PMID- 32088740
OWN - NLM
STAT- MEDLINE
DCOM- 20200921
LR  - 20200921
IS  - 1437-9813 (Electronic)
IS  - 0179-0358 (Linking)
VI  - 36
IP  - 4
DP  - 2020 Apr
TI  - Management of post-circumcision necrosis of the penis: the medicolegal aspect.
PG  - 523-528
LID - 10.1007/s00383-020-04630-2 [doi]
AB  - PURPOSE: To perform a medical evaluation of penile necrosis causes and treatment 
      approaches by examining patients who had penile necrosis after circumcision 
      surgery. METHODS: A total of 24 patients with penile necrosis after circumcision 
      surgery, who presented at various hospitals in Turkey between September 2003 and 
      April 2013 and whose cases were being reviewed at the Institution of Forensic 
      Medicine with regard to malpractice, were evaluated retrospectively. RESULTS: The 
      mean age of the patients was 5 +/- 3.7 years, and the mean time of the necrosis 
      diagnosis after circumcision was 5.2 +/- 6.3 days. In etiologic terms, the 
      predictive factors were monopolar cautery use in ten (41.6%) patients, 
      post-circumcision infection in eight (33.3%), compartment syndrome due to 
      post-circumcision dressing in three (12.5%), local anesthetic agent used for 
      dorsal nerve blockage in two (8.3%), and methemoglobinemia in one (4.1%) patient. 
      The first approaches to necrosis treatment were surgical intervention in 15 
      (62.5%) patients, hyperbaric oxygen treatment (HBOT) in 6 (25%), the conservative 
      approach in 2 (8.3%), and HBOT plus surgical intervention in 1 (4.1%) patient. 
      CONCLUSION: Penile necrosis is a preventable complication that requires early 
      intervention. The current study will be helpful in preventing penile necrosis and 
      in guiding surgeons in approaches following its occurrence.
FAU - Tasci, A I
AU  - Tasci AI
AD  - Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, 
      Istanbul, Turkey.
FAU - Danacioglu, Y O
AU  - Danacioglu YO
AD  - Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, 
      Istanbul, Turkey.
FAU - Arikan, Y
AU  - Arikan Y
AUID- ORCID: 0000-0003-0823-7400
AD  - Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, 
      Istanbul, Turkey. dryusufarikan@gmail.com.
FAU - Colakoglu, Y
AU  - Colakoglu Y
AD  - Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, 
      Istanbul, Turkey.
FAU - Yapar, B
AU  - Yapar B
AD  - The Council of Forensic Medicine, Istanbul, Turkey.
FAU - Buyuk, Y
AU  - Buyuk Y
AD  - The Council of Forensic Medicine, Istanbul, Turkey.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20200222
PL  - Germany
TA  - Pediatr Surg Int
JT  - Pediatric surgery international
JID - 8609169
RN  - 0 (Anesthetics, Local)
SB  - IM
MH  - Adolescent
MH  - Anesthesia, Local/*methods
MH  - Anesthetics, Local/*pharmacology
MH  - Bandages
MH  - Child
MH  - Child, Preschool
MH  - Circumcision, Male/*adverse effects
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Necrosis/epidemiology/etiology/surgery
MH  - Nerve Block/*methods
MH  - Penile Diseases/epidemiology/etiology/*surgery
MH  - Penis/*pathology/surgery
MH  - Postoperative Complications/*epidemiology/etiology/surgery
MH  - Reoperation
MH  - Retrospective Studies
MH  - Turkey/epidemiology
OTO - NOTNLM
OT  - Complications
OT  - Forensic medicine
OT  - Male circumcision
OT  - Penile necrosis
EDAT- 2020/02/24 06:00
MHDA- 2020/09/22 06:00
CRDT- 2020/02/24 06:00
PHST- 2020/02/11 00:00 [accepted]
PHST- 2020/02/24 06:00 [pubmed]
PHST- 2020/09/22 06:00 [medline]
PHST- 2020/02/24 06:00 [entrez]
AID - 10.1007/s00383-020-04630-2 [pii]
AID - 10.1007/s00383-020-04630-2 [doi]
PST - ppublish
SO  - Pediatr Surg Int. 2020 Apr;36(4):523-528. doi: 10.1007/s00383-020-04630-2. Epub 
      2020 Feb 22.