Complication of circumcision

Circumcision  

Circumcision is the oldest surgical procedure practiced until now. It was first described by ancient Egyptian on written wall of the pyramid. Male circumcision consists of the surgical removal of some, or all, of the foreskin (or prepuce) from the penis. It is one of the most common procedures in the world. Elective circumcision regularly  performed soon after the newborn period till adolescent. In a large retrospective review of Nationwide Inpatient Sample, estimated rates of newborn circumcision have risen from 48.3% nationwide in this period 1988-1991 to 61.1% of male newborn from 1997 – 2001. This represent an increases in incidence of approximately 6.8% per year  .

The most commonest  indication of male circumcision are includes foreskin related diseases, cosmetic, ritual or religion and hygiene purposes. Foreskin related disease are includes , phimosis or paraphimosis, ulcers and  zip-trauma .  

Complication of circumcision  

Complication of circumcision are greatly depends on the methods of circumcision, timing of circumcision and the person of doing circumcision . Neonatal or infants circumcision carries 1.5% ( range 0-16%) compare to child circumcision which carries 6% ( range 2-14% ) .( 2) . These includes minor bleeding ( 9%) , meatal stenosis ( 3.5% ) urethral laceration ( 2.1% )

Circumcision using Plastibell (8%)  in neonates or infants carries lesser complication  than freehand method (27% excluding incomplete circumcision ) . Circumcision performed by midwives carries (19%) complications compare to doctors ( 7%).