Is neonatal circumcision judicious?
BACKGROUND
Circumcision is the most frequently performed procedure in male children.


OBJECTIVE
The aim of the study was to compare the outcome of circumcision performed in the early neonatal period and circumcision performed at 5 months of age. Setting of the study was the King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.


METHODS
The study was performed as a prospective cohort study.


RESULTS
A total of 350 infants were enrolled. 250 neonates were circumcised at the age of 1 to 4 days (early group) and 100 infants underwent circumcision at the age of 5 months (late group). A bone cutter was used for 50 neonates, a Gomco clamp in another 50 neonates, and a Plastibell in the remaining 250 cases (150 in the early group and 100 in the late group). Complications including meatal deformities, meatal stenosis, adhesions and infection were more frequent and more significant in the neonatal circumcision group.


CONCLUSIONS
From our study, circumcision at 5 months results in significantly fewer serious complications than circumcision in the neonatal period, irrespective of the method used. Therefore, neonatal circumcision should not be recommended.
Machmouchi
M
M
Division of Pediatric Surgery, King Faisal Specialist Hospital and Research Center - Jeddah, Jeddah, Saudi Arabia. drmachmouchi@yahoo.com
Alkhotani
A
A
D000367:Age Factors; D002944:Circumcision, Male / Q000379:methods* / Q000523:psychology; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012067:Religion; D012529:Saudi Arabia / Q000453:epidemiology