2023, Number 2
<< Back Next >>
Bol Clin Hosp Infant Edo Son 2023; 40 (2)
Circumcision: Surgical and Physiological Complications in Pediatrics
Jiménez FJH
Language: Spanish
References: 35
Page: 25-33
PDF size: 480.28 Kb.
ABSTRACT
Circumcision or postectomy is a procedure that performed
in places outside of a surgical room and by
professionals or trained personnel. These invites to
get minimal or severe complications such as meatus
stenosis, urethrocutaneous fistula and hidden penis,
which it will require specialized treatment by a pediatric
surgeon or urologist. The signature of the consent
to perform the resection of the child’s foreskin must
inform the physiological function of the skin covering
of the glans, that he will have during his future sexual
intercourse. The loss of the little piece of skin makes
the copulation incomplete in the sensitive and emotional,
also produce pain during the act or has little satisfaction,
stress and occasionally suicides have been
reported. A brief review of current series on post-circumcision
complications and some clinical cases
with severe complications is performed.
REFERENCES
Lowbridge C. Mi hijo se suicidó después de sometersea una circuncisión. Bbc.com [Internet]. [citadoel 21 de junio de 2023]. Disponible en: https://www.bbc.com/mundo/noticias-47959664
Briz-López WA, Avilés-Rodríguez A. Fimosis Fisiológica:circuncisión. ¿Si o No? Rev Med UCSG[Internet]. 20 de abril de 2006 [citado 21 de juniode 2023]; 11(1): 66-72. Disponible en: https://rmedicina.ucsg.edu.ec/index.php/ucsg-medicina/article/view/385
Talini C, Antunes LA, Carvalho BCN, Schultz KL,Del Valle MHCP, Aranha Junior AA, Cosenza WRT,Amarante ACM, Silveira AED. Circumcision: postoperativecomplications that required reoperation.Einstein (Sao Paulo). 2018; 16(3): eAO4241. doi:10.1590/s1679-45082018ao4241. Epub 2018 Aug9. PMID: 30110068; PMCID: PMC6080702.
Bawazir OA. A controlled trial of Gomco versusPlastibell for neonatal circumcisions in Saudi Arabia.Int J Pediatr Adolesc Med. 2020 septiembre;7(3): 132-135. doi: 10.1016/j.ijpam.2019.03.002.Epub 2019 marzo 21. PMID: 33094142; PMCID:PMC7567998.
Ronchi P, Manno S, Dell'Atti L. Technology MeetsTradition: CO2 Laser Circumcision versus ConventionalSurgical Technique. Res Rep Urol. 2020julio 16; 12: 255-260. doi: 10.2147/RRU.S260636.PMID: 32766172; PMCID: PMC7371603.
Jones P, Rooney H, Hawary A. Pediatric Circumcisionin the 21st Century National Health Service: ASnapshot of Practice in a United Kingdom Center.Surg J (N Y). 2020 diciembre 14; 6(4): e188-e191.doi: 10.1055/s-0040-1721430. PMID: 33335988;PMCID: PMC7735869.
Abid AF, Hussein NS. Meatal stenosis posttraditionalneonatal circumcision-cross-sectionalstudy. Urol Ann. 2021 enero-marzo; 13(1): 62-66.doi: 10.4103/UA.UA_30_20. Epub 2021 enero 19.PMID: 33897167; PMCID: PMC8052904.
Jayaratne N, Zaghal A, Weir J, Choudhry M. ACase of foreign body granuloma after Plastibell®circumcision. Ped Urol Case Rep. 2018; 5(1): 16-21.
Espinosa ChG, Castro DJC, Rodríguez BA. Peneoculto: Manejo quirúrgico. Rev Mex Urol. 2011;71(2): 128-131.
Angulo M, Fernández BB, Burgos L, Ortiz R, ParenteA. Faloplastia suprapúbica: nueva técnicaquirúrgica para el pene enterrado [Internet]. CirPlást Iberolatinoam. 2020 marzo [citado 2023enero 2 3]; 4 6(1): 7 3-78. D isponible e n: h ttp://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922020000100011&lng=es. Epub 25-Mayo-2020. https://dx.doi.org/10.4321/s0376-78922020000100011
Sanal M, Haerter B. Keloid on the Penis after Circumcision:A Rare Complication. Clin Surg. 2017;2: 1705.
Cárdenas EMA, Vázquez RF, Jiménez CV, Siu UA,Murcia PFJ, Betancourt AJE, Paredes ERM. Isquemiapostcircuncisión: una complicación inesperada,Revisión de la literatura. Cir Pediatr. 2016; 29:127-130.
Appiah KA, Gyasi-Sarpong CK, Azorliade R, AboahK, Laryea DO, Otu-Boateng K, Baah-Nyamekye K,Maison PO, Arthur D, Antwi IO, Frimpong-TwumasiB, Yenli EM, Togbe SK, Amoah G. Circumcision-relatedtragedies seen in children at the KomfoAnokye Teaching Hospital, Kumasi, Ghana. BMCUrol. 2016 noviembre 8; 16(1): 65. doi: 10.1186/s12894-016-0183-1. PMID: 27825332; PMCID:PMC5101822.
Soltani S, Mottaghi M, Jafarpisheh A, TavakkoliM. Penile Glans Amputation following Circumcision:A Case Report of a Rare Complication. CaseRep Urol. 2020 octubre 2; 2020: 5806987. doi:10.1155/2020/5806987. PMID: 33083087; PMCID:PMC7556101.
