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Iyama et al

Greener Journal of Medical Sciences

Vol. 11(2), pp. 187-189,  2021

ISSN: 2276-7797

Copyright ©2021, the copyright of this article is retained by the author(s)

https://gjournals.org/GJMS

 


 

 

 

 

Complications Associated With Male Neonatal Circumcision Performed By Poorly-Trained Health Professionals and Re-circumcision: Case Series at a Tertiary Hospital

 

 

Iyama, AC1; Aaron, FE1; Eli, S2; Etawo, US3; Omodu, OJ1; Tee, GP4

 

 

Department of Surgery, Rivers State University Teaching Hospital.1

Mother, Baby and Adolescent Care Global Foundation.2

Department of Surgery, University of Port Harcourt Teaching Hospital.3

Department of Human Physiology, Rivers State University.4

 

 

ARTICLE INFO

ABSTRACT

 

Article No.: 100721114

Type: Research

Full Text: HTML;EPUB

 

Background: Male circumcision is one of the age old surgical procedures carried out globally. Researchers have identified medical, social and religious benefits of male circumcision. Good surgical technique as well as the competence of the surgeon will help prevent complications following the procedure. However, if this procedure is done by poorly-trained health professionals, it may be associated with complications and some rare cases mortality.

Aim: To determine the complications of neonatal male circumcision performed by poorly-trained health professional and re-circumcision.

Method: This was a 6-year retrospective study of cases of complications following circumcision by poorly-trained health care professionals attended to at the surgical Department of Rivers State University Teaching Hospital (RSUTH) January 1st 2015 to December 31st 2020. The permission for the study was granted by the Head of Department of the Surgery RSUTH. The data was retrieved from the case notes of the patients, including age and presentation, presenting clinical features prior to intervention diagnosis, surgery performed, outcome and duration of follow-up. The data was subject to simple statistical analysis.

Results: Eleven patients met the inclusion criteria. The age range was 7 to 10 days with a modal age of 7 days. All patients were verbally referred. The complications encountered were poorly performed circumcision comprising of redundant foreskin 3 (27.2%) and sustained excessive loss of foreskin 2 (18.2%) ; other complications seen were enterocutaneous fistula  3 (27.2%) sustained amputation of penis 2 (18.2%) and haemorrhage 1 (9.2%). There were no mortalities. All the re-circumcision were performed by surgeons. All the referred cases were performed by nurses. Plastibell were used in 7 (63.6%) cases and traditional methods in 4 (36.4%) of the cases.

Conclusion: The study revealed the commonest complications of circumcision was poorly performed circumcision 46.4%. All the referred case of complicated circumcision were performed by nurses. There is need to create awareness on the complications that may arise from circumcision by poorly trained healthcare givers. Furthermore, nurses should be trained on safe way to perform male circumcision.

 

Accepted:  07/11/2021

Published: 15/11/2021

 

*Corresponding Author

Dr. Eli S.

E-mail: elisukarime@ gmail.com

 

Keywords:

Complications; male neonatal circumcision; re-circumcision; surgeons.

 

 

 


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REFERENCES 

 

1.      Weiss HA, Larke N, Halperin D et al. Complications of circumcision in male neonates, infants and children: a systematic review. BMC UroJ 2010; 2:10

2.      Cairns J. Circumcision: a minor procedure? Paediatrics and Child Health 2007; 12(4): 311-312.

3.      Palit V, Menebhi DK, Taylor I, Young M, Elmasry Y, Shah T. A unique service in UK delivering plasti bell circumcision: review of 9-year results. Pediatr Surg Int. 2007:23(1): 45-48

4.      Banieghbal B Optimal time for neonatal circumcision: an observation-based study. J Pediatr Urol. 2009; 5:359-362.

5.      Hamza BK, Ahmed M, Bello A ET AL. Comparison of the efficacy and safety of circumcision by freehand technique and Plastibell device in children. Afr J Urol 2020;26:66.

6.      Moosa FA, Khan FW, Rao MH. Comparison of complications of circumcision by ‘Plastibell device technique’ in male neonates and infants. J Pak Med Assoc 2010;60: 664-667.

7.       Okeke LI, Asinobi AA, Ikuerowo OS. Epidemonology of complications of male circumcision in Ibadan, Nigeria. BMC 2006:6:21.

8.      Kril AJ, Palmer LS, Palmer JS. Complications of circumcision. Sci World J 2011;11:2458-2468.

9.      Yegane RA, Kheirollahi AR, Salehi Na, Bashashati M, Khoshdel JA, Ahmadi M: Late Complications of Circumcision in Iran. Pediatric Surgery International :2006;22:442-5

10.    Gray RH, Kigozi G, Serwadda D, Makunbi F, Watya S, Gray RH et al. Male circumcision for HIV Prevention in men in Rakia, Uganda: a randomized trial, Lancet 2007:369:657-666.

11.    Bailey RC et al. Male Circumcision for HIV Prevention in Young men on Kisumu, Kenya: a randomized controlled trial. Lancet 2007:369:643-656.

12.    Patel HI, Moriarty KP, Brisson PA, Feins NR. Genitourinary injuries in the newborn. Journal of Pediatric Surgery 2001:56(1): 140-143.

13.    Williams CP, Richardson BG, Bukowski TP. Importance of identifying the inconspicuous penis: prevention of circumcision complications. Urology 2000:56(1):140-143.

 


Cite this Article: Iyama, AC; Aaron, FE; Eli, S; Etawo, US; Omodu, OJ; Tee, GP (2021). Complications Associated With Male Neonatal Circumcision Performed By Poorly-Trained Health Professionals and Re-circumcision: Case Series at a Tertiary Hospital. Greener Journal of Medical Sciences, 11(2): 187-189.

 


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