Cicatrix
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]
References
- ↑
(2012). Cicatrix
, The Free Dictionary. Retrieved 16 January 2022. - ↑
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.
- ↑ Fekete, Ferenc, Török,, Alexander, Nyirády, Peter. Revisions after unsatisfactory adult circumcisions. Int Urol Nephrol. June 2011; 43(2): 431-5. PMID. DOI. Retrieved 17 January 2022.
