Complications Associated With Male Neonatal Circumcision Performed By Poorly-Trained Health Professionals and Re-circumcision: Case Series at a Tertiary Hospital

Background: Male circumcision is one of the age old surgical procedures carried out globally. Researchers have identified medical, social and religious benefits of male circumcision. Good surgical technique as well as the competence of the surgeon will help prevent complications following the procedure. However, if this procedure is done by poorly-trained health professionals, it may be associated with complications and some rare cases mortality. Aim: To determine the complications of neonatal male circumcision performed by poorly-trained health professional and re-circumcision. Method: This was a 6-year retrospective study of cases of complications following circumcision by poorly-trained health care professionals attended to at the surgical Department of Rivers State University Teaching Hospital (RSUTH) January 1st 2015 to December 31st 2020. The permission for the study was granted by the Head of Department of the Surgery RSUTH. The data was retrieved from the case notes of the patients, including age and presentation, presenting clinical features prior to intervention diagnosis, surgery performed, outcome and duration of follow-up. The data was subject to simple statistical analysis. Results: Eleven patients met the inclusion criteria. The age range was 7 to 10 days with a modal age of 7 days. All patients were verbally referred. The complications encountered were poorly performed circumcision comprising of redundant foreskin 3 (27.2%) and sustained excessive loss of foreskin 2 (18.2%) ; other complications seen were enterocutaneous fistula 3 (27.2%) sustained amputation of penis 2 (18.2%) and haemorrhage 1 (9.2%). There were no mortalities. All the re-circumcision were performed by surgeons. All the referred cases were performed by nurses. Plastibell were used in 7 (63.6%) cases and traditional methods in 4 (36.4%) of the cases. Conclusion: The study revealed the commonest complications of circumcision was poorly performed circumcision 46.4%. All the referred case of complicated circumcision were performed by nurses. There is need to create awareness on the complications that may arise from circumcision by poorly trained healthcare givers. Furthermore, nurses should be trained on safe way to perform male circumcision. Read more
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Complications Associated With Male Neonatal Circumcision Performed By Poorly-Trained Health Professionals and Re-circumcision: Case Series at a Tertiary Hospital

Background: Male circumcision is one of the age old surgical procedures carried out globally. Researchers have identified medical, social and religious benefits of male circumcision. Good surgical technique as well as the competence of the surgeon will help prevent complications following the procedure. However, if this procedure is done by poorly-trained health professionals, it may be associated with complications and some rare cases mortality. Aim: To determine the complications of neonatal male circumcision performed by poorly-trained health professional and re-circumcision. Method: This was a 6-year retrospective study of cases of complications following circumcision by poorly-trained health care professionals attended to at the surgical Department of Rivers State University Teaching Hospital (RSUTH) January 1st 2015 to December 31st 2020. The permission for the study was granted by the Head of Department of the Surgery RSUTH. The data was retrieved from the case notes of the patients, including age and presentation, presenting clinical features prior to intervention diagnosis, surgery performed, outcome and duration of follow-up. The data was subject to simple statistical analysis. Results: Eleven patients met the inclusion criteria. The age range was 7 to 10 days with a modal age of 7 days. All patients were verbally referred. The complications encountered were poorly performed circumcision comprising of redundant foreskin 3 (27.2%) and sustained excessive loss of foreskin 2 (18.2%) ; other complications seen were enterocutaneous fistula 3 (27.2%) sustained amputation of penis 2 (18.2%) and haemorrhage 1 (9.2%). There were no mortalities. All the re-circumcision were performed by surgeons. All the referred cases were performed by nurses. Plastibell were used in 7 (63.6%) cases and traditional methods in 4 (36.4%) of the cases. Conclusion: The study revealed the commonest complications of circumcision was poorly performed circumcision 46.4%. All the referred case of complicated circumcision were performed by nurses. There is need to create awareness on the complications that may arise from circumcision by poorly trained healthcare givers. Furthermore, nurses should be trained on safe way to perform male circumcision. Read more
Read More

