Circumcision

Vassanarungruang, Nalinee
Wangthitikul, Sataporn
 Introduction
Circumcision
• Refers to procedure which part of the
foreskin of the penis is removed

• Elective surgery performed on babies

and children

• For religious and cultural reasons

 Indication
Medically, treatment option for: 

oPhimosis

• Balanoposthitis

oChronic urinary tract infections

Phimosis
Balanoposthitis
 Contraindicated
• Certain genital structure abnorm
alities
o Hypospadias
o Epispadias

• Poor general health

Hypospadia VS Epispadia
Anatomy
Circumcise VS Uncircumcised
 Procedure
1. Foreskin is opened,
2. Adhesions are removed
3. Foreskin is separated from the glans.
4. Circumcision device (if used) is placed
5. Then the foreskin is removed. 
 Complication
Early complications:
• Bleeding

• Pain

• Surgical site infection

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3253617/
Late complications include
• epidermal inclusion cysts,
• suture sinus tracts,
• chordee,
• redundant foreskin, (inadequate skin removal)
• penile adhesions,
• phimosis,
• buried penis,
• urethrocutaneous fistulae,
• meatitis, and
• meatal stenosis

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3253617/
Video
 References
• Sawyer S (November 2011). 
Pediatric Physical Examination & Health Assessment
. Jones & Bartlett Publishers. pp. 555–556. ISBN 
978-1-4496-7600-1.
• Current Diagnosis and Treatment Pediatrics 21/E
. McGraw Hill Professional. pp. 18–19. ISBN 978-0-07-177971-5.
• "Male circumcision: Global trends and determinants of prevalence
, safety and acceptability"
 (PDF). World Health Organization. 2007.
• Krill, A. J., Palmer, S. L., and Palmer, S. J. 2011. Complications of
Circumcision. Retrieved from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3253617/
• http://www.unaids.org/sites/default/files/media_asset/jc1360_ma
le_circumcision_en_0.pdf