Complication: Difference between revisions
WikiModEn2 (talk | contribs) No edit summary |
WikiModEn2 (talk | contribs) |
||
| (54 intermediate revisions by 2 users not shown) | |||
| Line 6: | Line 6: | ||
|accessdate=2020-11-24 | |accessdate=2020-11-24 | ||
}}</ref> | }}</ref> | ||
{{Citation | |||
|Title= | |||
|Text=Although haemorrhage and sepsis are the main causes of morbidity, the variety of complications is enormous. The literature abounds with reports of morbidity and even death as a result of circumcision. | |||
|Author=Neville Williams & Leela Kapila | |||
|Source= | |||
|ref= | |||
}} | |||
== Definition == | == Definition == | ||
In medicine, a complication is the undesired development or the unexpectedly difficult course of a disease, trauma or therapy. Complications are therefore secondary events. | In medicine, a complication is the undesired development or the unexpectedly difficult course of a disease, [[trauma]] or therapy. Complications are therefore secondary events. | ||
In relation to drug therapy, the term "side effect" is used rather than "complication". | In relation to drug therapy, the term "side effect" is used rather than "complication". | ||
| Line 15: | Line 23: | ||
Complications of a disease can arise from many different mechanisms, for example through | Complications of a disease can arise from many different mechanisms, for example through | ||
* spread of inflammatory processes (e.g. septicemia in an abscess); | * spread of inflammatory processes (e.g. septicemia in an abscess); | ||
* bleeding complications (e.g. with anticoagulation); | * [[bleeding]] complications (e.g. with anticoagulation); | ||
* dysregulation (e.g. shock); | * dysregulation (e.g. [[shock]]); | ||
* chronic tissue damage (e.g. neuropathy in diabetes mellitus). | * chronic tissue damage (e.g. neuropathy in diabetes mellitus). | ||
| Line 26: | Line 34: | ||
== 47 classes of complications == | == 47 classes of complications == | ||
In a recently published meta-study, Iacob et al. (2021) defined 47 classes of complications arising from male circumcision.<ref>{{REFjournal | In a recently published meta-study, Iacob et al. (2021) defined 47 classes of complications arising from male circumcision.<ref name="iacob2021">{{REFjournal | ||
|last=Iacob | |last=Iacob | ||
|first=Stanca Iris | |first=Stanca Iris | ||
| Line 36: | Line 44: | ||
|first3=Lauren | |first3=Lauren | ||
|init3=L | |init3=L | ||
|author3-link=Lauren Sardi | |||
|title=Systematic review of complications arising from male circumcision | |title=Systematic review of complications arising from male circumcision | ||
|journal=BJUI Compass | |journal=BJUI Compass | ||
| Line 46: | Line 55: | ||
}}</ref> These are: | }}</ref> These are: | ||
# Extensive penile skin | # [[Extensive penile skin defect]]s / [[avulsion]] | ||
# Infection (minor and major) | # [[Infection]] (minor and major) | ||
# Penile herpes simplex virus type 1 infection (after Jewish ritual circumcision) | # [[Penile herpes simplex virus type 1 infection (after Jewish ritual circumcision)]] | ||
# Necrosis | # [[Necrosis]] | ||
# Partial penile/glans [[amputation]] | # Partial penile/glans [[amputation]] | ||
# Complete penile amputation | # [[Complete penile amputation]] | ||
# Penile haematoma | # [[Penile haematoma]] | ||
# [[Bleeding]] in the context of a genetic condition:haemophilia, sickle cell trait and factor VII deficiency | # [[Bleeding]] in the context of a genetic condition: haemophilia, sickle cell trait and factor VII deficiency | ||
# Oedema | # [[Oedema]] | ||
# Keloids | # [[Keloids]] | ||
# [[Phimosis]] (referring to pathological phimosis) | # [[Phimosis]] (referring to pathological phimosis) | ||
# [[Sudden Infant Death Syndrome|Sudden infant death syndrome]] | # [[Sudden Infant Death Syndrome|Sudden infant death syndrome]] | ||
# Haemorrhage | # [[Haemorrhage]] ([[bleeding]]) (outside of a genetic deficiency) | ||
# Nonhealing wound | # [[Nonhealing wound]] | ||
# [[Scrotum|Scrotal injuries]] | # [[Scrotum|Scrotal injuries]] | ||
# Preputial stenosis | # [[Preputial stenosis]] | ||
# [[Meatal stenosis]] | # [[Meatal stenosis]] | ||
# Cicatrix | # [[Cicatrix]] | ||
# Meatitis | # [[Meatitis]] | ||
# Trapped/buried/concealed/inconspicuous penis | # [[Trapped/buried/concealed/inconspicuous penis]] | ||
# Urethrocutaneous