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Ischemia of the glans penis

1,610 bytes added, 01:40, 21 February 2022
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'''Ischemia of the glans penis''' is a not-so-rare [[iatrogenic]] complication of circumcision.<refname="pepe2015">{{REFjournal
|last=Pepe
|first=Pietro
|accessdate=2022-02-20
}}</ref>
 
Pepe et al. (2015) reported the case of a young man who had ischemia of the glans five days after circumcision. He was treated with hyperbaric therapy.<ref name="pepe2015"/>
Cárdenas Elías et al. (2016) reported a case of ischemia of the glans penis in a ten-year-old patient with symptoms appearing two hours after circumcision. The boy was treated with pentoxifylline (PTX) that is maintained for 6 days, topical testosterone and a caudal blocking (for 48 hours).<ref>{{REFjournal
}}</ref>
==Conclusion==
The medical literature has a number of reports of successful treatment of ischemia of the glans penis. But what of the cases in which treatment was not timely instituted and the case progress to necrosis and gangrene of the glans penis.
 
A surgical operation which severs blood vessels and destroys circulation cannot be viewed as other than harmful. The first rule of medical ethics is ''premum non-nocere''. First do no harm. The typical infant circumcision is a non-therapeutic amputation that harms without providing a benefit such as prevention or treatment of disease.
 
Tasci et al. (2020) report that the Turkish Institution of Forensic Medicine has undertaken the consideration of 24 cases of necrosis of the penis after circumcision with regard to malpractice.<ref>{{REFjournal
|last=Tasci
|first=
|init=AI
|author-link=
|last2=Danacioglu
|first2=
|init2=YO
|author2-link=
|last3=Arikan
|first3=
|init3=Y
|author3-link=
|etal=yes
|title=Management of post-circumcision necrosis of the penis: the medicolegal aspect
|trans-title=
|language=
|journal= Pediatr Surg Int
|location=
|date=2020-02-22
|volume=36
|issue=4
|article=
|page=
|pages=523-8
|url=
|archived=
|quote=
|pubmedID=32088740
|pubmedCID=
|DOI=10.1007/s00383-020-04630-2
|accessdate=2022-02-20
}}</ref> Medical doctors should be aware than such cases may be viewed by a future court as malpractice.
{{REF}}
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