URETHRAL INJURY AS A RARE COMPLICATION OF CIRCUMCISION: A CASE REPORT AND LITERATURE REVIEW
Objective: In this report, we describe the case of urethral injuries after circumcision. Case(s) Presentation: A 5-year-old male came to the urology clinic complaining of urine seeping through the gauze-covered wound. The patient had undergone circumcision. Before the procedure, the patient could g...
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| Format: | Article |
| Language: | English |
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IKATAN AHLI UROLOGI INDONESIA
2022-04-01
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| Series: | Jurnal Urologi Indonesia |
| Subjects: | |
| Online Access: | http://juri.urologi.or.id/juri/article/view/764 |
| _version_ | 1818047916666781696 |
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| author | Budi Suwarno Ogi Bahaurini Gumilar Achmad Romy Syahrial Rozidi Rahmat Sayyid Zharfan |
| author_facet | Budi Suwarno Ogi Bahaurini Gumilar Achmad Romy Syahrial Rozidi Rahmat Sayyid Zharfan |
| author_sort | Budi Suwarno |
| collection | DOAJ |
| description |
Objective: In this report, we describe the case of urethral injuries after circumcision. Case(s) Presentation: A 5-year-old male came to the urology clinic complaining of urine seeping through the gauze-covered wound. The patient had undergone circumcision. Before the procedure, the patient could generally urinate through the external urethral orifice. His parent realized that the urine was flowing out through the circumcision scar instead of the external orifice. Even though the wound was open and wet, he felt painless when urinating. After cleaning the wound, it appeared that there was a sizeable chromic catgut thread knotted on the right corpus cavernosum. The pendular urethra was cut widely; therefore, the urine came out of this spot. A six French Foley catheter was inserted over the external urethral orifice, the cut urethra towards the bladder. The injured urethra was expected to be attached to simplify the next six-month operation by inserting this urinary catheter. Discussion: Urethral injury post circumcision is rarely reported, but this complication is dangerous due to its morbidity and long-term impact. The paradigm shift from two-stage repair to one-stage repair has developed. Mathieu’s modified technique and the Snodgrass technique are recommended. Conclusion: Urethral injury during circumcision can be devastating. The repair technique for urethral trauma depends on the involvement and condition of the surrounding soft tissue, also the size of the tissue damage.
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| first_indexed | 2024-12-10T10:13:24Z |
| format | Article |
| id | doaj.art-10ad511f30fd42459e6ebf2d021a5161 |
| institution | Directory Open Access Journal |
| issn | 0853-442X 2355-1402 |
| language | English |
| last_indexed | 2024-12-10T10:13:24Z |
| publishDate | 2022-04-01 |
| publisher | IKATAN AHLI UROLOGI INDONESIA |
| record_format | Article |
| series | Jurnal Urologi Indonesia |
| spelling | doaj.art-10ad511f30fd42459e6ebf2d021a51612022-12-22T01:53:04ZengIKATAN AHLI UROLOGI INDONESIAJurnal Urologi Indonesia0853-442X2355-14022022-04-0129210.32421/juri.v29i2.764URETHRAL INJURY AS A RARE COMPLICATION OF CIRCUMCISION: A CASE REPORT AND LITERATURE REVIEWBudi Suwarno0Ogi Bahaurini Gumilar1Achmad Romy Syahrial Rozidi2Rahmat Sayyid Zharfan3Urologist, Department of Surgery, Soebandi General Hospital, JemberUrologist, Department of Surgery, Soebandi General Hospital, JemberFaculty of Medicine/Universitas Airlangga, SurabayaFaculty of Medicine/Universitas Airlangga, Surabaya Objective: In this report, we describe the case of urethral injuries after circumcision. Case(s) Presentation: A 5-year-old male came to the urology clinic complaining of urine seeping through the gauze-covered wound. The patient had undergone circumcision. Before the procedure, the patient could generally urinate through the external urethral orifice. His parent realized that the urine was flowing out through the circumcision scar instead of the external orifice. Even though the wound was open and wet, he felt painless when urinating. After cleaning the wound, it appeared that there was a sizeable chromic catgut thread knotted on the right corpus cavernosum. The pendular urethra was cut widely; therefore, the urine came out of this spot. A six French Foley catheter was inserted over the external urethral orifice, the cut urethra towards the bladder. The injured urethra was expected to be attached to simplify the next six-month operation by inserting this urinary catheter. Discussion: Urethral injury post circumcision is rarely reported, but this complication is dangerous due to its morbidity and long-term impact. The paradigm shift from two-stage repair to one-stage repair has developed. Mathieu’s modified technique and the Snodgrass technique are recommended. Conclusion: Urethral injury during circumcision can be devastating. The repair technique for urethral trauma depends on the involvement and condition of the surrounding soft tissue, also the size of the tissue damage. http://juri.urologi.or.id/juri/article/view/764circumcisioncomplicationsfistulapediatricurethral injury |
| spellingShingle | Budi Suwarno Ogi Bahaurini Gumilar Achmad Romy Syahrial Rozidi Rahmat Sayyid Zharfan URETHRAL INJURY AS A RARE COMPLICATION OF CIRCUMCISION: A CASE REPORT AND LITERATURE REVIEW Jurnal Urologi Indonesia circumcision complications fistula pediatric urethral injury |
| title | URETHRAL INJURY AS A RARE COMPLICATION OF CIRCUMCISION: A CASE REPORT AND LITERATURE REVIEW |
| title_full | URETHRAL INJURY AS A RARE COMPLICATION OF CIRCUMCISION: A CASE REPORT AND LITERATURE REVIEW |
| title_fullStr | URETHRAL INJURY AS A RARE COMPLICATION OF CIRCUMCISION: A CASE REPORT AND LITERATURE REVIEW |
| title_full_unstemmed | URETHRAL INJURY AS A RARE COMPLICATION OF CIRCUMCISION: A CASE REPORT AND LITERATURE REVIEW |
| title_short | URETHRAL INJURY AS A RARE COMPLICATION OF CIRCUMCISION: A CASE REPORT AND LITERATURE REVIEW |
| title_sort | urethral injury as a rare complication of circumcision a case report and literature review |
| topic | circumcision complications fistula pediatric urethral injury |
| url | http://juri.urologi.or.id/juri/article/view/764 |
| work_keys_str_mv | AT budisuwarno urethralinjuryasararecomplicationofcircumcisionacasereportandliteraturereview AT ogibahaurinigumilar urethralinjuryasararecomplicationofcircumcisionacasereportandliteraturereview AT achmadromysyahrialrozidi urethralinjuryasararecomplicationofcircumcisionacasereportandliteraturereview AT rahmatsayyidzharfan urethralinjuryasararecomplicationofcircumcisionacasereportandliteraturereview |