Difference between revisions of "Cicatrix"
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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 | ||
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|title=Cicatrix | |title=Cicatrix | ||
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| − | |||
| − | |||
|publisher=The Free Dictionary | |publisher=The Free Dictionary | ||
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|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 07:00, 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.
