Just 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. In fact,
we anticipated that the controversy herein would be the lack of sutures and not the
use of electrocautery.
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References
- Religious circumcision: a Muslin 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; 5: 1532-1537
- Electrosurgery for routine pediatric penile procedures.J Urol. 1997 Apr; 157: 1453-1455
- The impact of electrocautery method on post-operative bleeding complications after non-newborn circumcision and revision circumcision.J Pediatr Urol. 2013 Oct; 9: 634-637
Article info
Publication history
Published online: June 20, 2022
Accepted:
June 6,
2022
Received:
June 6,
2022
Identification
Copyright
© 2022 Published by Elsevier Ltd on behalf of Journal of Pediatric Urology Company.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Commentary to: 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
- PreviewIn 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 [1–3].
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