Comparative study of early neonatal vs late circumcision in terms of post operative complications: a prospective randomized study.
OBJECTIVE: To compare early neonatal versus late circumcision by plastibell in terms of postoperative complications.
MATERIAL AND METHODS: It was a randomized controlled trial study conducted at Department of Pediatric Surgery Shifa International Hospital Islamabad from January 2018 to November 2019. The present study is a prospective analytical review of 482 uncircumcised patients. Variables which were observed in this study were age, mode of presentation and complications. We divided patients in 2 groups, in Group A circumcision was done within first 3 days of life and in Group B circumcision was done from in conventional manner after one week of life till 3 months of age.
RESULTS: Total 482 patients were presented during this study period out of which 70 belong to Group A and 412 belong to Group B. In Group A, bell retraction was seen in 4 patients (5.71%), infection of glans in the form of flakes of pus was seen in 1 patient (1.42%), delayed fall was seen in 2 patients (2.85%) and meatal ulcer was seen in 1 patient (1.42%). In Group B, bell retraction was seen in 8 patients (1.94%), infection in 4 patients (0.97%) and delayed fall in 4 patients (0.97%). Complications like bleeding, over/under circumcision, smegmal cyst, meatal stenosis and urethrocutaneous fistula were not seen in any group.
CONCLUSION: We conclude that neonatal circumcision done within first 3 days of life or even soon after birth is safe and has no significant difference of complications as compared to patients in whom circumcision is done at a later stage. We recommend to perform circumcision before discharge of the mother. Thus the apprehension amongst the medical community regarding early neonatal circumcision is unjustified.
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