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Amputation du gland lors de la circoncision: A propos de 19 cas

Glandular amputation during circumcision: A review of 19 cases

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Resume

Buts

Analyser les aspects cliniques et poser les problèmes thérapeutiques liés aux amputations du gland au cours de la circoncision dans notre pratique quotidienne urologique au Sénégal, et attirer l’attention sur la nécessité de ne pas banaliser cette intervention chirurgicale.

Patients et méthodes

Nous rapportons une série rétrospective de 19 patients ayant subi une amputation du gland lors d’une circoncision et qui ont été admis dans le service d’Urologie.

Résultats

L’âge moyen de nos patients était de 7,6 ans. L’amputation du gland était totale dans 84,2% des cas. Le délai de consultation était en moyenne de 17,7 mois. La majorité de nos patients ont été reçus au stade de sténose du méat.

Le traitement chirurgical a donc consisté en une méatoplastie dans 68,4% des cas. Quatre patients reçus dans les suites immédiates de l’amputation ont eu une réimplantation du gland, sans succès cependant.

Conclusion

La gravité de cette complication et les difficultés de prise en charge dans nos régions doivent inciter à la prévention qui passe par la médicalisation de la pratique de la circoncision.

Abstract

Purpose

To assess the clinical features and describe treatment difficulties associated with glandular amputation during circumcision in our daily urological practice in Senegal and to warn about the risks of this procedure, which remain underestimated in this country.

Patients and Methods

The authors report a retrospective series of 19 patients who suffered glandular amputation during circumcision and who were admitted to their urology unit. The medical charts of patients hospitalised during this period were studied.

Results

The mean age of these patients was 7.6 years. 84.2% of patients presented with complete glandular amputation.

The mean time to consultation was 17.6 months generally in a context of urinary tract complications. Surgical treatment consisted of meatoplasty in 68.4% of cases. Four cases were treated by glandular reimplantation which unfortunately failed.

Conclusion

The severity of this complication and the difficulties of management in our regions must encourage prevention.

References

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Author information

Correspondence to Yaya Sow or Babacar Diao or Papa Ahmed Fall or Alain Khassim Ndoye or Honoré Berthe or Boubacar Fall or Paul Banderembako or Baye Assane Diagne.

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Sow, Y., Diao, B., Fall, P.A. et al. Amputation du gland lors de la circoncision: A propos de 19 cas. Androl. 17, 236–240 (2007) doi:10.1007/BF03040733

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Mots clés

  • circoncision
  • amputation
  • gland
  • réimplantation

Key-words

  • circumcision
  • amputation
  • glans
  • reimplantation