Glans ischemia after circumcision in children:Two case reports

被引:0
作者
Daniela Codrich [1 ]
Alessandro Boscarelli [1 ]
Alessia Cerrina [1 ]
Maria-Grazia Scarpa [1 ]
Marianna Iaquinto [1 ]
Damiana Olenik [1 ]
Edoardo Guida [1 ]
Jurgen Schleef [1 ]
机构
[1] Department of Pediatric Surgery and Urology, Institute for maternal and child health-IRCCS Burlo Garofolo
关键词
D O I
暂无
中图分类号
R726.9 [小儿泌尿科学];
学科分类号
100202 ;
摘要
BACKGROUND Circumcision refers to the removal of the skin covering the tip of the penis and is one of the most common surgical procedures performed in childhood. Even though circumcision is a well-standardized operation, several minor and major complications may be experienced by paediatric surgeons. Glans ischemia(GI) has been widely reported in the paediatric literature as a complication following circumcision. Nonetheless, etiopathogenesis of GI is not well defined and management guidelines are lacking.CASE SUMMARY We describe our experience with this rare and scary complication using subcutaneous enoxaparin alone or in association with a topical vasodilator.CONCLUSION Hypothetical causes and different management strategies are discussed.
引用
收藏
页码:79 / 83
页数:5
相关论文
共 9 条
[1]  
Glans Ischemia after Circumcision in a 16-Year-Old Boy: Full Recovery after Angiography with Local Spasmolysis, Systemic Vasodilatation, and Anticoagulation[J] . European Journal of Pediatric Surgery Reports . 2018 (1)
[2]  
[An unexpected complication: glans ischemia after circumcision. Review of the literature].[J] . Cárdenas Elías M á,Vázquez Rueda F,Jiménez Crespo V,Siu Uribe A,Murcia Pascual F J,Betancourth Alvarenga J E,Paredes Esteban R M. Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica . 2016 (3)
[3]   Delayed Glans Necrosis after Circumcision: Role of Testosterone in Salvaging Glans [J].
Aminsharifi, Alireza ;
Afsar, Firouzeh ;
Tourchi, Ali .
INDIAN JOURNAL OF PEDIATRICS, 2013, 80 (09) :791-793
[4]  
Postcircumcisional ischemia of the glans penis treated with pentoxifylline.[J] . Karaguzel Ersagun,Tok Dogan S,Kazaz Ilke O,Gur Metin,Colak Fatih,Kutlu Omer,Ozgur Guner K. Case reports in urology . 2013
[5]   Successful Treatment With Enoxaparin of Glans Ischemia Due to Local Anesthesia After Circumcision [J].
Efe, Erkan ;
Resim, Sefa ;
Bulut, Burak Besir ;
Eren, Mustafa ;
Garipardic, Mesut ;
Ozkan, Fuat ;
Ozkan, Keramettin Ugur .
PEDIATRICS, 2013, 131 (02) :E608-E611
[6]   Caudal anaesthesia as a treatment for penile ischaemia following circumcision [J].
Kaplanian, S. ;
Chambers, N. A. ;
Forsyth, I. .
ANAESTHESIA, 2007, 62 (07) :741-743
[7]  
Severe ischemia of the glans penis following circumcision: a successful treatment via pentoxifylline.[J] . Aslan Adnan,Karagüzel Güng?r,Melikoglu Mustafa. International journal of urology : official journal of the Japanese Urological Association . 2005 (7)
[8]  
Glycerol trinitrate plus epidural sympathetic block in the ischemia of glans penis.[J] . Ozzeybek D,Koca U,Elar Z,Olguner M,Hakgüder G. Anesthesia and analgesia . 1999 (4)
[9]   NECROSIS OF THE GLANS PENIS FOLLOWING NEONATAL CIRCUMCISION [J].
STERENBERG, N ;
GOLAN, J ;
BENHUR, N .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1981, 68 (02) :237-238