Evaluation of circumcision in terms of parental feedback and medical outcomes
Mehmet Ali Özen, Egemen Eroğlu
Koç Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, İstanbul, Türkiye
Keywords: Parents, circumcision, complications
Abstract
Objective: The prevalence of circumcision is virtually 100% in Turkey. The purpose of this study is to investigate the parental feedbacks and the medical outcomes of circumcision in a large cohort study.
Method: A questionnaire was designed to investigate parental opinions after circumcision of their children, and to document medical considerations. The questionnaire forms consisted of a total of 14 questions.
Results: Questionnaire survey results of a total of 1000 children were enrolled. As for parents underlying causes of circumcision were as follows; 1) pressure imposed by tradition, and social environment (n=606), 2) religious belief (n=132), 3) medical problems (n=125), 4) hygienic consideration (n=88). Statistically, the satisfaction rate of the parents who preferred the newborn circumcision was significantly higher. 66 The children had minor problems at first postoperative week (n=66), scab over the glans (n=8), edema and ecchymosis (n=11), adhesions (N=47), and upward deviated urination (n= 5). Buried penis developed after 34 newborn circumcisions and 16 of them resolved after 3±0.5 years. Thirty out of 33 cases of UTI resolved after circumcision.
Conclusion: Tradition is the main reason for circumcision. Newborn period and after 6 years of age were the most common circumcision ages. However, parents were apparently happier when their children were circumcised in the newborn period. From the parents’ perspectives newborn period was seen as the best time for circumcision. Meatal stenosis (web), after circumcision developed only after newborn circumcision and its incidence is lower than reported in the literature.
Atıf vermek için: Özen MA, Eroğlu E. Sünnetin ebeveyn geri bildirimi ve tıbbi sonuçlar açısından değerlendirilmesi. Çoc. Cer. Derg. 2019;33(2):65-71.