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Circumcision in the paediatric patient: A review of indications, technique and complications
Author(s) -
Prabhakaran Swetha,
Ljuhar Damir,
Coleman Robert,
Nataraja Ramesh M
Publication year - 2018
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.14206
Subject(s) - medicine , clinical practice , incidence (geometry) , medline , intensive care medicine , pediatrics , surgery , general surgery , family medicine , physics , optics , political science , law
Circumcision is one of the most commonly performed surgical procedures in the world. Despite this, the practice of paediatric circumcision remains highly controversial, and continues to generate ongoing debate. This debate has become more relevant recently with the provisional guidelines from the Centers for Disease Control and Prevention recommending a change of practice. In this review article, we provide an overview of the history and incidence of circumcision, normal preputial development, types of phimosis, the absolute and relative indications for circumcision as well as the evidence base for its use as a preventative measure. Our aim is to provide paediatricians with a greater understanding of this common surgical procedure and the conditions it treats, to guide their clinical practice and parent counselling.