Do men having routine circumcision need histological confirmation of the cause of their phimosis or postoperative follow-up?
OBJECTIVE
To assess the accuracy of pre-operative diagnosis of preputial pathology ainongst urologists and general surgeons.


METHODS
Data were collected on 460 adult patients having had circumcision performed by either a general surgeon or a urologist over a 10-year period.


RESULTS
Pre-operative diagnosis was consistent with final histology in 83% of cases and further management was never altered by the histological result. Re-referral rates were 0% for general surgeons and 2.7% for urologists (P > 0.05) and there were no cases needing further surgical intervention.


CONCLUSIONS
Routine submission of histological specimens for analysis and out-patient follow-up are not required following circumcision.
Pearce
I
I
pearcey@totalise.co.uk
Payne
S R
SR
D000293:Adolescent; D000328:Adult; D000368:Aged; D002944:Circumcision, Male; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010688:Phimosis / Q000209:etiology* / Q000473:pathology; D011300:Preoperative Care / Q000379:methods; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012680:Sensitivity and Specificity