Advertisement

Pediatric Circumcision

  • Jonathan D. Kaye
  • Hal C. Scherz
  • Andrew J. Kirsch
Chapter

Abstract

Most infant circumcisions are performed in the first month or two of life with one of the common clamp techniques. In older infants, a freehand technique done in the operating room under general anesthesia is preferred. The common sleeve technique is described here. This technique requires adequate hands-on training in addition to its description here.

Keywords

Freehand Technique Epidermal Inclusion Cyst Skin Bridge Tissue Approximation Suture Sinus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    AUA policy statement. 1989; revised 1996, 1998, 2003, 2007. http://www.auanet.org/content/guidelines-and-quality-care/policy-statements/c/circumcision.cfm (accesed 1 April 2012).
  2. 2.
    Ridings H, Amaya M. Male neonatal circumcision: an evidence-based review. JAAPA. 2007;20(2):32–4, 36.PubMedGoogle Scholar
  3. 3.
    Lerman SE, Liao JC. Neonatal circumcision. Pediatr Clin North Am. 2001;48(6):1539–57.PubMedCrossRefGoogle Scholar
  4. 4.
    Niku SD, Stock JA, Kaplan GW. Neonatal circumcision. Urol Clin North Am. 1995;22(1):57–65.PubMedGoogle Scholar
  5. 5.
    Essid A, Hamzaoui M, Sahli S, Houissa T. Glans reimplantation after circumcision accident. Prog Urol. 2005;15(4):745–7.PubMedGoogle Scholar
  6. 6.
    Gluckman GR, Stoller ML, Jacobs MM, Kogan BA. Newborn penile glans amputation during circumcision and successful reattachment. J Urol. 1995;153(3 Pt 1):778–9.PubMedGoogle Scholar
  7. 7.
    Shaeer O. Restoration of the penis following amputation at circumcision: Shaeer’s A-Y plasty. J Sex Med. 2008;5(4):1013–21. Epub 2007 Dec 14.PubMedCrossRefGoogle Scholar
  8. 8.
    Okeke LI. Epidermal inclusion cyst as a rare complication of neonatal male circumcision: a case report. J Med Case Reports. 2009;3:7321.CrossRefGoogle Scholar
  9. 9.
    Osifo OD, Oriaifo IA. Circumcision mishaps in Nigerian children. Ann Afr Med. 2009;8(4):266–70.PubMedCrossRefGoogle Scholar
  10. 10.
    O’Sullivan DC, Heal MR, Powell CS. Circumcision: how do urologists do it? Br J Urol. 1996;78(2):265–70.PubMedCrossRefGoogle Scholar
  11. 11.
    Elder JS. Circumcision. BJU Int. 2007;99(6):1553–64.PubMedCrossRefGoogle Scholar
  12. 12.
    Genesis 17:10–3.Google Scholar
  13. 13.
    Cohen MM, Cameron CB, Duncan PG. Pediatric anesthesia morbidity and mortality in the perioperative period. Anesth Analg. 1990;70:160–7.PubMedCrossRefGoogle Scholar
  14. 14.
    Kaye JD, Kalisvaart JF, Cuda SP, Elmore JM, Cerwinka WH, Kirsch AJ. Sutureless and scalpelfree circumcision: faster, cheaper, and better? J Urol. 2010 Oct;184(4 Suppl):1758–62.Google Scholar

Copyright information

© Springer-Verlag London 2012

Authors and Affiliations

  • Jonathan D. Kaye
    • 1
  • Hal C. Scherz
    • 2
  • Andrew J. Kirsch
    • 2
  1. 1.Urology Associates of North Texas, Division of Pediatric UrologyCook Children’s Medical CenterFort WorthUSA
  2. 2.Department of Urology, Children’s Healthcare of AtlantaEmory University School of MedicineAtlantaUSA

Personalised recommendations