Complications of Circumcision: A Three-Year Experience in N’Djamena Mother &Child Hospital (Chad)  

作　　者：Mahamat Ali Mahamat Olivier Ngueringem Mohamed Jalloh Mahamat Nour Vadandi Valantin Oradimo Sylvain Lamine Niang Serigne M. Gueye Mahamat Ali Mahamat;Olivier Ngueringem;Mohamed Jalloh;Mahamat Nour;Vadandi Valantin;Oradimo Sylvain;Lamine Niang;Serigne M. Gueye(The University of N’Djamena, N’Djamena, Chad;The General Hospital of National Reference of N’Djamena, N’Djamena, Chad;The N’Djamena Mother and Child Hospital, N’Djamena, Chad;Grand Yoff General Hospital (HOGGY) of Dakar, Dakar, Senegal)

机构地区：[1]The University of N’Djamena, N’Djamena, Chad [2]The General Hospital of National Reference of N’Djamena, N’Djamena, Chad [3]The N’Djamena Mother and Child Hospital, N’Djamena, Chad [4]Grand Yoff General Hospital (HOGGY) of Dakar, Dakar, Senegal

出　　处：《Open Journal of Urology》2016年第4期55-62,共8页泌尿学期刊（英文）

摘　　要：Aim: This study aimed at describing the various aspects of complications of circumcision and their management in patients referred to N’Djamena Mother & Child Hospital (Chad). Material and Methods: All patients referred for complications of circumcision reported on a 3-year period (July 2011-May 2014) were included. Demographic data, circumstances of the circumcision, clinical presentation and management were computed. Results: Thirty-one cases of complications from traditionally performed circumcisions (n = 19) or circumcisions were performed by paramedics (n = 12). The average age was 7.5 ± 2 years. More than 60% of the patients were between 6 and 10 years old. The complications reported included: urethral fistula in the balano preputial sulcus in 10 cases (32%), entire amputation of the glans in 2 cases (6.5%), amputation of the penis in one case (3.5%), stenosis of the urethral meatus in 8 cases (26%), bleeding in 5 cases (16%) and infections in 5 cases (16%). A surgical treatment was performed according to clinical cases. Conclusion: Circumcision is safe when performed in hospitals. Unfortunately, serious complications may occur if it is performed by non-experts. Hence there is a necessity to raise people’s awareness on the importance of the medicalization of circumcision.Aim: This study aimed at describing the various aspects of complications of circumcision and their management in patients referred to N’Djamena Mother & Child Hospital (Chad). Material and Methods: All patients referred for complications of circumcision reported on a 3-year period (July 2011-May 2014) were included. Demographic data, circumstances of the circumcision, clinical presentation and management were computed. Results: Thirty-one cases of complications from traditionally performed circumcisions (n = 19) or circumcisions were performed by paramedics (n = 12). The average age was 7.5 ± 2 years. More than 60% of the patients were between 6 and 10 years old. The complications reported included: urethral fistula in the balano preputial sulcus in 10 cases (32%), entire amputation of the glans in 2 cases (6.5%), amputation of the penis in one case (3.5%), stenosis of the urethral meatus in 8 cases (26%), bleeding in 5 cases (16%) and infections in 5 cases (16%). A surgical treatment was performed according to clinical cases. Conclusion: Circumcision is safe when performed in hospitals. Unfortunately, serious complications may occur if it is performed by non-experts. Hence there is a necessity to raise people’s awareness on the importance of the medicalization of circumcision.

关 键 词：ACCIDENT CIRCUMCISION MEDICALIZATION CHAD 

分 类 号：R69[医药卫生—泌尿科学]