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.[1]

All circumcision operations 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]

References

  1.   (2012). Cicatrix, The Free Dictionary. Retrieved 16 January 2022.
  2.   Alpert, Seth A., Ching, Christina B., DaJusta, Daniel G., 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.