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Newborn circumcision

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https://www.readbyqxmd.com/read/28623142/complication-of-newborn-circumcision-meatal-stenosis-or-meatal-web
#1
Mehmet Ali Özen, Gökhan Gündoğdu, Mehmet Taşdemir, Egemen Eroğlu
INTRODUCTION: Meatal stenosis (MS) is a known complication of newborn circumcision. Symptoms are usually masked in young kids with a diaper. Deflation of urinary stream, dysuria, urinary frequency, and incontinence are the most common reported symptoms. Diagnosis of MS is still controversial. A narrow pinpoint urethral meatus is the current accepted diagnostic criteria. OBJECTIVE: In our practice, we observed that our cases do not overlap to the classic definition and presentation of MS...
June 2, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28607945/why-are-we-cutting-a-survey-of-cultural-views-on-circumcision-in-the-texas-panhandle
#2
Jerrod Spense, Janet Meller, James Abbey, Kayla Foster, Cynthia Sirri, Mubariz Naqvi
To determine the factors that may contribute to parents' decision to circumcise their son in the Texas Panhandle region, voluntary surveys were distributed to all mothers with term male newborns during the mandatory discharge planning class. The father being circumcised (P < .0001), Caucasian (P < .05), and some graduate school of the caregiver (P < .011) were factors most correlated with newborns being circumcised. Newborns of Hispanic origin, those having Medicaid insurance, and a Catholic affiliation were less likely to be circumcised...
2017: Global Pediatric Health
https://www.readbyqxmd.com/read/28506597/a-practice-pattern-assessment-of-members-of-the-society-of-pediatric-urology-for-evaluation-and-treatment-of-urinary-tract-dilation
#3
Jessica N Jackson, Rebecca S Zee, Allison N Martin, Sean T Corbett, C D Anthony Herndon
INTRODUCTION: Over the last decade the literature, including a multidisciplinary consensus statement, has supported a paradigm shift in management of urinary tract dilation, yet the impact on practice patterns has not been well documented. OBJECTIVE: This study aims to elucidate specific practice patterns for treatment of prenatal unilateral urinary tract dilation and to assess surgical intervention patterns for ureteropelvic junction obstruction. STUDY DESIGN: An online survey was distributed to 234 pediatric urologists through the Society of Pediatric Urology...
April 26, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28412847/circumcision-bleeding-complications-neonatal-intensive-care-infants-compared-to-those-in-the-normal-newborn-nursery
#4
Abigail R Litwiller, Courtney Browne, David M Haas
PURPOSE: To determine if a significant difference exists in the bleeding complications following circumcision in neonates admitted to neonatal intensive care unit (NICU) versus the normal newborn nursery (NNN). MATERIALS AND METHODS: Observational cohort study of 260 infants undergoing circumcision with Gomco clamp. Vitamin K was given to neonates at delivery. Demographic data, procedural characteristics, bleeding complications, and interventions were recorded. The bleeding rates of the two groups were compared using chi square...
April 16, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28265321/prepuce-health-and-childhood-circumcision-choices-in-canada
#5
REVIEW
Emmanuel O Abara
INTRODUCTION: Worldwide, almost 100% of boys are born with penises with a "hood" called prepuce or foreskin. In the course of the boy's life, the prepuce can be circumcised, can become affected by diseased (e.g., phimosis), or a can become infected and hurt the neonate (and his sexual partner) in adulthood. The objectives of this report are to: 1) review the state, function, fate, and care of the prepuce in childhood, with focus on the neonate, in Canada; 2) understand the current practice of childhood male circumcision in terms of age, indications, performers, techniques, outcomes, and education; and 3) consider ways to sustain a good healthcare professional-parental dialogue for safe practices that are accessible, acceptable, and culturally sensitive in the care of the prepuce...
January 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28263140/reply-by-authors-re-canadian-pediatrics-society-position-statement-on-newborn-circumcision-a-risk-benefit-analysis-revisited
#6
Brian J Morris, Jeffrey D Klausner, John N Krieger, Bradley J Willcox, Pierre D Crouse, Neil Pollock
EDITORIAL.
February 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28263139/letter-to-the-editor-re-canadian-pediatrics-society-position-statement-on-newborn-circumcision-a-risk-benefit-analysis-revisited
#7
Joan L Robinson, Ann Jefferies, Thierry Lacaze
EDITORIAL.
February 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28089110/recurrence-after-management-of-meatal-balanitis-xerotica-obliterans
#8
Warren Snodgrass, Juan Soto Blanquel, Nicol Corbin Bush
INTRODUCTION: We review outcomes after management of meatal balanitis xerotica obliterans (BXO). The primary outcome was recurrent meatal BXO. METHODS: A database comprising mostly hypospadias patients was queried for meatal BXO. The disease was confirmed histologically in all cases. Management included topical steroids and/or immunosuppressants, and/or surgical excision of BXO with two-stage oral mucosa graft circumferential replacement urethroplasty. RESULTS: A total of 12 patients had meatal BXO (8 boys and 4 adults)...
