{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T20:37:40Z","timestamp":1767904660925,"version":"3.49.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T00:00:00Z","timestamp":1607904000000},"content-version":"vor","delay-in-days":74,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Pediatric circumcision is a commonly performed operation, yet outcomes related to procedures performed for medical indications remain underreported.<\/jats:p><jats:p>\n          Aim\u2003The aim of this study was to report outcomes of therapeutic circumcision from our center.<\/jats:p><jats:p>\n          Methods\u2003Prospective registry of elective circumcisions was maintained and analyzed at a single institution in the United Kingdom. Data collected included information on complications (early and late), emergency presentations, and referrals back from primary care services.<\/jats:p><jats:p>\n          Results\u2003Between August 2015 and June 2019, 300 patients (mean age: 9 years; range: 3\u201316 years) underwent therapeutic circumcision. The average length of follow-up data available was 2.1 years (range: 6 months to 4 years). The overall complication rate was 4.7% (n\u2009=\u200916). There were no unplanned admissions and no cases returned to the operating room as emergency. Only 1% (n\u2009=\u20093) of patients presented with an early complication (minor bleeding, pain, urinary retention), and 3.7% (n\u2009=\u200911) suffered a late complication (meatal stenosis [2.7%]). All cases of meatal stenosis had lichen sclerosus confirmed on histology. Cosmetic satisfaction was 99%.<\/jats:p><jats:p>\n          Conclusion\u2003Therapeutic circumcision is an effective procedure in the pediatric population, which carries a low risk of early and late complications. Our study found that meatal stenosis only occurred in those patients with confirmed lichen sclerosus histology.<\/jats:p>","DOI":"10.1055\/s-0040-1721430","type":"journal-article","created":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T00:38:01Z","timestamp":1607992681000},"page":"e188-e191","source":"Crossref","is-referenced-by-count":5,"title":["Pediatric Circumcision in the 21st Century National Health Service: A Snapshot of Practice in a United Kingdom Center"],"prefix":"10.1055","volume":"06","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4253-1283","authenticated-orcid":false,"given":"Patrick","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Urology, Great Western Hospital, Swindon, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6443-8621","authenticated-orcid":false,"given":"Helen","family":"Rooney","sequence":"additional","affiliation":[{"name":"Department of Urology, Great Western Hospital, Swindon, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr","family":"Hawary","sequence":"additional","affiliation":[{"name":"Department of Urology, Great Western Hospital, Swindon, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,12,14]]},"reference":[{"issue":"06","key":"ref1","first-page":"368","article-title":"Complications of circumcision in Israel: a one year multicenter survey","volume":"7","author":"J Ben Chaim","year":"2005","journal-title":"Isr Med Assoc J"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/1471-2490-6-21","article-title":"Epidemiology of complications of male circumcision in Ibadan, Nigeria","volume":"6","author":"L I Okeke","year":"2006","journal-title":"BMC Urol"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1001\/jamapediatrics.2013.5414","article-title":"Rates of adverse events associated with male circumcision in U.S. medical settings, 2001 to 2010","volume":"168","author":"C El Bcheraoui","year":"2014","journal-title":"JAMA Pediatr"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.paed.2019.12.004","article-title":"Non-therapeutic male circumcision","volume":"30","author":"B J Morris","year":"2020","journal-title":"Paediatr Child Health"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1136\/bmj.314.7094.1569h","article-title":"GMC issues guidelines on circumcision","volume":"314","author":"L Beecham","year":"1997","journal-title":"BMJ"},{"issue":"11","key":"ref6","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1097\/DAD.0000000000001248","article-title":"Childhood phimosis secondary to lichen sclerosus: is there a spatial pattern of histopathological changes?","volume":"40","author":"L Singh","year":"2018","journal-title":"Am J Dermatopathol"},{"issue":"01","key":"ref7","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":"K Ceylan","year":"2007","journal-title":"J Pediatr Urol"},{"issue":"12","key":"ref8","doi-asserted-by":"crossref","first-page":"1404","DOI":"10.1111\/jpc.14284","article-title":"Circumcision in the paediatric patient: a review of indications, technique and complications","volume":"54","author":"D F Sebaratnam","year":"2018","journal-title":"J Paediatr Child Health"},{"issue":"07","key":"ref9","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1002\/bjs.5369","article-title":"Trends in paediatric circumcision and its complications in England between 1997 and 2003","volume":"93","author":"P Cathcart","year":"2006","journal-title":"Br J Surg"},{"issue":"09","key":"ref10","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1097\/00005650-198709000-00004","article-title":"Circumcision and informed consent. 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