Open Journal of Urology, 2023, 13, 433-440 https://www.scirp.org/journal/oju ISSN Online: 2160-5629 ISSN Print: 2160-5440 DOI: 10.4236/oju.2023.1310049 Oct. 25, 2023 433 Open Journal of Urology Complications of Circumcision: Epidemiological, Anatomo-Clinical and Therapeutic Aspects Aboubacar Traore, Issa Thiam, Ousmane Sow, Modou Sene, Ndiath Abdoulaye, Sow Yaya Urology Department, Regional Hospital of Saint-Louis, Saint-Louis, Senegal Abstract Circumcision refers, in its most widespread form, to the total or partial re- moval of the foreskin, leaving the glans exposed. It is a ritual practice im- posed by Mosaic law for Israelites, a tradition for Muslims, a rite of passage to adulthood for many people of Africa and the East. Circumcision is also a widely used therapeutic surgical procedure for a number of balanopreputial affections. The aim of this study was to list cases of circumcision complications received in a urological hospital (CHR Saint Louis) and to analyze their epi- demiological, anatomo-clinical and therapeutic aspects. Patients and me- thods: This was a retrospective, descriptive study of circumcision complica- tions, carried out in the urology department of the Saint Louis regional hos- pital in Senegal over a 5-year period (January 1, 2013 to December 31, 2017). Results: Thirty-three (33) complications of circumcision were collated. The mean age of patients was 7.63 years [9 months - 16 years]. Duration of time for Consultation varied according to the type of complication, with an aver- age of 1.6 years [1 day - 10 years]. Penile granuloma accounted for 36.3% of the complications (n = 12), local infection for 30.3% (n = 10) and ureth- ro-cutaneous fistula for 18.2% (n = 6). For six patients with urethro-cutaneous fistula, we performed urethro-cutaneous splitting in 5 patients, while the same complication necessitated urethroplasty in another patient. We noted five cases of verge plasty for verge granuloma, one glan reimplantation and one glan plasty for the two patients with glans amputation. Conclusion: Circum- cision is a medical procedure widely practised throughout the world for med- ical, cultural and aesthetic reasons. In Africa, the lack of health coverage and the shortage of doctors explain why this surgical procedure is so common. In Senegal, circumcision is still carried out in the majority of cases by paramed- ical staff, which explains the high rate of complications. How to cite this paper: Traore, A., Thiam, I., Sow, O., Sene, M., Abdoulaye, N. and Yaya, S. (2023) Complications of Circumci- sion: Epidemiological, Anatomo-Clinical and Therapeutic Aspects. Open Journal of Urol- ogy, 13, 433-440. https://doi.org/10.4236/oju.2023.1310049 Received: September 4, 2023 Accepted: October 22, 2023 Published: October 25, 2023 Copyright © 2023 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access