Table 2

Retrospective studies of frequency of complications in studies of neonatal and infant circumcision

Author

Country

Year of study

Number of patients

Age

Type of provider

Method used

Frequency of adverse eventsa

Frequency of serious adverse eventsb


Al-Marhoon [34]

Oman

1997-2000

171

Neonatal

Surgeon

Plastibell

1.2%c

0%

(Two needed sutures)


Christakis [35]

USA

1987-1996

130475

Neonatal

-

-

0.2%

0.2%


Eroglu [41]

Turkey

2001-2002

214

Neonatal

Surgeon

Gomco clamp

2.3%

0%

(One needed sutures)


Gee [38]

USA

1963-1972

5521

Neonatal

Supervised medical student, resident, or physician

52% Gomco clamp

48% Plastibell

1.7% Gomco

2.3% Plastibell

0.2%d


Iftikhar [36]

Pakistan

1998-2001

316

0-12 yrs (72% within 1 week of birth)

Pediatric surgeon

Plastibell (<2 yrs old)

Open technique (≥ 2 yrs)

0.6%

0%


Metcalf [42]

USA

1974-1979

591

61% Neonatal

39% Post-neonatal

-

-

4% neonatal

10%% infantse

0.3% neonatal

1.3% infants


O'Brien [39]

USA

1985-1986

1951

Neonatal

-

43% Gomco

9.5% Plastibell

14.5% Electrocautary

33% not specified

3.1% overall

0%


Rafiq [40]

Pakistan

2000

100

Neonatal

Surgeon

Plastibell

2%

0%


Shulman [37]

Israel

1955-1963

8000

Neonatal

Mohelim

-

0.3%

0.1%


Wiswell [19]

USA

1980-1985

100157

Neonatal

Surgeons

0.2% 'serious'

0.2%


a Cases of minor bleeding stopped with simple pressure or 'conservative management' and excessive foreskin/inadequate circumcision are not included

b Includes complications defined as 'serious' or 'severe' by authors, or with long-term or life-threatening sequalae (partial amputation of glans, urethral laceration, need for re-surgery or plastic surgery)

c Excludes one patient unable to pass urine for 24 hours

d The authors note that 14 patients (0.2%) had 'really significant' complications - one life-threatening haemorrhage, 4 systemic infections, 8 circumcisions of infants with hypospaidas, and one complete denudation of the penile shaft.

e 6 patients with hygiene concerns were excluded

Weiss et al. BMC Urology 2010 10:2   doi:10.1186/1471-2490-10-2

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