Complications of neonatal circumcision requiring surgical intervention in a developing country

J Trop Pediatr. 2013 Aug;59(4):292-7. doi: 10.1093/tropej/fmt020. Epub 2013 Apr 17.

Abstract

Objective: The recent scale-up in neonatal circumcision (NC) may require strategies to reduce complications. This study evaluated complications of NC requiring surgery.

Methods: A prospective analysis of 64 patients with complications of NC managed by surgery between June 2006 and May 2012 at the University of Nigeria Teaching hospital Enugu was conducted.

Results: Circumcision was performed by nurse in 54 (84.4%) patients, traditional practitioner in 5 (7.8%) and doctor in 5 (7.8%), at a median age of 9 days (range: 2-21 days). Complications noticed 1 day to 7 years (mean: 7.8 months) after circumcision were glanular adhesion in 27 (42.2%) children, meatal stenosis in 14 (21.9%), urethrocutaneous fistula in 11 (17.2%), trapped penis in 5 (7.8%), implantation dermoid in 4 (6.2%) and glans amputation in 3 (4.7%). After treatment, outcome was good in 59 (92.2%) patients, whereas 5 (7.8%) had residual defect.

Conclusion: NC may be associated with serious complications in our setting. Adequate training of providers on safe procedure may minimize complications.

Keywords: challenges; cost; developing country; neonatal circumcision; outcome; surgical complications.

MeSH terms

  • Child
  • Child, Preschool
  • Circumcision, Male / adverse effects*
  • Circumcision, Male / rehabilitation
  • Circumcision, Male / statistics & numerical data
  • Cutaneous Fistula / surgery
  • Hospitals, Teaching
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • Male
  • Nigeria / epidemiology
  • Penis / injuries
  • Penis / surgery
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery*
  • Prospective Studies
  • Treatment Outcome