Circumcision: a safe and adequate technique

Circumcision is a routine procedure in our community for all males for a religious purpose. The majority are done in the neonatal period. For the first time in Saudi literature we established in our hospital a criteria for adequate circumcision and recommended guidelines to achieve these criteria which proved to be effective in performing satisfactory circumcision. We modified the technique to achieve further ease in adjusting the appropriate preputal level of cut without fear in injuring the glans penis, which we found to be of concern to the junior practitioner, particularly in babies in the lower range of normal penile length. This modification was applied to the circumcision of 1188 male infants circumcised over a period of four years aiming at a safe, adequate, and easily applicable procedure even for junior staff to do with basic available instruments

Cloacal exstrophy: experience at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Cloacal exstrophy is one of the complex anomalies which challenge the pediatric surgeons infrequently. At King Abdulaziz University Hospital, Jeddah, we had the experience of managing four cases. The reconstruction was achieved in stages and involved gastrointestinal, urological, genital. and musculoskeletal systems. All the managed cases were raised as their original genotype. A fifth case died before any surgical intervention, due to a major cardiac congenital anomaly. The aim of the present study is to report such rare anomalies and to present our experience in their management