TITLE:
Complications of Circumcision: A Three-Year Experience in N’Djamena Mother & Child Hospital (Chad)
AUTHORS:
Mahamat Ali Mahamat, Olivier Ngueringem, Mohamed Jalloh, Mahamat Nour, Vadandi Valantin, Oradimo Sylvain, Lamine Niang, Serigne M. Gueye
KEYWORDS:
Accident, Circumcision, Medicalization, Chad
JOURNAL NAME:
Open Journal of Urology,
Vol.6 No.4,
April
11,
2016
ABSTRACT: 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.