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> | }}</ref> | ||
All circumcision | 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== | ==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 | 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 | |last=Alpert | ||
|first=Seth A. | |first=Seth A. | ||
|init= | |init=SA | ||
|author-link= | |author-link= | ||
|last2=Ching | |last2=Ching | ||
|first2=Christina B. | |first2=Christina B. | ||
|init2= | |init2=CB | ||
|author2-link= | |author2-link= | ||
|last3=DaJusta | |last3=DaJusta | ||
|first3=Daniel G. | |first3=Daniel G. | ||
|init3= | |init3=DG | ||
|author3-link= | |author3-link= | ||
|etal=yes | |etal=yes | ||
|title=Combination treatment for cicatrix after neonatal circumcision: An office-based solution to a challenging problem | |title=Combination treatment for cicatrix after neonatal circumcision: An office-based solution to a challenging problem | ||
|journal=Journal of Pediatric Urology | |journal=Journal of Pediatric Urology | ||
|location= | |location= | ||
| Line 54: | Line 43: | ||
}}</ref> | }}</ref> | ||
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.<ref name="fekete2011">{{REFjournal | 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 | |last=Fekete | ||
|first=Ferenc | |first=Ferenc | ||
|init= | |init=F | ||
|author-link= | |author-link= | ||
|last2=Török | |last2=Török | ||
|first2=Alexander | |first2=Alexander | ||
|init2= | |init2=A | ||
|author2-link= | |author2-link= | ||
|last3=Nyirády | |last3=Nyirády | ||
|first3=Peter | |first3=Peter | ||
|init3= | |init3=P | ||
|author3-link= | |author3-link= | ||
|etal=no | |etal=no | ||
|title=Revisions after unsatisfactory adult circumcisions | |title=Revisions after unsatisfactory adult circumcisions | ||
|journal=Int Urol Nephrol | |journal=Int Urol Nephrol | ||
|location= | |location= | ||
| Line 87: | Line 74: | ||
|accessdate=2022-01-17 | |accessdate=2022-01-17 | ||
}}</ref> | }}</ref> | ||
{{SEEALSO}} | |||
* [[Circumcision scar]] | |||
{{REF}} | {{REF}} | ||
[[Category:Circumcision_complication]] | [[Category:Circumcision_complication]] | ||
[[Category:Medical term]] | |||
[[de:Narbe]] | |||