Skin Bridges That Occur After Circumcision Operation and Surgical Treatment: Case Presentation

Corresponding Author: Selcuk Sarikaya, Gulhane Research and Training Hospital, Department of Urology, General Tevfik Saglam Caddesi, Etlik–Ankara / Türkiye, Tel: +905316274819; Email: [email protected]

Received Date: 16 Oct 2017  Accepted Date: 23 Oct 2017 Published Date: 24 Oct 2017

Copyright ©2017 Sarikaya S

Citation:Sarikaya S, Özbek R, Senocak C and Bozkurtc OF. (2017). Skin Bridges That Occur After Circumcision Operation and Surgical Treatment: Case Presentation. Mathews J Urol Nephrol 1(1): 005. 

KEYWORDS:

Circumcision; Skin Bridge; Cosmetic; Revision.

INTRODUCTION

Circumcision is a simple urologic operation of general urology practice that is both used for therapeutic reasons and religious beliefs but when considering complications and long-term results it is an important sugical procedure. It is one of the oldest surgical operastions [1, 2]. Various benefits and disadvantages have been reported in the literature. Main benefits were reported as decreased urinary tract infections, sexually transmitted diseases and malignancy rates [3, 4]. Unwanted life-long physicologic and physical results would be seen after the operation. In this study, we aimed to presenat a13-yearold male patient that admitted to our clinic with cosmetic concerns due to the circumcision surgery and we have shown the postoperative view of glans penis after the reconstructive approach. 

CASE

13 year-old male patient admitted to our clinic with skin bridges that were occured after the circumcision operation, he was operated at the age of 6. According to physical examination, there were circular and scattered bridge-like adhesions at circumcision line. The patient was both physically and mentally affected from this cosmetic problem and he had severe concerns fort he rest of his sexual life. Revision operation was planned for the patient when considering the cosmetic and hygienic condition of the patient. Under sedoanalgesia skin bridges were excised with lancet and they were seperated from glans penis. The tissues were sutured with 3/0 rapid vycril. Postoperative cosmetic view is the most important point for these type of reconstructive surgeries. There was not any complication on postoperative early and late period and the cosmetic appearence was very good. (Figure 1) The patient was positively affected with the reconstruction and it was also important for his mental health.

DISCUSSION

Although Circumcision is considered as a simple operation in the practice of general urology, it is an important operation that affects the quality of life when early and late results are taken into consideration. Lots of complications have been reported in the literature as death, bleeding, infectious complications, adhesions, meatitis and stenosis, fistula. The skin bridges are the adhesions between skin and glans penis [5]. The etiology remains unknown and most probably it is about wound healing [5]. In pediatric andrology practice, the prominence is also increasing. It should not be forgotten that the operation performed is also very important in terms of cosmetics besides the functional principles. These type of reconstructive surgeries also affect the sexual life of patients. There are studies in the literature that is indicating the importance of right circumcision technique for avoiding premature ejaculation and the effect of removal of these remnants for treating premature ejaculation [6].

REFERENCES

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2. Nelson CP, Dunn R, Wan J and Wei JT. (2005). The increasing incidence of newborn circumcision: data from the nationwide inpatient sample. Journal of Urology. 173(3):978-981.
3. Rushton HG and Majd M. (1992). Pyelonephritis in male infants: how important is the foreskin? Journal of Urology. 148(2): 733-736.
4. Auvert B, Taljaard D, Lagarde E, Sobngwi-Tambekou J, et al. (2005). Randomized, controlled intervention trial ofmale circumcision for reduction of HIV infection risk: the ANRS 1265 trial. PLoS Medicine. 3(5): e226
5. Kampouroglou G and Nikas K. (2015). Penile skin bridges after circumcision. APSP J Case Rep. 6:33.
6. Namavar MR and Robati B. (2011). Removal of foreskin remnants in circumcised adults for treatment of premature ejaculation. Urology Annals. 3(2): 87-92.