November 23, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27705739/canadian-pediatrics-society-position-statement-on-newborn-circumcision-a-risk-benefit-analysis-revisited
#9
Brian J Morris, Jeffrey D Klausner, John N Krieger, Bradley J Willcox, Pierre D Crouse, Neil Pollock
INTRODUCTION: The Canadian Pediatrics Society (CPS) recently released a position statement on early infant (newborn) male circumcision (EIMC). It concluded that since benefits do not exceed risks, circumcision should only be performed on boys in high-risk populations or circumstances. This contradicts recommendations by the American Academy of Pediatrics and the Centers for Disease Control and Prevention (CDC) whose policies each support more widespread implementation of EIMC. Here we review the CPS statement, particularly its risk-benefit analysis, to determine the basis for this disparity...
October 2016: Canadian Journal of Urology
https://www.readbyqxmd.com/read/27697829/timing-of-circumcision-and-breastfeeding-initiation-among-newborn-boys
#10
Lisa Mondzelewski, Sheila Gahagan, Christine Johnson, Hala Madanat, Kyung Rhee
BACKGROUND AND OBJECTIVES: Newborn circumcision, particularly in the first 24 hours of life, has been thought to adversely affect breastfeeding initiation. However, no studies specifically support an association between early circumcision and difficulty with breastfeeding initiation or maintenance. This study was designed to determine whether timing of newborn circumcision affects rates of exclusive breastfeeding during the first 2 weeks of life. METHODS: A retrospective study of 797 newborn boys and their mothers was conducted at a large military hospital...
November 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27695583/prospective-investigation-of-penile-length-with-newborn-male-circumcision-and-second-to-fourth-digit-ratio
#11
Jong Kwan Park, A Ram Doo, Joo Heung Kim, Hyung Sub Park, Jung Mo Do, Hwang Choi, Seung Chol Park, Myung Ki Kim, Young Beom Jeong, Hyung Jim Kim, Young Gon Kim, Yu Seob Shin
INTRODUCTION: We prospectively investigated the relationship between newborn male circumcision (NMC) and second to fourth digit ratio with penile length. METHODS: As participants for our study, we identified already circumcised young patients who visited our hospital for urological treatment. The age at which the circumcision had been done was assessed. The patients' height and weight were measured. Second to fourth digit ratio was calculated by measuring the second and fourth digit lengths...
September 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/27462697/female-circumcision-in-nigeria-and-attitudes-towards-its-discontinuation
#12
B M Gbadebo, R F Afolabi, A S Adebowale
BACKGROUND: Female Circumcision (FC) is a harmful traditional practice and remains a public health problem particularly in the era of HIV/AIDS. Aside its numerous health implications, it can cause infertility, complications in childbirth and increased risk of newborn deaths. FC is widely practised in Nigeria. OBJECTIVE: The study assessed the level of FC, daughters' circumcision and attitude towards discontinuation of the practice among women of reproductive age...
December 2015: African Journal of Medicine and Medical Sciences
https://www.readbyqxmd.com/read/27450938/why-desired-newborn-circumcisions-are-not-performed-a-survey
#13
Richard Otto, Grant Evans, Christopher Boniquit, Dennis Peppas, Jeffrey Leslie
OBJECTIVE: To identify why parents who want their child circumcised do not have them circumcised before the window for newborn circumcision (NBC) closes. We evaluate many patients in our pediatric urology clinic for circumcision in the operating room, which is associated with increased inconvenience, morbidity, and cost. METHODS: From 2010 to 2013 we surveyed 53 parents seeking NBC for their sons less than 1 month old. We surveyed a second group of 51 parents with sons between 1 month and 2 years old seeking operating room circumcision...
November 2016: Urology
https://www.readbyqxmd.com/read/27420164/sucrose-for-analgesia-in-newborn-infants-undergoing-painful-procedures
#14
REVIEW
Bonnie Stevens, Janet Yamada, Arne Ohlsson, Sarah Haliburton, Allyson Shorkey
BACKGROUND: Administration of oral sucrose with and without non-nutritive sucking is the most frequently studied non-pharmacological intervention for procedural pain relief in neonates. OBJECTIVES: To determine the efficacy, effect of dose, method of administration and safety of sucrose for relieving procedural pain in neonates as assessed by validated composite pain scores, physiological pain indicators (heart rate, respiratory rate, saturation of peripheral oxygen in the blood, transcutaneous oxygen and carbon dioxide (gas exchange measured across the skin - TcpO2, TcpCO2), near infrared spectroscopy (NIRS), electroencephalogram (EEG), or behavioural pain indicators (cry duration, proportion of time crying, proportion of time facial actions (e...
