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Circumcision is not mandatory in penile surgery
Author(s) -
Garaffa Giulio,
Sacca Antonino,
Christopher A. Nim,
Ralph David J.
Publication year - 2010
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2009.08763.x
Subject(s) - foreskin , medicine , degloving , surgery , hypospadias , penis , penile curvature , penile fracture , peyronie's disease , genetics , biology , cell culture
Study Type – Therapy (case series)
Level of Evidence 4 OBJECTIVE To assess the outcome of not circumcising patients having surgery to correct a congenital or acquired curvature, through a subcoronal approach. PATIENTS AND METHODS In a series of 251 consecutive patients (mean age 46 years, range 17–74) that had their penis straightened by either a Lue (86), or a Nesbit procedure (162) or a combination of both (three) between 2000 and 2008, a subcoronal circumferential incision was used for the degloving in 241. Among the 183 patients who had not been previously circumcised, 22 presented with a tight foreskin and were offered a circumcision; six of them refused to be circumcised. Of the remaining 161 patients, 115, including two who had previous penile surgery, opted not to be circumcised. RESULTS After a median (range) follow‐up of 5.5 (1–50) months, secondary circumcision was performed in three of the six patients with a tight foreskin, in one of the 113 (0.8%) with a normal retractable foreskin and in one of the two who had had previous penile surgery and had a normal foreskin. CONCLUSIONS Circumcision should not be considered as a routine part of penile surgery unless a significant phimosis is present or revisional surgery is contemplated.