Difference between revisions of "Skin bridge"
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− | ''' | + | A '''skin bridge''' is a well-known and well-documented [[iatrogenic]] [[complication]] of non-therapeutic infant [[circumcision]].<ref name="krill2011">{{REFjournal |
+ | |last=Krill | ||
+ | |first=Aaron J. | ||
+ | |init= | ||
+ | |author-link= | ||
+ | |last2=Palmer | ||
+ | |first2=Lane S. | ||
+ | |init2= | ||
+ | |author2-link= | ||
+ | |last3=Palmer | ||
+ | |first3=Jeffrey S. | ||
+ | |init3= | ||
+ | |author3-link= | ||
+ | |etal= | ||
+ | |title=Complications of circumcision | ||
+ | |trans-title= | ||
+ | |language= | ||
+ | |journal= ScientificWorldJournal | ||
+ | |location= | ||
+ | |date=2011-12-26 | ||
+ | |volume=11 | ||
+ | |issue= | ||
+ | |article= | ||
+ | |page= | ||
+ | |pages=2458-68 | ||
+ | |url=https://www.hindawi.com/journals/tswj/2011/373829/ | ||
+ | |archived= | ||
+ | |quote= | ||
+ | |pubmedID=22235177 | ||
+ | |pubmedCID=3253617 | ||
+ | |DOI=https://doi.org/10.1100/2011/373829 | ||
+ | |accessdate=2022-01-27 | ||
+ | }}</ref> | ||
− | Infant [[circumcision]] requires that the [[foreskin]] first be torn from the [[glans penis]] by passing a blunt probe under the foreskin to rip the [[synechia]] that binds the infant foreskin to the glans penis and separate the foreskin so that it may be amputated. This leaves the surface of the glans penis in a raw condition. | + | Infant [[circumcision]] requires that the [[foreskin]] first be torn from the [[glans penis]] by passing a blunt probe under the [[foreskin]] to rip the [[synechia]] that binds the infant foreskin to the glans penis and separate the foreskin so that it may be amputated. This leaves the surface of the glans penis in a raw condition. |
− | The wound of an infant circumcision is not sutured so the remnant of the foreskin is free to fall where it may. In some cases | + | The wound of an infant circumcision is not sutured so the remnant of the foreskin is free to fall where it may. In some cases it falls into contact with the raw [[glans penis]], adheres, and heals to the glans, forming a [[skin]] bridge.<ref>{{REFjournal |
|last=Gracely-Kilgore | |last=Gracely-Kilgore | ||
|first=Katherine | |first=Katherine | ||
+ | |init=K | ||
|author-link= | |author-link= | ||
|etal=no | |etal=no | ||
Line 26: | Line 59: | ||
}}</ref> | }}</ref> | ||
− | Skin bridges may be corrected by a urologist. | + | [[Skin]] bridges may be surgically corrected by a urologist.<ref>{{REFjournal |
+ | |last=Snodgrass | ||
+ | |first=Warren | ||
+ | |init= | ||
+ | |author-link= | ||
+ | |etal=no | ||
+ | |title=Extensive skin bridging with glans epithelium replacement by penile shaft skin following newborn circumcision | ||
+ | |trans-title= | ||
+ | |language= | ||
+ | |journal= J Pediatr Urol | ||
+ | |location= | ||
+ | |date=2006-12 | ||
+ | |volume=2 | ||
+ | |issue=6 | ||
+ | |article= | ||
+ | |page= | ||
+ | |pages=555-8 | ||
+ | |url=https://www.jpurol.com/article/S1477-5131(06)00013-1/fulltext | ||
+ | |archived= | ||
+ | |quote= | ||
+ | |pubmedID=18947680 | ||
+ | |pubmedCID= | ||
+ | |DOI=10.1016/j.jpurol.2006.01.010 | ||
+ | |accessdate=2021-06-04 | ||
+ | }}</ref> <ref>{{REFbook | ||
+ | |last=Romberg | ||
+ | |first=Rosemary | ||
+ | |init= | ||
+ | |author-link=Rosemary Romberg | ||
+ | |year=2021 | ||
+ | |title=Circumcision — The Painful Dilemma | ||
+ | |url=https://circumcisionthepainfuldilemma.wordpress.com/ | ||
+ | |work= | ||
+ | |editor=[[Ulf Dunkel]] | ||
+ | |edition=Second Edition, Revised | ||
+ | |volume= | ||
+ | |chapter=Skin Bridge | ||
+ | |scope= | ||
+ | |page= | ||
+ | |pages=282-3 | ||
+ | |location= | ||
+ | |publisher=Kindle | ||
+ | |ISBN=23: 979-8683021252 | ||
+ | |quote= | ||
+ | |accessdate=2023-08-31 | ||
+ | |note= | ||
+ | }}</ref> | ||
+ | |||
+ | [[Intact]] males do not have skin bridges. | ||
+ | |||
+ | ==Video== | ||
+ | <br> | ||
+ | Dr. Sacher Kuber of Pune, India explains and demonstrates the release of a post-circumcision skin bridge. | ||
+ | <youtube>v=qU-FU1eMsVM</youtube> | ||
+ | |||
+ | {{SEEALSO}} | ||
+ | * [[Retraction of the foreskin]] | ||
{{LINKS}} | {{LINKS}} | ||
− | + | * {{REFweb | |
+ | |url=http://covenantcircumcision.info/pages/skinbridges.html | ||
+ | |title=Skin bridges, enlarged to show detail | ||
+ | |last= | ||
+ | |first= | ||
+ | |init= | ||
+ | |publisher=Covenant Circumcision | ||
+ | |date= | ||
