Skip to main content
Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 2002 Sep;84(5):325–327. doi: 10.1308/003588402760452439

Do men having routine circumcision need histological confirmation of the cause of their phimosis or postoperative follow-up?

I Pearce 1, S R Payne 1
PMCID: PMC2504154  PMID: 12398124

Abstract

OBJECTIVE: To assess the accuracy of pre-operative diagnosis of preputial pathology ainongst urologists and general surgeons. PATIENTS AND METHODS: Data were collected on 460 adult patients having had circumcision performed by either a general surgeon or a urologist over a 10-year period. RESULTS: Pre-operative diagnosis was consistent with final histology in 83% of cases and further management was never altered by the histological result. Re-referral rates were 0% for general surgeons and 2.7% for urologists (P > 0.05) and there were no cases needing further surgical intervention. CONCLUSIONS: Routine submission of histological specimens for analysis and out-patient follow-up are not required following circumcision.

Full text

PDF
325

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bart R. S., Kopf A. W. Tumor conference No 18: squamous-cell carcinoma arising in balanitis xerotica obliterans. J Dermatol Surg Oncol. 1978 Aug;4(8):556–558. doi: 10.1111/j.1524-4725.1978.tb00500.x. [DOI] [PubMed] [Google Scholar]
  2. Clemmensen O. J., Krogh J., Petri M. The histologic spectrum of prepuces from patients with phimosis. Am J Dermatopathol. 1988 Apr;10(2):104–108. doi: 10.1097/00000372-198804000-00002. [DOI] [PubMed] [Google Scholar]
  3. Giannakopoulos X., Basioukas K., Dimou S., Agnantis N. Squamous cell carcinoma of the penis arising from balanitis xerotica obliterans. Int Urol Nephrol. 1996;28(2):223–227. doi: 10.1007/BF02550866. [DOI] [PubMed] [Google Scholar]
  4. Glass J. M. Religious circumcision: a Jewish view. BJU Int. 1999 Jan;83 (Suppl 1):17–21. doi: 10.1046/j.1464-410x.1999.0830s1017.x. [DOI] [PubMed] [Google Scholar]
  5. Jamieson N. V., Bullock K. N., Barker T. H. Adenosquamous carcinoma of the penis associated with balanitis xerotica obliterans. Br J Urol. 1986 Dec;58(6):730–731. doi: 10.1111/j.1464-410x.1986.tb05926.x. [DOI] [PubMed] [Google Scholar]
  6. Khezri A. A., Dounis A., Dunn M. Balanitis xerotica obliterans. Br J Urol. 1979 Jun;51(3):229–231. doi: 10.1111/j.1464-410x.1979.tb02873.x. [DOI] [PubMed] [Google Scholar]
  7. Pride H. B., Miller O. F., 3rd, Tyler W. B. Penile squamous cell carcinoma arising from balanitis xerotica obliterans. J Am Acad Dermatol. 1993 Sep;29(3):469–473. doi: 10.1016/0190-9622(93)70213-d. [DOI] [PubMed] [Google Scholar]
  8. Rickwood A. M. Medical indications for circumcision. BJU Int. 1999 Jan;83 (Suppl 1):45–51. doi: 10.1046/j.1464-410x.1999.0830s1045.x. [DOI] [PubMed] [Google Scholar]
  9. Rizvi S. A., Naqvi S. A., Hussain M., Hasan A. S. Religious circumcision: a Muslim view. BJU Int. 1999 Jan;83 (Suppl 1):13–16. doi: 10.1046/j.1464-410x.1999.0830s1013.x. [DOI] [PubMed] [Google Scholar]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England

RESOURCES