Complications of Circumcision

Aim: In this study we evaluated cases referred to our clinic with serious complications of circumcision which needed secondary surgical intervention. Method: Between 1995 and 2010, 38 complicated circumcision cases were evaluated. The circumcisions were done at various medical clinics, home or communal circumcision ceremonies held in villages. The patients in the sample ranged in age from five to 24 (average 14). Partial or total glandular amputation, urethral injury, glandular necrosis and preputio-glandular fusion were present in 9, 11, 2, and 16 cases respectively. Result: The incomplete glans was patched with buccal mucosa in all 9 of the cases with glandular amputations. Five of the cases with urethral fistula had simple fistula and these were repaired with a simple closure method. Complete open distal urethra present in the other 6 cases were covered in the duplay style and a hypospadias repair was performed on them with a tubular incised plate urethroplasty technique with buccal mucosa as a patch graft. Both cases with glandular necrosis were put under hyperbaric oxygen treatment. Adhesion freeing and revision were performed to all the cases with preputioglandular fusion Conclusion: Circumcision is the most common surgical procedure in our country. However, since circumcisions are also commonly performed by inexperienced individuals at home, in hospitals and during communal circumcisions where high numbers of circumcisions are performed in a short period time, we frequently come across complications of circumcision.