+ | |accessdate=2023-08-22 | ||
+ | }} | ||
* {{REFweb | * {{REFweb | ||
|url=http://www.circumstitions.com/Restric/Botched1sb.html | |url=http://www.circumstitions.com/Restric/Botched1sb.html | ||
Line 44: | Line 142: | ||
|accessdate=2020-06-17 | |accessdate=2020-06-17 | ||
|format= | |format= | ||
− | |quote=A skin-bridge is formed when the raw remnant where the foreskin was cut attaches to the raw surface of the glans and heals that way. This happens after the doctor has lost interest in the case and the mother, who has been told her son's circumcised penis is now "low maintenance" and has no idea what it is "supposed" to look like, does not notice that anything is the matter. | + | |quote=A [[skin]]-bridge is formed when the raw remnant where the foreskin was cut attaches to the raw surface of the glans and heals that way. This happens after the doctor has lost interest in the case and the mother, who has been told her son's circumcised penis is now "low maintenance" and has no idea what it is "supposed" to look like, does not notice that anything is the matter. |
− | }} | + | }} See photographs on page 103 ''et seq.'' |
− | |||
− | See photographs on page 103 ''et seq'' | ||
− | |||
* {{REFbook | * {{REFbook | ||
|last=Fahmy | |last=Fahmy | ||
|first=Mohamed | |first=Mohamed | ||
+ | |init=M | ||
|year=2009 | |year=2009 | ||
|title=Complications in Male Circumcision | |title=Complications in Male Circumcision | ||
|url=http://circumcisionharm.org/images-circharm.org/Fahmy%20Ch%2010,%2011,%20title,%20TofC.pdf | |url=http://circumcisionharm.org/images-circharm.org/Fahmy%20Ch%2010,%2011,%20title,%20TofC.pdf | ||
− | | | + | |page=193 |
|isbn=978-0-323-68127-8 | |isbn=978-0-323-68127-8 | ||
|accessdate=2020-06-23 | |accessdate=2020-06-23 | ||
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{{REF}} | {{REF}} | ||
+ | [[Category:Circumcision complication]] | ||
+ | [[Category:Circumcision risk]] | ||
+ | [[Category:Parental information]] | ||
− | [[ | + | [[de:Hautbrücke]] |
− |
Revision as of 09:42, 21 December 2023
A skin bridge is a well-known and well-documented iatrogenic complication of non-therapeutic infant circumcision.[1]
Infant circumcision requires that the foreskin first be torn from the glans penis by passing a blunt probe under the foreskin to rip the synechia that binds the infant foreskin to the glans penis and separate the foreskin so that it may be amputated. This leaves the surface of the glans penis in a raw condition.
The wound of an infant circumcision is not sutured so the remnant of the foreskin is free to fall where it may. In some cases it falls into contact with the raw glans penis, adheres, and heals to the glans, forming a skin bridge.[2]
Skin bridges may be surgically corrected by a urologist.[3] [4]
Intact males do not have skin bridges.
Contents
Video
Dr. Sacher Kuber of Pune, India explains and demonstrates the release of a post-circumcision skin bridge.
See also
External links
-
Skin bridges, enlarged to show detail
, Covenant Circumcision. Retrieved 22 August 2023. - Young, Hugh.
A Gallery of Circumcisions 1. Skin-bridges
, www.circumstitions.com. Retrieved 17 June 2020.
Quote:A skin-bridge is formed when the raw remnant where the foreskin was cut attaches to the raw surface of the glans and heals that way. This happens after the doctor has lost interest in the case and the mother, who has been told her son's circumcised penis is now "low maintenance" and has no idea what it is "supposed" to look like, does not notice that anything is the matter.
See photographs on page 103 et seq. - Fahmy M (2009): Complications in Male Circumcision. P. 193. ISBN 978-0-323-68127-8. Retrieved 23 June 2020.
References
- ↑ Krill, Aaron J., Palmer, Lane S., Palmer, Jeffrey S.. Complications of circumcision. ScientificWorldJournal. 26 December 2011; 11: 2458-68. PMID. PMC. DOI. Retrieved 27 January 2022.
- ↑ Gracely-Kilgore K. Penile adhesion: the hidden complication of circumcision. Nurse Pract. 1984; 9(5): 22-4. PMID. Retrieved 17 June 2020.
- ↑ Snodgrass, Warren. Extensive skin bridging with glans epithelium replacement by penile shaft skin following newborn circumcision. J Pediatr Urol. December 2006; 2(6): 555-8. PMID. DOI. Retrieved 4 June 2021.
- ↑ Romberg, Rosemary (2021):
Skin Bridge
, in: Circumcision — The Painful Dilemma. Ulf Dunkel (ed.). Edition: Second Edition, Revised. Kindle. Pp. 282-3. ISBN 23: 979-8683021252. Retrieved 31 August 2023.