Abstract
Circumcision is probably one of the most ancient surgical operations and has been performed more than any other operation. The aim of this study is to assess the prevalence of circumcision in preschool boys and to present an overview of the current practices and complications in Baghdad, Iraq. A statistical survey was conducted at the Central Teaching Hospital for Children in Baghdad, Iraq during the period April 2003 to October 2004. The survey consisted of structured interviews with the accompanying parents while waiting for their children’s routine appointments. A total of 4000 boys were included. 2443 (61%) were circumcised and the prevalence of circumcision increased from 18% at 6 months of age to reach 92% at 6 years. Only 180 (7.4%) boys had a medical reason while the rest were circumcised for religious reasons. Parents were the only determinant in deciding the time and place of religious circumcision. Circumcision was performed by a doctor in 732 (30%) boys, by a nurse in 1276 (52%) and by a traditional circumciser in 435 (18%). Post-operative complications were encountered in 209 (8.5%) boys. Circumcision is an important surgical procedure that should be performed by trained medical staff in medical institutions. Circumcision performed by medical professionals caused significantly less complications.
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Hegazy AA, Al-Rukban MO. Male circumcision: review and authors perspective. theHealth 2012; 3(1): 24–30
Weiss HA, Larke N, Halperin D, Schenker I. Complications of circumcision in male neonates, infants and children: a systematic review. BMC Urol 2010; 10(1): 2
Bailey RC, Moses S, Parker CB, Agot K, Maclean I, Krieger JN, Williams CF, Campbell RT, Ndinya-Achola JO. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial. Lancet 2007; 369(9562): 643–656
Auvert B, Taljaard D, Lagarde E, Sobngwi-Tambekou J, Sitta R, Puren A. Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 Trial. PLoS Med 2005; 2(11): e298
Gray RH, Kigozi G, Serwadda D, Makumbi F, Watya S, Nalugoda F, Kiwanuka N, Moulton LH, Chaudhary MA, Chen MZ, Sewankambo NK, Wabwire-Mangen F, Bacon MC, Williams CF, Opendi P, Reynolds SJ, Laeyendecker O, Quinn TC, Wawer MJ. Male circumcision for HIV prevention in men in Rakai, Uganda: a randomised trial. Lancet 2007; 369(9562): 657–666
WHO/UNAIDS. New data on male circumcision and HIV prevention: Policy and programme implications: conclusions and recommendations. UNAIDS. 2007. http://data.unaids.org/pub/Report/2007/mc_recommendations_en.pdf (Accessed on August 14, 2012)
WHO/UNAIDS. Male circumcision: global trends and determinants of prevalence, safety and acceptability. World Health Organization. 2008. http://whqlibdoc.who.int/publications/2007/9789241596169_eng.pdf (Accessed on August 14, 2012)
Xu F, Markowitz LE, Sternberg MR, Aral SO. Prevalence of circumcision and herpes simplex virus type 2 infection in men in the United States: the National Health and Nutrition Examination Survey (NHANES), 1999–2004. Sex Transm Dis 2007; 34(7): 479–484
Morris BJ. Why circumcision is a biomedical imperative for the 21 (st) century. Bioessays 2007; 29(11): 1147–1158
Machmouchi M, Alkhotani A. Is neonatal circumcision judicious? Eur J Pediatr Surg 2007; 17(4): 266–269
Gairdner D. The fate of the foreskin, a study of circumcision. BMJ 1949; 2(4642): 1433–1437
Atkin GK, Butler C, Broadhurst J, Khan A, Nataraj R, Madden N, Haddad M, Clarke SA. Ritual circumcision: no longer a problem for health services in the British Isles. Ann R Coll Surg Engl 2009; 91(8): 693–696
Petrofsky JS, Lawson D, Suh HJ, Rossi C, Zapata K, Broadwell E, Littleton L. The influence of local versus global heat on the healing of chronic wounds in patients with diabetes. Diabetes Technol Ther 2007; 9(6): 535–544
Perencevich EN, McGregor JC, Shardell M, Furuno JP, Harris AD, Morris JG Jr, Fisman DN, Johnson JA. Summer peaks in the incidences of Gram-negative bacterial infection among hospitalized patients. Infect Control Hosp Epidemiol 2008; 29(12): 1124–1131
Russell CT, Chaseling J. Topical anaesthesia in neonatal circumcision: a study of 208 consecutive cases. Aust Fam Physician 1996; 1(Suppl 1): S30–S34
Ceylan K, Burhan K, Yilmaz Y, Can S, Kuç A, Mustafa G. Severe complications of circumcision: an analysis of 48 cases. J Pediatr Urol 2007; 3(1): 32–35
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Naji, H., Mustafa, R. Circumcision of preschool boys in Baghdad, Iraq: prevalence, current practice and complications. Front. Med. 7, 122–125 (2013). https://doi.org/10.1007/s11684-013-0242-x
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DOI: https://doi.org/10.1007/s11684-013-0242-x