Circumcision Revision: A Systematic Review On Indications Of Revision And Complications Of Surgery

Abstract

Objective: Circumcision revision may be required if patients experienced complications after the primary surgery. This systematic review aims to identify the indications for circumcision revision in children, the specialties of the physicians who performed the initial circumcisions, the types and incidences of complications after surgery.

Methodology: We searched for relevant articles in PubMed/MEDLINE, Cochrane Library, Scopus, and Web of Science. We studied the following outcome: Indications for circumcision revision, the specialty of the physicians who performed the initial circumcision, incidence of complications after surgery, and Simultaneous Additional Procedures.

Results: We reviewed six studies with 9,924 males met our inclusion criteria. The primary indications for revision included redundant foreskin, meatal stenosis, and concealed penis. Medical practitioners performed most primary circumcisions. The overall complication rate ranged from 1.5% to 3.4%. Additional procedures, such as herniotomy and orchiopexy, may be required in 8.9% to 30.4% of revisions. Older age at primary circumcision and non-medical practitioners’ involvement were associated with higher complications and revision rates.

Conclusion: Circumcision is a common procedure, which may require revision due to complications like redundant skin or meatal stenosis. Optimal outcomes depend on precise surgical techniques, adequate foreskin excision, and proper suturing, along with preoperative counseling and postoperative care.