title: [The circumcision: why and how is it practiced in the newborn and the infant in the Lomé teaching hospital?].
abstract: 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.
authors.affiliation: FMMP, université de Lomé, BP 57, Lomé, Togo. jeanpi_gnass2002@yahoo.fr
authors.forename: K
authors.initials: K
authors.lastname: Gnassingbe
authors.forename: K G
authors.initials: KG
authors.lastname: Akakpo-Numado
authors.forename: T
authors.initials: T
authors.lastname: Anoukoum
authors.forename: K
authors.initials: K
authors.lastname: Kanassoua
authors.forename: E
authors.initials: E
authors.lastname: Kokoroko
authors.forename: H
authors.initials: H
authors.lastname: Tekou
mesh_terms: 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