fistula | # [[Urethrocutaneous fistula]] | ||
# Iatrogenic [[hypospadias]] | # [[Iatrogenic]] [[hypospadias]] | ||
# Intraperitoneal bladder perforation (leading to life-threatening renal failure) | # [[Intraperitoneal bladder perforation]] (leading to life-threatening renal failure) | ||
# Circulatory [[shock]] | # Circulatory [[shock]] | ||
# [[Death]] (from bleeding or infection) | # [[Death]] (from [[bleeding]] or infection) | ||
# Unsatisfactory cosmetic results including uncircumcised appearance | # [[Unsatisfactory cosmetic results including uncircumcised appearance]] | ||
# Device displacement | # [[Device displacement]] | ||
# Early sloughing of foreskin tissue | # [[Early sloughing of foreskin tissue]] | ||
# Long foreskin obstructing urine flow | # [[Long foreskin obstructing urine flow]] | ||
# Insufficient foreskin removal/redundant foreskin | # [[Insufficient foreskin removal/redundant foreskin]] | ||
# (Acute) Ischaemia (which can lead to necrosis) | # (Acute) Ischaemia (which can lead to [[necrosis]]) | ||
# [[Pain]] | # [[Pain]] | ||
# [[Skin bridge]]s (penile skin adhesion) | # [[Skin bridge]]s (penile skin adhesion) | ||
# Fournier’s gangrene | # [[Fournier’s gangrene]] | ||
# Penile mycosis leading to penile gangrene | # [[Penile mycosis leading to penile gangrene]] | ||
# Glandular adhesion (of remnant foreskin) | # [[Glandular adhesion (of remnant foreskin)]] | ||
# Implantation dermoid/epidermal inclusion cysts/penile implantation cyst | # [[Dermoid cyst|Implantation dermoid/epidermal inclusion cysts/penile implantation cyst]] | ||
# Myiasis (fly infestation) | # [[Myiasis (fly infestation)]] | ||
# Denuded penis | # [[Denuded penis]] | ||
# Chordee | # [[Chordee]] | ||
# Suture sinus | # [[Suture sinus tract]]s | ||
# Lower clinical neurophysiological elicitability of | # [[Lower clinical neurophysiological elicitability of the penilo-cavernosus reflex]] | ||
# Sexual dysfunction | # [[Sexual dysfunction]] | ||
# Traumatic neuroma | # [[Traumatic neuroma]] | ||
# Decreased urine output | # [[Decreased urine output]] | ||
# Excessive skin removal | # [[Excessive skin removal]] | ||
# Injury to urethra | # [[Urethral injury|Injury to urethra]] | ||
== Other complications == | |||
* '''Rupture of the ear drum:''' The website [[Saving Our Sons (SoS)]] reported in 2017 about a hearing test for a boy where the doctor asked if the boy was [[circumcised]]. After being asked if that was a relevant question, the doctor stated that sometimes an ear drum can burst while they are [[Pain|crying]] during the [[circumcision]].<ref>{{REFweb | |||
|url=http://www.joseph4gi.com/2017/09/drs-may-ask-if-baby-is-circumcised-for.html | |||
|title=Drs. May Ask If Baby Is Circumcised for a Hearing Test - Here's Why | |||
|website=Joseph4GI | |||
|date=2017-09-01 | |||
|accessdate=2022-04-22 | |||
}}</ref> | |||
{{SEEALSO}} | {{SEEALSO}} | ||
* [[Risks and complications]] | * [[Risks and complications]] | ||
* [[Documented severe complications of circumcision]] | * [[Documented severe complications of circumcision]] | ||
* [[Trauma]] | |||
{{LINKS}} | {{LINKS}} | ||
* {{REFbook | |||
|last=Fahmy | |||
|first=Mohamed | |||
|init=M | |||
|year=2009 | |||
|title=Complications in Male Circumcision | |||
|url=http://circumcisionharm.org/images-circharm.org/Fahmy%20Ch%2010,%2011,%20title,%20TofC.pdf | |||
|scope=193 | |||
|isbn=978-0-323-68127-8 | |||
|accessdate=2022-03-16 | |||
}} | |||
* {{REFweb | * {{REFweb | ||
|url= | |url=https://www.cirp.org/library/complications/ | ||
|title=Complications of circumcision | |title=Complications of circumcision | ||
|last= | |last=Anonymous | ||
|first= | |first= | ||
|website=CIRP.org | |website=CIRP.org | ||
| Line 109: | Line 138: | ||
|accessdate=2020-11-25 | |accessdate=2020-11-25 | ||
}} | }} | ||
* {{REFdocument | |||
|title=Complications of Circumcision | |||
|url=https://www.doctorsopposingcircumcision.org/wp-content/uploads/2016/09/complications-of-circumcision.pdf | |||
|contribution= | |||
|last=Anonymous | |||
|first= | |||
|publisher=[[Doctors Opposing Circumcision (D.O.C.)]] | |||
|format=PDF | |||
|date=2016-07 | |||
|accessdate=2022-01-13 | |||
}} | |||
{{REF}} | {{REF}} | ||
[[Category:Circumcision complication]] | |||
[[Category:Term]] | [[Category:Term]] | ||
[[de:Komplikation]] | [[de:Komplikation]] | ||