PROBLEMS AND WAYS OF SOLVING THE MEDICAL ASPECTS OF CIRCUMCISION

Abstract

Purpose: the study was aimed at analyzing the complications that occur during circumcision and estimate the effectiveness of the developed original method of this surgery.

Materials and methods. Over 6,000 observed results of circumcision performed in boys from 3 regions of the country using both conventional, and original author techniques were analyzed. They included saving resection of the prepuce preserving the inner leaf of the prepuce without sutures.

Results. The first group included 3,223 boys who had a surgery following the technique made at the clinic when 0.3% of unsatisfied results were obtained. The second group consisted of 3,115 children who had a conventional surgery at medical institutions and at home with unsatisfactory results diagnosed in 7.6% of patients.

Conclusions. The main reasons for complications in circumcision are the lack of a proper preoperative preparation of the surgical field, deviation from the conventional surgery technique and inad equate postoperative care. The sutureless circumcision technique developed by the author enabled to achieve minimum of complications.

Keywords

circumcision / complications / sutureless surgery

References

[1] 1. Водолазов И. Б. Особенности выявление факторов риска андрологической патологии у мальчиков-подростков при проведении профилактических медицинских осмотров / И. Б. Водолазов, Л. И. Меньшикова. М.: Поликлиника, № 1, 2008. С. 62–63.

[2] 2. Kay aba H. Analysis of shape and retractability of the prepuce in 603 Japanese boys / Kay aba H., Tamura H., Kitajima S. et al. // Journal of urology. 1996. № 5. P. 1813–1815.

[3] 3. Обряд обрезания: мифы, история, реальность / А. В. Бухмин, В. В. Россихин, А. Е. Соловьев В. Я., Барухович, Е. А. Соловьев. 2‑е изд. доп. Запорожье: Изд-во БелГУ, 2007. 319 с.

[4] 4. Naji H. Circumcision of preschool boys in Baghdad, Iraq: prevalence, current practice and complications / H. Naji, R. Mustafa // Front Med. 2013. Vol 7, № 1. P. 122–125.

[5] 5. Ekenze S. O. Complications of Neonatal Circumcision Requiring Surgical Intervention in a Developing Country / S. O. Ekenze, U. O. Ezomike // J Trop. Pediatr. 2013. № 17. P. 123–125.

[6] 6. Atikeler M. K. Complications of circumcision performed within and outside the hospital / M. K. Atikeler, I. Gecit, V. Yuzgec// Int. Urol. Nephrol. 2005. № 37. P. 97–99.

[7] 7. Arslan D. Collective circumcision performed in Sudan: evaluation in terms of early complications and alternative practice / D. Arslan, M. Kalkan, H. Yazgan // Urology. 2013. № 81 (4). P. 864–871.

[8] 8. Ahmed A. Circumcision practice in Anjouan / A. Ahmed // Trop Doct. 2000. № 30. P. 52–53.

[9] 9. Ben Chaim J. Complications of circumcision in Israel: a one year multicenter survey / J. Ben Chaim, P. M. Livne, J. Binyamini, et al. // Isr Med Assoc J. 2005. № 7. P. 368–370.

RIGHTS & PERMISSIONS

Murtuzaaliev Z.N., Mahachev B.M., Murtuzaaliev N.P.