Document Detail


Complications of self-circumcision: a case report and proposal.
MedLine Citation:
PMID:  18466267     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Male circumcision is a common surgical technique that has been performed worldwide for thousands of years for medical, social, cultural, and religious reasons. It is usually conducted in childhood in a clinical setting, but the practice of adult self-circumcision has led to a market for nonmedically approved self-circumcision devices that can be purchased via the Internet. AIMS: The aims of this report are to report the case of a 30-year-old white man who suffered complications after trying to perform a self-circumcision with a nonmedically approved device purchased via the Internet, and to propose that urologists should take the lead in investigating the problem of male self-circumcision. METHODS: This case report documents the presentation and treatment of an attempted self-circumcision. RESULTS: The attempted self-circumcision was carried out without local anaesthetic and resulted in an incision in the foreskin. The patient presented with uncontrollable local bleeding 2 days after carrying out the procedure. Although questioned as to why he had attempted self-circumcision, the patient was reluctant and/or unable to explain his reasons. Daily local wound care and topical antibiotics resulted in complete wound healing after 2 months, and a clinical clamp circumcision was conducted to treat the remaining severe phimosis. CONCLUSION: Data on the prevalence and outcomes associated with the use of self-circumcision devices are few. The clinicians who treat the complications are best placed to collect data on self-circumcision and should publish case studies. Eventually there may be sufficient understanding of the sector of the population at risk from this practice to educate those likely to attempt self-circumcision, and enough evidence of harm for controls to be placed on the sale of these nonmedically approved devices via the Internet.
Authors:
Alessandro Natali; Mario Alberto Rossetti
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-05-05
Journal Detail:
Title:  The journal of sexual medicine     Volume:  5     ISSN:  1743-6109     ISO Abbreviation:  -     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-18     Completed Date:  2009-04-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101230693     Medline TA:  J Sex Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2970-2     Citation Subset:  IM    
Affiliation:
Department of Urology, University of Florence, Uro-Andrological Unit, Florence, Italy. anatali@dada.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Circumcision, Male / adverse effects*,  instrumentation
Edema / etiology*
Humans
Internet
Male
Penile Diseases / etiology*
Phimosis / surgery*
Postoperative Complications / etiology*
Postoperative Hemorrhage / etiology*
Reoperation
Self Care / adverse effects*,  instrumentation
Self-Injurious Behavior / complications*
Surgical Instruments

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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