what was their training, how clean is their practice and how much experience they have and reminding them they have the option to decline the procedure entirely allow the parents to get a more complete picture and play an essential role in the decision‐making process.
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spelling pubmed-89887442022-04-25 Systematic review of complications arising from male circumcision Iacob, Stanca Iris Feinn, Richard S. Sardi, Lauren BJUI Compass REVIEW BACKGROUND: Neonatal male circumcision is the most common procedure performed on paediatric patients (Simpson et al., 2014) and one of the most common surgical procedures in the world (American Academy of Pediatrics, 2012). METHODS: A search was conducted for articles about complications arising from male circumcision surgeries by entering the term ‘male circumcision’ into PubMed on June 16, 2020. Six thousand six hundred forty‐one articles published from 1945 to 2020 were found. Seventy‐eight articles were ultimately selected for the systematic review. RESULTS: The 78 articles selected from the literature search were entered into one of three tables. The first table includes 15 articles pertaining to chart reviews and cohort studies and report complication rates. The second table reports specific complications from 51 case reports and case series, and the third table is a summary from 12 articles regarding physician questionnaires and society recommendations. Additionally, the 78 articles were used to compile a list of 47 specific complications arising from male circumcision surgeries. CONCLUSIONS: Complications from neonatal male circumcisions are common and healthcare providers need to be better informed of the potential complications of the surgery so that they can more effectively counsel their patients about potential risks, likelihood of complications and what can be done to prevent them. While experienced providers who practice in sterile settings have better outcomes with fewer complications, encouraging parents to take into account who is performing their son's circumcision, what was their training, how clean is their practice and how much experience they have and reminding them they have the option to decline the procedure entirely allow the parents to get a more complete picture and play an essential role in the decision‐making process. John Wiley and Sons Inc. 2021-11-11 /pmc/articles/PMC8988744/ /pubmed/35474726 http://dx.doi.org/10.1002/bco2.123 Text en © 2021 The Authors. BJUI Compass published by John Wiley & Sons Ltd on behalf of BJU International Company. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle REVIEW
Iacob, Stanca Iris
Feinn, Richard S.
Sardi, Lauren
Systematic review of complications arising from male circumcision
title Systematic review of complications arising from male circumcision
title_full Systematic review of complications arising from male circumcision
title_fullStr Systematic review of complications arising from male circumcision
title_full_unstemmed Systematic review of complications arising from male circumcision
title_short Systematic review of complications arising from male circumcision
title_sort systematic review of complications arising from male circumcision
topic REVIEW
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8988744/
https://www.ncbi.nlm.nih.gov/pubmed/35474726
http://dx.doi.org/10.1002/bco2.123
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