ABSTRACT
Objective
To evaluate post-operative complications of circumcision requiring surgical reintervention.
Methods
Retrospective analysis of medical records of patients submitted to circumcision from May 1st, 2015 to May 31st, 2016.
Results
A total of 2,441 circumcisions were performed; in that, 1,940 using Plastibell and 501 by the classic technique. Complications requiring surgical reintervention were found in 3.27% of patients. When separated by surgical technique, 3.4% of circumcisions using Plastibell device required reoperation, as compared to 3% of conventional technique (p=0.79). Preputial stenosis was most frequently found in classic circumcision, with statistical significance (p<0.001). Bleeding was more frequent when using Plastibell device, but the difference was not statistically different (p=0.37). Patients’ age was also evaluated to investigate if this variable influenced on the postoperative outcome, but no significant difference was found.
Conclusion
There was no statistically significant difference when comparing complications between the different techniques performed at this hospital. Preputial stenosis was most frequently found in the classic circumcision, while bleeding was more prevalent when using Plastibell device. Patients’ age did not influence in complications.
Phimosis; Child; Circumcision, male/surgery; Circumcision, male/complications; Postoperative complications
(A) Conventional circumcision. (B) Circumcision with plastic ring.
(A) Preputial stenosis after classic circumcision. (B) Paraphimosis due to dislodgment of the plastic ring. (C) Hematoma after circumcision with plastic ring.