July 16, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27413087/scale-up-of-early-infant-male-circumcision-services-for-hiv-prevention-in-lesotho-a-review-of-facilitating-factors-and-challenges
#15
Virgile Kikaya, Rajab Kakaire, Elizabeth Thompson, Mareitumetse Ramokhele, Tigistu Adamu, Kelly Curran, Emmanuel Njeuhmeli
BACKGROUND: The World Health Organization and the Joint United Nations Programme on HIV/AIDS recommend early infant male circumcision (EIMC) as a component of male circumcision programs in countries with high HIV prevalence and low circumcision rates. Lesotho began incorporating EIMC into routine maternal, newborn, and child health (MNCH) services in 2013 with funding from the United States Agency for International Development and United Nations Children's Fund. This presented unique challenges: Lesotho had no previous experience with EIMC and cultural traditions link removal of the foreskin to rites of passage...
July 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/27413086/scaling-up-early-infant-male-circumcision-lessons-from-the-kingdom-of-swaziland
#16
Laura Fitzgerald, Wendy Benzerga, Munamato Mirira, Tigistu Adamu, Tracey Shissler, Raymond Bitchong, Mandla Malaza, Makhosini Mamba, Paul Mangara, Kelly Curran, Thembisile Khumalo, Phumzile Mlambo, Emmanuel Njeuhmeli, Vusi Maziya
BACKGROUND: The government of the Kingdom of Swaziland recognizes that it must urgently scale up HIV prevention interventions, such as voluntary medical male circumcision (VMMC). Swaziland has adopted a 2-phase approach to male circumcision scale-up. The catch-up phase prioritizes VMMC services for adolescents and adults, while the sustainability phase involves the establishment of early infant male circumcision (EIMC). Swaziland does not have a modern-day tradition of circumcision, and the VMMC program has met with client demand challenges...
July 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/27413084/perspectives-of-parents-and-health-care-workers-on-early-infant-male-circumcision-conducted-using-devices-qualitative-findings-from-harare-zimbabwe
#17
Webster Mavhu, Karin Hatzold, Getrude Ncube, Shamiso Fernando, Collin Mangenah, Kumbirai Chatora, Owen Mugurungi, Ismail Ticklay, Frances M Cowan
BACKGROUND: The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) recommend early infant male circumcision (EIMC) for prevention of HIV. Here, we present findings from a qualitative study in Zimbabwe that assessed parental and health care workers' perspectives of EIMC conducted using devices. METHODS: This qualitative study was nested within a trial of EIMC devices. Between January and May 2013, we held 4 focus group discussions (FGDs) and 12 in-depth interviews with parents and 12 in-depth interviews with clinicians (7 trial clinicians and 5 non-trial clinicians)...
July 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/27413083/safety-acceptability-and-feasibility-of-early-infant-male-circumcision-conducted-by-nurse-midwives-using-the-accucirc-device-results-of-a-field-study-in-zimbabwe
#18
Webster Mavhu, Natasha Larke, Karin Hatzold, Getrude Ncube, Helen A Weiss, Collin Mangenah, Prosper Chonzi, Owen Mugurungi, Juliet Mufuka, Christopher A Samkange, Gerald Gwinji, Frances M Cowan, Ismail Ticklay
BACKGROUND: For prevention of HIV, early infant male circumcision (EIMC) needs to be scaled up in countries with high HIV prevalence. Routine EIMC will maintain the HIV prevention gains anticipated from current adult male circumcision initiatives. We present here the results of a field study of EIMC conducted in Zimbabwe. METHODS: The study was observational and based on the World Health Organization (WHO) framework for clinical evaluation of male circumcision devices...
July 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/27363331/checklist-assessment-tool-to-evaluate-suitability-and-success-of-neonatal-clamp-circumcision-a-prospective-study
#19
MULTICENTER STUDY
Charles W Concodora, Max Maizels, Gregory E Dean, Dana A Weiss, Seth A Alpert, John D Edmondson, Jack S Elder, Anthony Herndon, James M Elmore, Karen Rychlik
BACKGROUND: The American Academy of Pediatrics (AAP) Task Force on Circumcision has called for the development of standards of trainee proficiency in regards to evaluation and technique for neonatal clamp circumcision (NCC). At the present time, there is no standardized or general consensus on patient selection for NCC. An improved method to evaluate newborns for NCC is an important first step in this process. Therefore, the authors collaborated to identify criteria useful in the evaluation of newborns for suitability for NCC, and for assessment of success after NCC and have named it "Checklist Assessment for Neonatal Clamp Circumcision Suitability...
August 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27338601/newborn-male-circumcision-with-parental-consent-as-stated-in-the-aap-circumcision-policy-statement-is-both-legal-and-ethical
#20
Michael T Brady
Newborn male circumcision is a minor surgical procedure that has generated significant controversy. Accumulating evidence supports significant health benefits, most notably reductions in urinary tract infections, acquisition of HIV and a number of other sexually transmitted infections, penile cancer, phimosis, paraphimosis, balanitis and lichen sclerosis. While circumcision, like any surgical procedure, has risks for complications, they occur in less than 1 in 500 infants circumcised and most are minor and require minimal intervention...
June 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
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