[The circumcision: why and how is it practiced in the newborn and the infant in the Lomé teaching hospital?].
OBJECTIVE
To identify the different indications, to analyze the conditions of realization of the circumcisions and to evaluate the results.


METHODS
It is about a prospective survey study done in the operative room of the Tokoin teaching hospital (Lomé) and on a period of 12 months (15th June 2007 to 15th June 2008). It was about newborns and infants circumcised in the operative block by a pediatric surgeon. One hundred and thirty-four newborns and infants were circumcised during the period of our study. The medan of age was of 5.86 months (range: 1 to 27 months).


RESULTS
One hundred and seven newborns and infants (79.85%) were circumcised for religious motive, 20 (14.92%) for hygiene motive, one (0.75%) for a lesion of the foreskin (burn of the foreskin by hot water), five (3.73%) for a phimosis and one (0.75%) for a paraphimosis. One hundred newborns and infants (74.63%) were circumcised under anesthesia by the fluothane associated to a caudal block, 29 (21.64%) were under local anesthesia (infiltration of anesthetic to the base of the penis) and five (3.73%) under general anesthesia by fluothane only. One hundred and two children (76.12%) were circumcised by the technique using the clamps and 32 (23.88%) by the technique using the Gomco clamp.


CONCLUSIONS
The circumcision is a surgical act whose indications are variable in our surroundings. It is mainly practiced for a religious motive.
Gnassingbe
K
K
FMMP, université de Lomé, BP 57, Lomé, Togo. jeanpi_gnass2002@yahoo.fr
Akakpo-Numado
K G
KG
Anoukoum
T
T
Kanassoua
K
K
Kokoroko
E
E
Tekou
H
H
D002675:Child, Preschool; D002944:Circumcision, Male; D006784:Hospitals, Teaching; D006801:Humans; D006920:Hygiene; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009042:Motivation; D010688:Phimosis / Q000601:surgery; D011446:Prospective Studies; D012067:Religion; D014037:Togo