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