Difference between revisions of "Ischemia of the glans penis"

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(Disruption of blood circulation: Add text and citation.)
(Disruption of blood circulation: Add text and citations.)
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Male circumcision frequently includes excision of the [[frenulum]], which carries the frenular artery. The frenular artery supplies arterial blood to to the [[glans penis]], so the excission of the frenulum reduces the supply of arterial blood to the glans penis.
 
Male circumcision frequently includes excision of the [[frenulum]], which carries the frenular artery. The frenular artery supplies arterial blood to to the [[glans penis]], so the excission of the frenulum reduces the supply of arterial blood to the glans penis.
  
In addition, circumcision severs veins on the dorsal side of the shaft which return blood to the heart. This frequently results in post-circumcision [[lymphoedema]] due to the reduction in blood circulation. Ferhatoglu et al. (2019) reported edema in 108 of 198 patients or 54.5 percent, indicating substantial impairment of circulation.<ref>{{REFjournal
+
Circumcision also disrupts the return flow of blood to the heart. Veins in the prepuce provide "at least part of the drainage of the glans surface."<ref name="mcgrath2001">{{REFbook
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|last=McGrath
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|first=Ken
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|init=
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|author-link=
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|year=2001
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|title=The Frenular Delta: A New Preputial Stucture
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|url=http://www.cirp.org/library/anatomy/mcgrath1/
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|work=Understanding Circumcision: A Multi-Disciplinary Approach to a Multi-Dimensional Problem
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|editor=Denniston GC, Hodges FM, Milos MF, editors.
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|edition=
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|volume=
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|chapter=
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|pages=
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|location=New York
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|publisher=Kluwer/Plenum,
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|ISBN=
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|quote=
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|accessdate=2022-02-20
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|note=
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}}</ref> Moreover, the dorsal veins from the [[acroposthion]] are severed and excised by circumcision. This frequently results in post-circumcision [[lymphoedema]] due to the reduction in blood circulation. Ferhatoglu et al. (2019) reported edema in 108 of 198 patients or 54.5 percent, indicating substantial impairment of circulation.<ref>{{REFjournal
 
  |last=Ferhatoglu
 
  |last=Ferhatoglu
 
  |first=
 
  |first=

Revision as of 19:58, 20 February 2022

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Ischemia of the glans penis is a complication of circumcision.[1]

Disruption of blood circulation

Male circumcision frequently includes excision of the frenulum, which carries the frenular artery. The frenular artery supplies arterial blood to to the glans penis, so the excission of the frenulum reduces the supply of arterial blood to the glans penis.

Circumcision also disrupts the return flow of blood to the heart. Veins in the prepuce provide "at least part of the drainage of the glans surface."[2] Moreover, the dorsal veins from the acroposthion are severed and excised by circumcision. This frequently results in post-circumcision lymphoedema due to the reduction in blood circulation. Ferhatoglu et al. (2019) reported edema in 108 of 198 patients or 54.5 percent, indicating substantial impairment of circulation.[3]

Case reports

References

  1. REFjournal Pepe, Pietro, Pietropaolo, Francesco, Candiano, Guiseppe, Pennisi, Michele. Ischemia of the glans penis following circumcision: case report and revision of the literature. Arch Ital Urol Androl. 31 March 2015; 87(1): 93-4. PMID. DOI. Retrieved 20 February 2022.
    Quote: The patient had undergone circumcision 5 days before in a surgery department under local anesthesia.
  2. REFbook McGrath, Ken (2001): The Frenular Delta: A New Preputial Stucture. Work: Understanding Circumcision: A Multi-Disciplinary Approach to a Multi-Dimensional Problem. Denniston GC, Hodges FM, Milos MF, editors. (ed.). New York: Kluwer/Plenum,. Retrieved 20 February 2022.
  3. REFjournal Ferhatoglu Mf, Kartal A, Gurkan A. Evaluation of Male Circumcision: Retrospective Analysis of One Hundred and Ninety-eight Patients. Cureus. 27 April 2019; 11(4): e4555. PMID. PMC. DOI. Retrieved 20 February 2022.