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Les fistules péniennes après circoncision: A propos de 20 observations

Penile urethral fistula after circumcision

Andrologie volume 10, pages 75–77 (2000)Cite this article

Résumé

Les complications de la circoncision, encore considérée comme un rite traditionnel, sont nombreuses, parfois graves, et toujours de traitement difficile.

Nous présentons dans ce travail 20 cas de fistules péniennes post-circoncision.

Il s’agissait de patients âgés en moyenne de 4 ans (2–12 ans), ayant consulté dans un délai moyen de 2 ans après l’acte chirurgical. Les signes fonctionnels étaient dominés par la miction par 2 orifices, et la fistule siégeait dans tous les cas dans le sillon balano-préputial. 14 patients ont eu une urétrorraphie avec suture bord à bord de leur fistule et 6 ont eu une fermeture de leur fistule par un lambeau cutané pénien pédiculé. On a obtenu 11 bons résultats d’emblée, 5 cas de fistulette résiduelle et 4 cas de dysurie post opératoire.

Les difficultés du traitement chirurgical de ce type de lésion doivent inciter tout opérateur à accorder du temps et de l’attention à la libération des adhérences préputiales et à l’hémostase de l’artère du frein.

Abstract

Complications of traditional circumcision are very common. Their treatment is uneasy. We have performed a retrospective study including 20 cases of urethral fistula.

Mean age was 4 years (ranged 2–12 years). They were referred to us in a mean time of 2 years. The main clinical outcome was penopreputial urethral fistula.

14 patients underwent uretrorraphy with end to end suture while 6 had a one-stage penile cutaneous stand flap.

The results were good in 11 cases. 5 patients had recurrence of the fistula and 4 were suffering from dysuria.

Need for more attention during homeostasis and preputial dissection owing to the difficulties of surgical treatment of such lesions.

References

  1. BASKIN L.S., CANNING D.A., SNYDER H.M., DUCKETT J.W.: Traumatismes iatrogènes de l’urètre au cours des circoncisions: réparation chirurgicale. J. Urol., 1997, 158, 2269–2271.

    Article  PubMed  CAS  Google Scholar 

  2. BYARS L.T., TRIER W.C.: Some complications of circumcisions and their surgical repair. Arch. Sur., 1958, 76, 477.

    CAS  Google Scholar 

  3. GRIMES D.A.: Routine circumcision of the new born infant a reapprail. Am. J. Obst. Gynecol., 1978, 130, 125–129.

    CAS  Google Scholar 

  4. JOHNSON S.: Persistant urethral fistula following circumcision. US Naval M. Bull., 1949, 49, 129.

    Google Scholar 

  5. KMET J., DAMJANOVSKILL, STUCIN M., BONTA, CANMAKOV: Circumcision and carcinoma colli uteri in Macedonia Jugoslavia; results from a field study I: incidence of maligant and premaligant conditions. Br. J. Cancer, 1963, 17, 391–399.

    PubMed  CAS  Google Scholar 

  6. RAMESH D., LIMAYE M.D.: Penile urethral fistula as a complication of circumcision. Pediatrics, 1968, 72, 1, 105–109.

    Article  Google Scholar 

  7. WARNER E., STRASHIN E.: Benefits and risks of circumcision. Canad. Med. Assoc. J., 1981, 125, 9, 967–976.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Service d’Urologie Andrologie, CHU A. Le Dantec, BP 880, Dakar, Senegal

    M. Ba, A. Ndoye, P. A. Fall, C. Sylla, S. M. Gueye & B. A. Diagne

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  1. M. Ba
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  2. A. Ndoye
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  3. P. A. Fall
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  4. C. Sylla
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  5. S. M. Gueye
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  6. B. A. Diagne
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Ba, M., Ndoye, A., Fall, P.A. et al. Les fistules péniennes après circoncision: A propos de 20 observations. Androl. 10, 75–77 (2000). https://doi.org/10.1007/BF03035226

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  • DOI: https://doi.org/10.1007/BF03035226

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Basic and Clinical Andrology

ISSN: 2051-4190