ISSN 2149-3235 | E-ISSN 2149-3057
Original Article
Secondary phimosis after circumcision
1 Department of Pediatric Surgery, University of Medical Sciences, Tepecik Training and Research Hospital, İzmir, Turkey  
2 Department of Pediatric Surgery, Katip Çelebi University Tepecik Training and Research Hospital, İzmir, Turkey  
Turk J Urol 2019; 45: 135-138
DOI: 10.5152/tud.2018.94984
Key Words: Circumcision; complication; phimosis
Abstract

Objective: Male circumcision is one of the most common surgical procedures worldwide. Although it is widely performed because of health issues, in Muslim-majority countries, the primary motivation yielding to male circumcision is religious. It is a relatively safe procedure with a low overall complication rate. We herein report an underrated complication of circumcision that can be termed as “secondary phimosis.”

 

Material and methods: The medical records of 25 boys with post-circumcision secondary phimosis were reviewed. Demographics of the patients, method of circumcision, type of provider, peroperative findings and comorbidities were recorded.

 

Results: Between January 2005 and December 2016, 25 boys with post-circumcision secondary phimosis were treated surgically. The median age of the patients was 3 (2-5) years. The majority of the patients were circumcised by the Gomco clamp or Plastibell method (n=16). Of the patients’ circumcisions, six were performed by the freehand method, and three by the dorsal slit method. In 15 boys, circumcision was performed by a traditional provider. Of the boys, seven were circumcised by a physician, and three were circumcised by a pediatric surgeon. All the patients were re-circumcised. The common peroperative finding was the redundant mucosal inner layer of the prepucium. Excess suprapubic fat was present in 12 patients.

 

Conclusion: Although circumcision is known as a minor surgical practice with low complication rate, it must be performed safely and especially by experienced physicians/surgeons. Secondary phimosis is a technical error that is caused by insufficient removal of the inner mucosal layer of the prepucium. Re-circumcision of the patient is inevitable, causing the patient second trauma.

 

Cite this article as: Özdemir T, Sayan A, Candan B, Orhan G, Köylüoğlu G. Secondary phimosis after circumcision. Turk J Urol 2019; 45(2): 135-8.

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