{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T21:03:32Z","timestamp":1780434212012,"version":"3.54.1"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T00:00:00Z","timestamp":1726272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Importance:<\/jats:title>\n                    <jats:p>Circumcision is one of the most commonly performed procedures since ancient times for different indications. Following circumcision, various complications can happen including urethro-cutaneous fistula(UCF). The urethro-cutaneous fistula usually occurs ventrally, and our case is the first from Ethiopia to report dorsal UCF. To our knowledge, there are only two case reports with dorsal UCF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We report a case of a 13-year-old male child for whom UCF repair was done in June 2023, after presenting with a urine leak from the dorsal side of the penis at two sites which started after a no-health professional circumcised him. Up on evaluation, he was having dorsal UCF. He was admitted and operated on the fistula tract was excised completely, and the fistula was repaired. The patient is having a smooth post-operative course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Male circumcision is one of the most common procedures performed since ancient. It is indicated for different reasons. The incidence of circumcision varies with geography: Ethiopia is one of the countries with above 90 % rate of male circumcision. Various complications can happen following circumcision, UCF being one of the less commonly happening complications. When it happens, it will usually be on the ventral aspect, with only two cases reported having dorsal UCF. Dorsal UCF can be repaired as other types of fistula and has a similar outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Even though it is rare to find dorsal UCF it can happen following circumcision and can be managed as other UCF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110307","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T02:32:27Z","timestamp":1727145147000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Post circumcision dorsal urethro-cutaneous fistula in pediatric male patient: A case report and literature review"],"prefix":"10.1097","volume":"124","author":[{"given":"Tafese Gudissa","family":"Merga","sequence":"first","affiliation":[{"name":"Pediatric Surgery Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mensur Mohammed","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Urology surgery unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Zeray","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raji","family":"Amsalu","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiwote","family":"Girma","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Department of Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-10-20260421","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1111\/jpc.14206","article-title":"Circumcision in the pediatric patient: a review of indications, technique, and complications","volume":"54","author":"Prabhakaran,","year":"2018","journal-title":"Journal of Paediatrics and Child Health"},{"issue":"12","key":"R2-10-20260421","doi-asserted-by":"crossref","first-page":"907","DOI":"10.2471\/BLT.09.072975","article-title":"Traditional male circumcision in eastern and southern Africa: a systematic review of prevalence and complications","volume":"88","author":"Wilcken,","year":"2010","journal-title":"Bull. World Health Organ."},{"key":"R3-10-20260421","first-page":"1006","article-title":"Post-circumcision dorsal urethrocutaneous fistula: a case report and literature review case report","volume":"1","author":"Olayide Ojewuyi,","year":"2020","journal-title":"International Journal of Pediatric Surgery."},{"issue":"3","key":"R4-10-20260421","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/j.jpurol.2008.10.012","article-title":"Multiple circumferential urethrocutaneous fistulae: a rare complication of circumcision","volume":"5","author":"Agrawal,","year":"2009","journal-title":"J. Pediatr. Urol."},{"key":"R5-10-20260421","doi-asserted-by":"crossref","first-page":"149","DOI":"10.21037\/tau.2016.12.02","article-title":"Circumcision and its effects in Africa","volume":"6","author":"Lawal,","year":"2017","journal-title":"Translational Andrology and Urology"},{"issue":"1","key":"R8-10-20260421","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-021-11482-5","article-title":"Spatial distribution of traditional male circumcision and associated factors in Ethiopia; using multilevel generalized linear mixed effects model","volume":"21","author":"Tusa,","year":"2021","journal-title":"BMC Public Health"},{"key":"R9-10-20260421","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/2006-8808.118588","article-title":"Techniques of male circumcision","volume":"5","author":"Abdulwahab-Ahmed,","year":"2013","journal-title":"Journal of Surgical Technique and Case Report"},{"issue":"1","key":"R10-10-20260421","doi-asserted-by":"crossref","DOI":"10.1186\/s12894-016-0183-1","article-title":"Circumcision-related tragedies seen in children at the Komfo Anokye Teaching Hospital, Kumasi, Ghana Pediatric Urology","volume":"16","author":"Appiah,","year":"2016","journal-title":"BMC Urol."},{"issue":"1","key":"R11-10-20260421","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.jpurol.2009.05.011","article-title":"Penile injuries from proximal migration of the Plastibell circumcision ring","volume":"6","author":"Bode,","year":"2010","journal-title":"J. Pediatr. Urol."},{"issue":"1","key":"R12-10-20260421","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.jpurol.2006.02.009","article-title":"Severe complications of circumcision: an analysis of 48 cases","volume":"3","author":"Ceylan,","year":"2007","journal-title":"J. Pediatr. Urol."},{"issue":"4","key":"R13-10-20260421","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1093\/tropej\/fmt020","article-title":"Complications of neonatal circumcision requiring surgical intervention in a developing country","volume":"59","author":"Ekenze,","year":"2013","journal-title":"J. Trop. Pediatr."},{"issue":"1","key":"R15-10-20260421","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1080\/02724939992743","article-title":"Complications of traditional male circumcision","volume":"19","author":"Ahmed,","year":"1999","journal-title":"Ann. Trop. 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