title: Surgically correctable morbidity from male circumcision: indications for specialist surgical care in lagos.
abstract: OBJECTIVE
  To determine the pattern of morbidity and outcome among patients referred to the Pediatric Surgery Unit of the Lagos University Teaching Hospital (LUTH) following circumcision.
  
  
  METHODS
  Retrospective descriptive study of all patients with complications of circumcision who were managed in LUTH between 2008 and 2010.
  
  
  RESULTS
  There were 36 patients. The age range was between 2 days and 9 years (median-3 months). Fifteen cases (42.9%) were due to urethro-cutaneous fistula while there were six cases (16.7%) of postcircumcision bleeding. There were four cases (11.1%) each of partial penile amputation and buried penis. There were also cases of meatal stenosis, penile implantation cyst and glanulo-preputial skin bridge. With respect to the treatment offered, eleven (30.6%) patients had urethroplasty for the urethro-cutaneous fistulae while seven (19.4%) patients had penile refashioning for the buried penis and penile amputation. Appropriate surgical treatments were performed for the other complications.
  
  
  CONCLUSIONS
  Urethrocutaneous fistula and penile amputation are the commonest complications of circumcision for which referral is made to LUTH. Treatment outcome was satisfactory. Health education and legislation to ensure procedure is performed by qualified medical and paramedical staff may reduce the morbidity.
authors.affiliation: Department of Surgery, College of Medicine, University of Lagos, Idi Araba, Lagos, Nigeria.
authors.forename: Adesoji O
authors.initials: AO
authors.lastname: Ademuyiwa
authors.forename: Rufus W
authors.initials: RW
authors.lastname: Ojewola
authors.forename: Olumide A
authors.initials: OA
authors.lastname: Elebute
authors.forename: Emmanuel A
authors.initials: EA
authors.lastname: Jeje
authors.forename: Chris O
authors.initials: CO
authors.lastname: Bode
keywords: Circumcision morbidity; indications; specialist care
references.citation: Afr J Paediatr Surg. 2009 Jul-Dec;6(2):134-6
references.pmid: 19661653
references.citation: Ann Trop Paediatr. 2000 Jun;20(2):101-4
references.pmid: 10945058
references.citation: Clin Pediatr (Phila). 2010 Aug;49(8):760-3
references.pmid: 20522619
references.citation: Pediatrics. 2006 May;117(5):1695-701
references.pmid: 16651326
references.citation: J Cutan Med Surg. 2000 Oct;4(4):177-80
references.pmid: 11231194
references.citation: Urol Clin North Am. 1983 Aug;10(3):543-9
references.pmid: 6623741
references.citation: Ann Trop Paediatr. 1999 Mar;19(1):113-7
references.pmid: 10605531
references.citation: Prog Urol. 2000 Apr;10(2):261-4
references.pmid: 10857144
references.citation: Pediatrics. 1989 Jun;83(6):1011-5
references.pmid: 2562792
references.citation: Isr J Med Sci. 1981 Jan;17(1):45-8
references.pmid: 7461946
references.citation: J Urol. 1997 Dec;158(6):2269-71
references.pmid: 9366374
references.citation: BMC Urol. 2006 Aug 25;6:21
references.pmid: 16934157
references.citation: ScientificWorldJournal. 2011;11:2458-68
references.pmid: 22235177
references.citation: BJU Int. 2000 Aug;86(3):332-8
references.pmid: 10930942
references.citation: Br J Surg. 1993 Oct;80(10):1231-6
references.pmid: 8242285
references.citation: South Med J. 1995 Apr;88(4):411-5
references.pmid: 7716592
references.citation: BMC Urol. 2010 Feb 16;10:2
references.pmid: 20158883