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Complications of circumcision

Jenny H Yiee, MD
Laurence S Baskin, MD, FAAP
Section Editors
Charles J Lockwood, MD, MHCM
Martin I Lorin, MD
Duncan Wilcox, MD
Deputy Editor
Melanie S Kim, MD


Circumcision in the male refers to the surgical removal of the foreskin (ie, prepuce) of the penis. The procedure is centuries old and continues to be performed for a variety of religious, cultural, and medical reasons. Debate continues as to the utility of circumcision, The 2012 American Academy of Pediatrics (AAP) policy statement regarding newborn circumcision states, preventive health benefits of elective circumcision of male newborns outweigh the risks of the procedure," but did not recommend it for all newborns, instead leaving the decision to each parent [1]. Despite this controversy, circumcision is the most common operation in the United States. A survey in 1992 showed 77 percent of US-born men to be circumcised and 42 percent of non-United States born men to be circumcised [2].

Complications of circumcision and their management will be reviewed here. Circumcision technique and its risks and benefits are discussed separately. (See "Techniques for neonatal circumcision" and "Neonatal circumcision: Risks and benefits".)


Careful, meticulous attention to penile anatomy (figure 1) and the correct use of surgical equipment by trained clinicians can prevent most complications from circumcision.

The rate of procedure-related complications during and after circumcision in the neonate is approximately 2 to 6 per 1000 [3-5]. This rate increases 20-fold for boys who are circumcised between one and nine years of age, and 10-fold for those circumcised after 10 years of age [4]. Inadequate training of clinicians contributes to complications, as practitioners without formal training may not recognize congenital malformations (eg, congenital buried penis and penoscrotal webbing) that are more likely to result in poor results when using routine conventional methods (picture 1 and picture 2) [6]. Patients with these abnormalities should be referred to a pediatric urologist.

Most of these problems are readily treatable and cause no long-term effects. However, when complications occur, especially surgical complications, specialist referral may be required for evaluation and reoperation.


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Literature review current through: Sep 2016. | This topic last updated: Aug 3, 2016.
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