article · Archivio Italiano di Urologia e Andrologia
This study retrospectively analysed 23 cases of non-medical assisted circumcision complications at Souro Sanou University Hospital in Burkina Faso between 2014 and 2018. Patients, with an average age of 8.3 years, had circumcisions performed by nurses or traditional practitioners. Observed complications included post-circumcision bleeding and hematoma, total or partial amputation of the glans, infectious complications, penile urethra-cutaneous fistulas, and stenosis of the external urethral meatus. Management involved surgical exploration, regularisation, meatoplasty, antibiotics, and debridement. While functional outcomes were generally good, aesthetic issues sometimes persisted. The study concludes that these varied complications can be effectively managed, but prevention through medically trained professionals is crucial.
Understanding the types and management of complications from non-medical circumcisions is vital for public health. It highlights the risks associated with untrained practitioners and underscores the importance of proper medical procedures to prevent severe, potentially life-altering injuries, especially in children.
The abstract does not indicate a direct commercialisation pathway for a product or service. However, the findings highlight the critical need for improved training programmes for medical professionals involved in circumcision procedures to enhance patient safety and reduce complications.
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OBJECTIVE: To report the clinical presentation of circumcision complications encountered at our center and evaluate their management and outcomes. PATIENTS AND METHODS: A retrospective and descriptive study was conducted at Souro Sanou University Hospital between January 1, 2014, and December 31, 2018. All patients presenting with circumcision complications were included. Parameters related to clinical aspects of circumcision complication, their management and outcomes were studied. RESULTS: During the study period, 23 cases of circumcision complications were reported. The average age of patients with circumcision complications was 8.3 years ± 3.5 years, with ages ranging from 18 months to 65 years old. Circumcision was performed by nurses in 12 cases and traditional practitioners in 11 cases. Observed complications included post-circumcision bleeding and hematoma (n = 8), leading to surgical exploration and hemostasis; total or partial amputation of the glans (n = 4), requiring regularization and meatoplasty; infectious complications (n = 3), managed with combined resuscitation, antibiotic administration, and penile debridement; penile urethra-cutaneous fistulas (n = 2), which were repaired; and stenosis of the external urethral meatus (n = 2), treated by meatoplasty. No deaths were reported. CONCLUSIONS: Circumcision complications presented various clinical manifestations, including hemorrhagic complications, glans amputation, infection, penile fistulas, and meatal stenosis. These complications were effectively managed from a functional perspective; however, aesthetic issues may persist. Emphasis should be placed on preventing these complications by ensuring circumcisions are performed by appropriately trained medical professionals.
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DOI: 10.4081/aiua.2023.11494
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