{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:03:56Z","timestamp":1773007436169,"version":"3.50.1"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T00:00:00Z","timestamp":1646784000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>Revision surgery for the removal of excess foreskin after circumcision is a common procedure. The decision regret scale (DRS) is a validated questionnaire which assesses regret after medical decision making. The aim was to evaluate parental regret by means of the DRS and querying about factors associated with regret about deciding to revise their child's circumcision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Included were all pediatric patients who underwent revision of neonatal circumcision in a single center between 2010 and 2016. Excluded were children who underwent revision for reasons other than excess foreskin, those who underwent additional surgical procedures during the same anesthetic session, and those who had undergone previous penile surgery other than circumcision. Response to the DRS questionnaire was by a telephone call with the patient's parent. Regret was classified as none (a score of 0), mild (1\u201325), or moderate-to-strong (26\u2013100). Surgical and baseline demographic data were obtained from the departmental database and compared between the no regret and regret groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 115 revisions of circumcisions performed during the study period, 52 fulfilled the inclusion criteria, and the parents of 40 (77%) completed the DRS questionnaire. Regret was reported by 11\/40 [28%: nine as mild (23%) and two as moderate-to-strong (5%)]. The average age of the child in the regret group was 17 months compared to 18 months in the no regret group (<jats:italic>p<\/jats:italic> = 0.27). The median weight percentile was 43% in both groups. Surgical variables, including anesthesia type (caudal vs. no block, <jats:italic>p<\/jats:italic> = 0.65), suture type (polyglactin vs. poliglecaprone, <jats:italic>p<\/jats:italic> = 0.29), operation time (28 vs. 25 min, <jats:italic>p<\/jats:italic> = 0.59), and anesthesia time (55 vs. 54 min, <jats:italic>p<\/jats:italic> = 0.57) were not significantly different between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Regret for deciding upon revision surgery for removal of excess foreskin post-circumcision was reported by 27.5% of parents of children who underwent revision. No clinical, surgical, or demographic characteristics predicted parental decisional regret.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2022.855893","type":"journal-article","created":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T11:19:26Z","timestamp":1646824766000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Parental Regret Following Decision to Revise Circumcision"],"prefix":"10.3389","volume":"10","author":[{"given":"Noam","family":"Bar-Yaakov","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roy","family":"Mano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Ekstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziv","family":"Savin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Snir","family":"Dekalo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Ben-Chaim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuval","family":"Bar-Yosef","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,3,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/1471-2490-10-2","article-title":"Complications of circumcision in male neonates, infants and children: a systematic review","volume":"10","author":"Weiss","year":"2010","journal-title":"BMC Urol."},{"key":"B2","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1016\/j.jpurol.2012.09.012","article-title":"Glans amputation during routine neonatal circumcision: mechanism of injury and strategy for prevention","volume":"9","author":"Pippi Salle","year":"2013","journal-title":"J Pediatr Urol."},{"key":"B3","doi-asserted-by":"publisher","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."},{"key":"B4","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.1053\/jpsu.2002.35005","article-title":"Revision of circumcision in children: report of 56 cases","volume":"37","author":"Brisson","year":"2002","journal-title":"J Pediatr Surg."},{"key":"B5","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1097\/00005392-199501000-00071","article-title":"Circumcision revision in prepubertal boys: analysis of a 2-year experience and description of a technique","volume":"153","author":"Redman","year":"1995","journal-title":"J Urol."},{"key":"B6","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1177\/0272989X03256005","article-title":"Validation of a decision regret scale","volume":"23","author":"Brehaut","year":"2003","journal-title":"Med Decis Making."},{"key":"B7","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1016\/j.ijporl.2016.04.034","article-title":"Parents' decisional conflict, self-determination and emotional experiences in pediatric otolaryngology: a prospective descriptive-comparative study","volume":"86","author":"Ritchie","year":"2016","journal-title":"Int J Pediatr Otorhinolaryngol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"1558","DOI":"10.1016\/j.juro.2013.10.036","article-title":"Hypospadias decisional regret after distal hypospadias repair: single institution prospective analysis of factors associated with subsequent parental remorse or distress","volume":"191","author":"Lorenzo","year":"2014","journal-title":"J Urol."},{"key":"B9","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1016\/j.juro.2015.10.118","article-title":"Parental decisional regret after primary distal hypospadias repair: family and surgery variables, and repair outcomes","volume":"195","author":"Ghidini","year":"2016","journal-title":"J Urol."},{"key":"B10","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1016\/j.jpurol.2021.06.020","article-title":"Parental decisional regret after surgical treatment in young boys born with hypospadias","volume":"17","author":"van Engelen","year":"2021","journal-title":"J Pediatr Urol."},{"key":"B11","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1177\/0272989X11421528","article-title":"What is known about parents' treatment decisions? A narrative review of pediatric decision making","volume":"32","author":"Lipstein","year":"2012","journal-title":"Med Decis Mak."},{"key":"B12","doi-asserted-by":"publisher","first-page":"551","DOI":"10.1016\/j.juro.2015.12.055","article-title":"Decisions, decisions, decisions","volume":"195","author":"Lorenzo","year":"2016","journal-title":"J Urol."},{"key":"B13","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1016\/j.juro.2017.07.040","article-title":"Analysis of factors associated with patient or caregiver regret following surgery for fecal incontinence","volume":"199","author":"Meenakshi-Sundaram","year":"2018","journal-title":"J Urol."},{"key":"B14","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1016\/j.jpurol.2017.11.012","article-title":"Parental decisional regret and views about optimal timing of female genital restoration surgery in congenital adrenal hyperplasia","volume":"14","author":"Szymanski","year":"2018","journal-title":"J Pediatr Urol."},{"key":"B15","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1016\/j.juro.2012.04.022","article-title":"Analysis of decisional conflict among parents who consent to hypospadias repair: single institution prospective study of 100 couples","volume":"188","author":"Lorenzo","year":"2012","journal-title":"J Urol."},{"key":"B16","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1016\/j.juro.2014.09.105","article-title":"Teasing in school locker rooms regarding penile appearance","volume":"193","author":"Alexander","year":"2015","journal-title":"J Urol."}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2022.855893\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T11:19:28Z","timestamp":1646824768000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2022.855893\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,9]]},"references-count":16,"alternative-id":["10.3389\/fped.2022.855893"],"URL":"https:\/\/doi.org\/10.3389\/fped.2022.855893","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,9]]},"article-number":"855893"}}