{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T15:18:16Z","timestamp":1759936696391},"reference-count":12,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2015,7,30]],"date-time":"2015-07-30T00:00:00Z","timestamp":1438214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Circumcision is the most common surgical procedure performed on boys in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia. Patient presentations to the emergency department (<jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>) following circumcision are common; however, no Australian research has investigated acute care presentations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To identify reasons for presentation to the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> after circumcision and determine whether the setting (community vs. hospital) in which the procedure had been performed has any bearing on the sequelae seen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart review of children presenting with circumcision related problems to the <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>oyal <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hildren's <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital, <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>elbourne, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia, between 2012 and 2014. Descriptive and \u03c7<jats:sup>2<\/jats:sup> analysis included sequelae of community\u2010 versus hospital\u2010performed procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over a 29\u2010month period, we identified 167 children with a circumcision\u2010related <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> presentation. Mean age was 3 years. A percentage of 54.5 had been performed for non\u2010medical, 29.9% for medical reasons and 14.4% for reasons unknown. When location was known (<jats:italic>n<\/jats:italic> = 152), 60.5% were performed in the community and 39.5% in hospital. Reasons for presentation were: bleeding (53.9%), pain (38.3%), swelling (37.1%), redness (25.7%), decreased urine output (13.8%), fever (7.2%) and pus (6%). 29.9% were diagnosed as normal healing post circumcision. Patients were admitted in 39.1% versus 15% (<jats:italic>P<\/jats:italic> = 0.001) and re\u2010operated in 18.5% versus 1.7% (<jats:italic>P<\/jats:italic> = 0.001) after community\u2010 versus hospital\u2010operated circumcisions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A range of reasons cause patients to seek help in the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> following a circumcision. Parents would have profited from better explanation of post\u2010circumcision appearance of the penis. <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> presentations after community\u2010performed procedures required more re\u2010operations than after hospital\u2010performed circumcisions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.12960","type":"journal-article","created":{"date-parts":[[2015,7,31]],"date-time":"2015-07-31T01:21:26Z","timestamp":1438305686000},"page":"1158-1163","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Complications following circumcision: Presentations to the emergency department"],"prefix":"10.1111","volume":"51","author":[{"given":"Grace","family":"Gold","sequence":"first","affiliation":[{"name":"Emergency Department Royal Children's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Young","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Children's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatric Urology Royal Children's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"Murdoch Childrens Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz E","family":"Babl","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Children's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatric Urology Royal Children's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2011.00746.x"},{"key":"e_1_2_9_3_1","unstructured":"The Royal Australasian College of Physicians.Circumcision of infant males 2010:1\u201328. 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