Purpose
Non-therapeutic male circumcision is performed across the country at different ages according to parents’ choice, religion, social and cultural attitudes. There are no national medical guidelines for parents, physicians and independent providers.
Our aim is to review the outcome of circumcision in a community clinic to determine the appropriate age for circumcision.
Material and Methods
We reviewed the outcome of non-therapeutic male circumcision (n=1387) over a 1-year period (May 2014 to April 2015) in a community clinic, performed under local anaesthesia, using Circumplast® (n=208) and Plastibell® (n=1179) devices.
Data was collected prospectively and early postoperative complications were compared in children under 6 months (Group A) and 6 to 110 months of age (Group B). Follow-up consultations were arranged if required.
Results
Mean age was 1.6 ± 0.04 months (median 1.1) in Group A and 38 ± 1.6 months (median 29) in Group B.
Complications were significantly lower in Group A (7.1% n=74/1038) versus Group B (26.7% n=93/349) (p<0.5).
Ring impaction/migration was significantly lower in Group A versus Group B (2.6% vs 23% n=27 vs 81, p<0.5).
Postoperative use of antibiotics was lower in Group A versus Group B (4.3% vs 6.9% n=45 vs 25) but not statistically significant (P>0.05).
Follow-up was required significantly less in Group A (25% vs 52%, p<0.5). Mean follow-up was 24 days (range 1 to 305) in Group A and 14 days (range 1 to 373) in Group B.
Conclusions
Incidence of complications in circumcision for children under 6 months is significantly lower when compared to those aged 6 to 110 months.
We can conclude that under 6 months is the optimal age for non-therapeutic male circumcision in a community clinic using Circumplast® and Plastibell® devices.
This study was done at Thornhill clinic.
Source
27th ESPU Congress – Harrogate, England, UK – 2016
Comment by Dr Khan
In my experience of 22 years, the ideal age of newborn circumcision is under one month of age. Healing is quicker and there are fewer complications at this age.
