RESUMEN
Circumcision is the most commonly performed operation in males worldwide and is an integral part of several religions like Islam and Judaism. Medical indications of circumcision are a few. Circumcision is contraindicated in a number of congenital penile disorders, including hypospadias, epispadias, chordee, buried penis and micropenis. Various techniques are available for performing circumcision. Complications include haemorrhage, infection, and meatal injury resulting in stenosis, removal of incorrect amount of skin, penile injury, urethral injury and painful scarring. However many of these complications can be prevented by using precise surgical techniques, meticulous asepsis and haemostasis
Objectives: To note indications, age of children and complications developing after circumcision
Patients and Methods: The study was conducted in the Surgical Department of Ch. Rahmat Ali Memorial Hospital, Township, Lahore, from Jan 2009 to Dec 2011. A total of 1000 cases were included in the study
Results: 860 [86%] children had circumcision performed in the surgical department and 140[14%] were referred to our unit after circumcision performed by quacks, barbers and general practitioners, after developing some complications. Ritual [religious] circumcision was done in 936 [93.6%]. 64 [6.4%] had medical indications. Out of 936, 815 [87%] were Muslims and 121 [13%] were non Muslims. 64 [6.4%] children were circumcised because of medical indications, mainly phimosis and paraphimosis. 140 [14%] children were referred to our unit because of complications, mainly bleeding in 34 [24%], infection in 20 [14.2%], under circumcision in 85 [60.7%] and excessive removal of skin in 1 [0.7%] child. The only complication which occurred in children operated in the hospital was infection in 6 [0.7%]children. Ages of the children were: Less than 1 month- 208 [20.8%] 1 to 12 months- 655 [65.5%] 1to 5 years- 110 [11%] More than 5 years- 27 [2.7%]