Complications Associated With Male Neonatal Circumcision Performed By Poorly-Trained Health Professionals and Re-circumcision: Case Series at a Tertiary Hospital

Background: Male circumcision is one of the age old surgical procedures carried out globally. Researchers have identified medical, social and religious benefits of male circumcision. Good surgical technique as well as the competence of the surgeon will help prevent complications following the procedure. However, if this procedure is done by poorly-trained health professionals, it may be associated with complications and some rare cases mortality. Aim: To determine the complications of neonatal male circumcision performed by poorly-trained health professional and re-circumcision. Method: This was a 6-year retrospective study of cases of complications following circumcision by poorly-trained health care professionals attended to at the surgical Department of Rivers State University Teaching Hospital (RSUTH) January 1st 2015 to December 31st 2020. The permission for the study was granted by the Head of Department of the Surgery RSUTH. The data was retrieved from the case notes of the patients, including age and presentation, presenting clinical features prior to intervention diagnosis, surgery performed, outcome and duration of follow-up. The data was subject to simple statistical analysis. Results: Eleven patients met the inclusion criteria. The age range was 7 to 10 days with a modal age of 7 days. All patients were verbally referred. The complications encountered were poorly performed circumcision comprising of redundant foreskin 3 (27.2%) and sustained excessive loss of foreskin 2 (18.2%) ; other complications seen were enterocutaneous fistula 3 (27.2%) sustained amputation of penis 2 (18.2%) and haemorrhage 1 (9.2%). There were no mortalities. All the re-circumcision were performed by surgeons. All the referred cases were performed by nurses. Plastibell were used in 7 (63.6%) cases and traditional methods in 4 (36.4%) of the cases. Conclusion: The study revealed the commonest complications of circumcision was poorly performed circumcision 46.4%. All the referred case of complicated circumcision were performed by nurses. There is need to create awareness on the complications that may arise from circumcision by poorly trained healthcare givers. Furthermore, nurses should be trained on safe way to perform male circumcision. Read more
Read More

Complications Associated With Male Neonatal Circumcision Performed By Poorly-Trained Health Professionals and Re-circumcision: Case Series at a Tertiary Hospital

Background: Male circumcision is one of the age old surgical procedures carried out globally. Researchers have identified medical, social and religious benefits of male circumcision. Good surgical technique as well as the competence of the surgeon will help prevent complications following the procedure. However, if this procedure is done by poorly-trained health professionals, it may be associated with complications and some rare cases mortality. Aim: To determine the complications of neonatal male circumcision performed by poorly-trained health professional and re-circumcision. Method: This was a 6-year retrospective study of cases of complications following circumcision by poorly-trained health care professionals attended to at the surgical Department of Rivers State University Teaching Hospital (RSUTH) January 1st 2015 to December 31st 2020. The permission for the study was granted by the Head of Department of the Surgery RSUTH. The data was retrieved from the case notes of the patients, including age and presentation, presenting clinical features prior to intervention diagnosis, surgery performed, outcome and duration of follow-up. The data was subject to simple statistical analysis. Results: Eleven patients met the inclusion criteria. The age range was 7 to 10 days with a modal age of 7 days. All patients were verbally referred. The complications encountered were poorly performed circumcision comprising of redundant foreskin 3 (27.2%) and sustained excessive loss of foreskin 2 (18.2%) ; other complications seen were enterocutaneous fistula 3 (27.2%) sustained amputation of penis 2 (18.2%) and haemorrhage 1 (9.2%). There were no mortalities. All the re-circumcision were performed by surgeons. All the referred cases were performed by nurses. Plastibell were used in 7 (63.6%) cases and traditional methods in 4 (36.4%) of the cases. Conclusion: The study revealed the commonest complications of circumcision was poorly performed circumcision 46.4%. All the referred case of complicated circumcision were performed by nurses. There is need to create awareness on the complications that may arise from circumcision by poorly trained healthcare givers. Furthermore, nurses should be trained on safe way to perform male circumcision. Read more
Read More