Circumcision is not mandatory in penile surgery.
OBJECTIVE
To assess the outcome of not circumcising patients having surgery to correct a congenital or acquired curvature, through a subcoronal approach.


METHODS
In a series of 251 consecutive patients (mean age 46 years, range 17-74) that had their penis straightened by either a Lue (86), or a Nesbit procedure (162) or a combination of both (three) between 2000 and 2008, a subcoronal circumferential incision was used for the degloving in 241. Among the 183 patients who had not been previously circumcised, 22 presented with a tight foreskin and were offered a circumcision; six of them refused to be circumcised. Of the remaining 161 patients, 115, including two who had previous penile surgery, opted not to be circumcised.


RESULTS
After a median (range) follow-up of 5.5 (1-50) months, secondary circumcision was performed in three of the six patients with a tight foreskin, in one of the 113 (0.8%) with a normal retractable foreskin and in one of the two who had had previous penile surgery and had a normal foreskin.


CONCLUSIONS
Circumcision should not be considered as a routine part of penile surgery unless a significant phimosis is present or revisional surgery is contemplated.
Garaffa
Giulio
G
St. Peter's Department Centre and Institute of Urology, London, UK.
Sacca
Antonino
A
Christopher
A Nim
AN
Ralph
David J
DJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D002944:Circumcision, Male; D052816:Foreskin / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010411:Penile Induration / Q000601:surgery*; D010413:Penis / Q000002:abnormalities / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult