Document Detail

Complications of self-circumcision: a case report and proposal.
MedLine Citation:
PMID:  18466267     Owner:  NLM     Status:  MEDLINE    
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.
Alessandro Natali; Mario Alberto Rossetti
Related Documents :
16322167 - Masturbation in infancy and early childhood presenting as a movement disorder: 12 cases...
18369017 - Intraoperative findings in revision canal wall down mastoidectomy.
23489067 - Giant right atrium due to congenital dysplastic tricuspid valve in an elderly female pa...
6959027 - Perihepatitis associated with pelvic infection: the fitz-hugh-curtis syndrome.
7002507 - Simultaneous hepatic and renal involvement in acute syphilis. case report and review of...
18055167 - Aortoiliac occlusive disease in the presence of a horseshoe kidney: a case report.
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    
Department of Urology, University of Florence, Uro-Andrological Unit, Florence, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Circumcision, Male / adverse effects*,  instrumentation
Edema / etiology*
Penile Diseases / etiology*
Phimosis / surgery*
Postoperative Complications / etiology*
Postoperative Hemorrhage / etiology*
Self Care / adverse effects*,  instrumentation
Self-Injurious Behavior / complications*
Surgical Instruments

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

Previous Document:  Efficacy and safety of tadalafil in the treatment of Latin American men with erectile dysfunction: r...
Next Document:  Cutting off the nose to save the penis.