Cicatrix: Difference between revisions
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A '''cicatrix''' is a scar resulting from "the healing of a wound, such as one caused by injury, illness, smallpox vaccination, or surgery." Scar tissue is formed by dense masses of granulation tissue.<ref>{{REFweb | A '''cicatrix''' is a scar resulting from "the healing of a wound, such as one caused by injury, illness, smallpox vaccination, or surgery." Scar tissue is formed by dense masses of granulation tissue.<ref>{{REFweb | ||
|url=https://medical-dictionary.thefreedictionary.com/cicatrix | |url=https://medical-dictionary.thefreedictionary.com/cicatrix | ||
|title=Cicatrix | |title=Cicatrix | ||
|publisher=The Free Dictionary | |publisher=The Free Dictionary | ||
|date=2012 | |date=2012 | ||
|accessdate=2022-01-16 | |accessdate=2022-01-16 | ||
| | }}</ref> | ||
All circumcision [[amputation| amputations]] leave a scar. The [[circumcision scar]] is noted for the unique way in which dissimilar tissue is mated at the scar. There usually is a unnatural visible texture and color change because [[skin]] on the proximal side is fused with [[mucosa]] on the distal side of the cicatrix. | |||
==Problem cicatrices== | |||
A circumcision scar may contract and trap the [[glans penis]] inside a tight scar, thus creating [[iatrogenic]] [[phimosis]]. Alpert et al. (2018) presented their successful experience that combines cicatrix [[stretching]] with a hemostat using local anesthesia in the office followed by several weeks of topical steroids with a minority of patients needing any additional therapy.<ref name="alpert2018">{{REFjournal | |||
|last=Alpert | |||
|first=Seth A. | |||
|init=SA | |||
|author-link= | |||
|last2=Ching | |||
|first2=Christina B. | |||
|init2=CB | |||
|author2-link= | |||
|last3=DaJusta | |||
|first3=Daniel G. | |||
|init3=DG | |||
|author3-link= | |||
|etal=yes | |||
|title=Combination treatment for cicatrix after neonatal circumcision: An office-based solution to a challenging problem | |||
|journal=Journal of Pediatric Urology | |||
|location= | |||
|date=2018-06-27 | |||
|volume=14 | |||
|issue=5 | |||
|article= | |||
|page= | |||
|pages=P471-5 | |||
|url=https://www.jpurol.com/article/S1477-5131(18)30318-8/fulltext | |||
|archived= | |||
|quote= | |quote= | ||
|pubmedID=29980391 | |||
|pubmedCID= | |||
|DOI=https://doi.org/10.1016/j.jpurol.2018.05.022 | |||
|accessdate=2022-01-17 | |||
}}</ref> | }}</ref> | ||
Fekete et al. (2011) reported 48 revisions to [[Adolescent and adult circumcision| adult circumcisions]]. The revisions were deemed necessary due to such issues as hypertrophic scar (n = 21, 44%), scar wrinkling (n = 13, 27%), incomplete circumcision (redundant foreskin) (n = 11, 23%) and paraphimosis (n = 3, 6%). Two patients required a second revision.<ref name="fekete2011">{{REFjournal | |||
|last=Fekete | |||
|first=Ferenc | |||
|init=F | |||
|author-link= | |||
|last2=Török | |||
|first2=Alexander | |||
|init2=A | |||
|author2-link= | |||
|last3=Nyirády | |||
|first3=Peter | |||
|init3=P | |||
|author3-link= | |||
|etal=no | |||
|title=Revisions after unsatisfactory adult circumcisions | |||
|journal=Int Urol Nephrol | |||
|location= | |||
|date=2011-06 | |||
|volume=43 | |||
|issue=2 | |||
|article= | |||
|page= | |||
|pages=431-5 | |||
|url=https://link.springer.com/article/10.1007%2Fs11255-010-9820-x | |||
|archived= | |||
|quote= | |||
|pubmedID=20878472 | |||
|pubmedCID= | |||
|DOI=10.1007/s11255-010-9820-x | |||
|accessdate=2022-01-17 | |||
}}</ref> | |||
{{SEEALSO}} | |||
* [[Circumcision scar]] | |||
{{REF}} | {{REF}} | ||
[[Category: | [[Category:Circumcision_complication]] | ||
[[ | [[Category:Medical term]] | ||
[[de:Narbe]] | |||
Latest revision as of 06:00, 18 August 2023
A cicatrix is a scar resulting from "the healing of a wound, such as one caused by injury, illness, smallpox vaccination, or surgery." Scar tissue is formed by dense masses of granulation tissue.[1]
All circumcision amputations leave a scar. The circumcision scar is noted for the unique way in which dissimilar tissue is mated at the scar. There usually is a unnatural visible texture and color change because skin on the proximal side is fused with mucosa on the distal side of the cicatrix.
Problem cicatrices
A circumcision scar may contract and trap the glans penis inside a tight scar, thus creating iatrogenic phimosis. Alpert et al. (2018) presented their successful experience that combines cicatrix stretching with a hemostat using local anesthesia in the office followed by several weeks of topical steroids with a minority of patients needing any additional therapy.[2]
Fekete et al. (2011) reported 48 revisions to adult circumcisions. The revisions were deemed necessary due to such issues as hypertrophic scar (n = 21, 44%), scar wrinkling (n = 13, 27%), incomplete circumcision (redundant foreskin) (n = 11, 23%) and paraphimosis (n = 3, 6%). Two patients required a second revision.[3]
See also
References
- ↑
(2012). Cicatrix
, The Free Dictionary. Retrieved 16 January 2022. - ↑
Alpert SA, Ching CB, DaJusta DG, et al. Combination treatment for cicatrix after neonatal circumcision: An office-based solution to a challenging problem. Journal of Pediatric Urology. 27 June 2018; 14(5): P471-5. PMID. DOI. Retrieved 17 January 2022.
- ↑ Fekete F, Török A, Nyirády P. Revisions after unsatisfactory adult circumcisions. Int Urol Nephrol. June 2011; 43(2): 431-5. PMID. DOI. Retrieved 17 January 2022.
