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S15-12
(P)
NON-RADICAL CIRCUMCISION IN CHILDREN. A SINGLE CENTER EXPERIENCE
Mariana BORGES-DIAS, Leonor CARMO, Tiago TUNA, Sofia CASTRO, Carlos MARIZ, A.Catarina FRAGOSO and J.
ESTEVÃO-COSTA
Hospital São João, Pediatric Surgery, Porto, PORTUGAL
PURPOSE
Circumcision involves the removal of the foreskin either in whole or in part (non-radical). The present study aimed to
assess the effectiveness and morbidity of non-radical circumcision.
MATERIAL AND METHODS
A retrospective analysis of children submitted to non-radical circumcision between 01/2012 and 12/2013 was
performed. Data was collected from hospital records and telephone interviews. Early (<1 month) and late postoperative
complications, and need for further medical or surgical treatment were assessed.
RESULTS
688 children that underwent non-radical circumcision by a standardized sleeve resection technique as an outpatient
procedure were enrolled; 46 patients were excluded because they were only assessed at the first and unique
postoperative evaluation. The remaining 642 children (age, 8,7±3.7 years) were operated on because of: phimosis
(90,8%); posthitis/balanitis (2,8%); pain (1,9%); paraphimosis (1,3%); and balanite xerotica obliterans (1,1%). At a
follow-up of 813±231 days, there was a 15,0% complication rate. Early complications occurred in 31 (4,8%) patients:
21 residual phimosis; 5 hematomas; 3 infections; 1 partial dehiscence; and 1 bleeding requiring re-intervention. Late
complications occurred in 64 (10,0%) patients: 37 mild prepucial stenosis; 21 phimosis; 1 infection; 4 mucosal
redundancy; and 1 meatal stenosis that required meatal dilation. The majority of cases with postoperative phimosis or
mild prepucial stenosis recovered with topical steroid treatment. Re-intervention for removal of the remaining foreskin
was required in 2.5% (16/642) of patients.
CONCLUSIONS
Non-radical circumcision is effective and safe with low morbidity and minimal recurrence rates. However, child and
parental evaluation of functional and cosmetic outcomes deserve further studies.