In the late ’90s, a paediatric surgical resident was called to the emergency department
to examine a neonate for a potential complication after ritual circumcision. The resident
confirmed complete gangrene of the penile body following the application of an unconfirmed
chemical substance to stop bleeding. Complete amputation of the penile body occurred
a few days later. The circumcision was performed by a physician who seemed to be a
relative to the child. This resident was me. Similar cases of penile gangrene after
circumcision are reported in the literature [
1
,
2
,
3
].To read this article in full you will need to make a payment
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References
- Religious circumcision: a Muslim view.BJU Int. 1999; 83: 13-16
- Electrosurgery use in circumcision in children: is it safe?.Urol Ann. 2017; 9: 1-3
- Major penile injuries as a result of cautery during newborn circumcision.JPS. 2016; 51: 1532-1537
- Circumcision.BJU Int. 1999; 83
- “First do no harm” revisited.BMJ. 2013; : 23
Article info
Publication history
Published online: May 27, 2022
Accepted:
April 13,
2022
Received:
April 13,
2022
Identification
Copyright
Crown Copyright © 2022 Published by Elsevier Ltd on behalf of Journal of Pediatric Urology Company. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Sutureless circumcision using monopolar diathermy and 2-octyl cyanoacrylate is safe and effective in a cohort of 634 post-neonatal prepubescent boysJournal of Pediatric UrologyVol. 18Issue 6
- PreviewCircumcision is the most commonly performed surgical procedure in the world, with one-third of males circumcised globally. Post-neonatal, prepubescent sutured circumcision demonstrates complication rates ranging from 1.7% to 9.1%. We have previously reported that 2-octyl cyanoacrylate (2-OCA, Dermabond, Ethicon) primary circumcision (PC) and circumcision revision (CR) in prepubescent children demonstrated superior cosmesis, shorter operating room (OR) times and cost savings.
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- Preview
- Response to commentary re no instruments, no sutures, no worries: Circumcision using monopolar diathermy and 2-octyl cyanoacrylate is safe and effective in a cohort of 634 post-neonatal prepubescent boysJournal of Pediatric UrologyVol. 18Issue 6
- PreviewJust as there is debate about whether to perform circumcision, so too are there opinions about how to do them. Sadly, the reviewer witnessed a devastating complication following a circumcision. This anecdotal experience may have blinded their view of circumcision in general. However, we must remember that electrocautery and chemical cautery are two distinct entities. The reader of our manuscript should be reassured that the procedure we describe is both safe and effective when performed by trained experts.
- Full-Text
- Preview