Akakpo NKG, Kouevi KTEB, Amouzou KS, Dare S,Edoh BL, Tengue K. Glans replantation after a peniletraumatic amputation during circumcision [Internet].Jour Pedia Surg Cas Rep. 2021; 75: 102100.https://doi.org/10.1016/j.epsc.2021.102100
Sow O, Ondo CZ, Sarr A, Sine B, Gassama CB, NdoyeAK. Total penile glans amputation following circumcision:A case report of a dramatic complication.Urol Case Rep. 2021 octubre 18; 40: 101905.doi: 10.1016/j.eucr.2021.101905. PMID: 34712593;PMCID: PMC8531556.
Ly L, Sankaran K. Acute venous stasis and swellingof the lower abdomen and extremities in an infantafter circumcision. CMAJ. 2003 agosto 5; 169(3):216-7. PMID: 12900483; PMCID: PMC167126.
Kalyanaraman M, McQueen D, Sykes J, PhatakT, Malik F, Raghava PS. Urosepsis and postrenalacute renal failure in a neonate following circumcisionwith Plastibell device. Korean J Pediatr. 2015Apr; 58(4): 154-7. doi: 10.3345/kjp.2015.58.4.154.Epub 2015 abril 22. PMID: 25932038; PMCID:PMC4414631.
Mirnia K, Safari A, Saeedi M, Sangsari R. GlansIschemia Treatment with Pentoxifylline FollowingCircumcision in a Neonate [Internet]. J ComprPed. 2021; 12(2): e99559. Disponible en: https://doi.org/10.5812/compreped.99559.
Gnatzy R, Fuchs J, Siekmeyer M, Beeskow AB, GosemannJH, Lacher M. Glans Ischemia after Circumcisionin a 16-Year-Old Boy: Full Recovery afterAngiography with Local Spasmolysis, SystemicVasodilatation, and Anticoagulation. European JPediatr Surg Rep. 2018 enero; 6(1): e66-e69. doi:10.1055/s-0038-1667330. Epub 2018 septiembre28. PMID: 30276065; PMCID: PMC6162192.
Ahmed F, Al-Wageeh S, Ghabisha S, Al-Shami E,Al-Naggar K, Obaid G, Eslahi A, Alfaragi M. CatastrophicComplications of Circumcision by TraditionalCircumcisers. Open Access Emerg Med.2021 septiembre 21; 13: 425-429. doi: 10.2147/OAEM.S322683. PMID: 34584467; PMCID:PMC8464584.
Scott S. The Anatomy and Physiology of the HumanPrepuce [Internet]. En Denniston GC, HodgesFM, Milos MF (Ed.), Male and Female Circumcision.Boston, MA: Springer; 1999. Disponible en:https://doi.org/10.1007/978-0-585-39937-9_2.
Arredondo-Mendoza GVO. Capítulo 11. Sistemasomatosensorial. En Vanessa Berenice Torres R.Alenxanderson, Fisiología celular y neurofisiología.Ciudad de México: Manual Moderno; 2022:79-82.
Uribe AJF. Parámetros hemodinámicos en el procesonormal de la erección [Internet]. Urol Colomb.2015; 24(2): 101-105. Disponible en: http://dx.doi.org/10.1016/j.uroco.2015.05.011
Liu G, Xu Z. The morphological features of the penileraphe and its clinical application in the circumcisionusing the disposable circumcision suturedevice. Research Square; 2022. doi: 10.21203/rs.3.rs-1953410/v1.
Guler Y, Erbin A, Ozmerdiven G. Keloid Formationafter Circumcision: A Case Report and CurrentLiterature Review. Folia Med (Plovdiv). 2020septiembre 30; 62(3): 601-604. doi: 10.3897/folmed.62.e49619. PMID: 33009749.
Wikipedia contributors. John Harvey Kellogg [Internet].Wikipedia, The Free Encyclopedia. Disponibleen: https://es.wikipedia.org/w/index.php?title=John_Harvey_Kellogg&oldid=150249945
Zegarra-Piérola JW. Bases fisiopatológicas deldolor [Internet]. Acta Méd Per. 2007 mayo [citadoel 25 de junio de 2023]; 24(2): 35-38. Disponibleen: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172007000200007&lng=es
Keunen K, Sperna Weiland NH, de Bakker BS, deVries LS, Stevens MF. Impact of surgery and anesthesiaduring early brain development: A perfectstorm. Paediatr Anaesth. 2022 junio; 32(6): 697-705. doi: 10.1111/pan.14433. Epub 2022 marzo 16.PMID: 35266610; PMCID: PMC9311405.
Tubaya A. Dolor en pediatría. Paediatrica. 2002;4 (2): 27-40.
Hatfield LA. Neonatal pain: What's age got to dowith it? Surg Neurol Int. 2014 noviembre 13; 5(Suppl13): S479-89. doi: 10.4103/2152-7806.144630.PMID: 25506507; PMCID: PMC4253046.
Gallegos MJ, Salazar JM. Dolor en el neonato:humanización del cuidado neonatal. Rev EnferNeurol. 2010; 9(1): 26-31. doi: https://doi.org/10.51422/ren.v9i1.103.
Boyle, G. Circumcision of Infants and Children:Short-Term Trauma and Long-Term PsychosexualHarm. Advan Sex Med. 2015; 5: 22-38. doi:10.4236/asm.2015.52004.
Miani A, Di Bernardo GA, Højgaard AD, Earp BD,Zak PJ, Landau AM, Hoppe J, Winterdahl M. Neonatalmale circumcision is associated with alteredadult socio-affective processing. Heliyon.2020 noviembre 26; 6(11): e05566. doi: 10.1016/j.heliyon.2020.e05566. PMID: 33299934; PMCID:PMC7702013.
Pérez-Liñán JA, Villegas AF, Juárez JLR, CelisJJS. Opiniones acerca de la circuncisión en losneonatos. Rev Mex Pediatr. 2014; 81(4); 131-133.