Conference abstract
Complications of circumcision in three hospitals in Douala: epidemiological, clinical and therapeutic profile
Pan African Medical Journal - Conference Proceedings. 2023:17(57).04
Jun 2023.
doi: 10.11604/pamj-cp.2023.17.57.1685
Archived on: 04 Jun 2023
Contact the corresponding author
Keywords: Circumcision, complication, epidemiology, clinic, therapy, Douala
Oral presentation
Complications of circumcision in three hospitals in Douala: epidemiological, clinical and therapeutic profile
Nwaha Makon Axel Stéphane1,&, Epoupa Ngalle Guy Frantz1, Kengni Sipowo Adam Franck2, Moby Mpah Edouard Hervé2, Nkafu Gabriel Belefeh3, Nwatchap Jean Jacques1, Tazemda Kuitsouc Gildas Boris3, Mouafo Tambo Faustin1, Essomba Arthur1
1Faculty of Medicine and Biomedical Sciences. University of Yaoundé I, Yaoundé, Cameroon, 2Faculty of Medicine and Pharmaceutical Sciences. University of Douala, Douala, Cameroon, 3Higher Institute of Health Sciences. Université des Montagnes (UdM), Bangangté, Cameroon
&Corresponding author
Introduction: the objective was to describe the epidemiological, clinical, and therapeutic aspects of the complications of circumcision in three hospitals in the city of Douala.
Methods: this was a descriptive cross-sectional study lasting 4 months. (January-April 2021) with retrospective recruitment over 10 years (1st January 2011 to December 31st, 2020) in the surgery Departments of the Douala General Hospital, the Catholic Hospital, Notre Dame de l’Amour of Douala and the Urology Department of Laquintinie Hospital of Douala. During this study period, all records of complications of circumcision that met the inclusion criteria were included in this study. A pre-designed questionnaire was used for data collection.
Results: we retained 102 patient files, of which 96 presented a single complication while 6 patients had more than one complication. The average age was 6.51±5.74 years with extremes ranging from 1 month to 29 years. The age group most represented was that of 0 to 5 years. The time elapsed before the consultation was 1.86 years with extremes from 30 minutes to 16 years. The main reason for consultation was leakage of urine through the urethral fistula (26.47%) followed by dysuria (24.51%). We found that 23.5% of patients were circumcised outside the hospital. Paramedical personals were responsible for the majority of complications (66.7%). The most common complication was urethral fistula 27.5% followed by stenosis of the urethral meatus 24.5%. The study showed that 16.66% of patients required emergency treatment, among 29.50% hemostatic sutures and 12.60% pressure dressing, etc. A total of 95 patients received surgical treatment. The clinical course was satisfactory in 96.1% of cases and 3.9% had a reserved opinion.
Conclusion: circumcision which is known as the most practiced surgical act must be performed by informed and trained staff to avoid the occurrence of complications.
Complications of circumcision in three hospitals in Douala: epidemiological, clinical and therapeutic profile
Nwaha Makon Axel Stéphane1,&, Epoupa Ngalle Guy Frantz1, Kengni Sipowo Adam Franck2, Moby Mpah Edouard Hervé2, Nkafu Gabriel Belefeh3, Nwatchap Jean Jacques1, Tazemda Kuitsouc Gildas Boris3, Mouafo Tambo Faustin1, Essomba Arthur1
1Faculty of Medicine and Biomedical Sciences. University of Yaoundé I, Yaoundé, Cameroon, 2Faculty of Medicine and Pharmaceutical Sciences. University of Douala, Douala, Cameroon, 3Higher Institute of Health Sciences. Université des Montagnes (UdM), Bangangté, Cameroon
&Corresponding author
Introduction: the objective was to describe the epidemiological, clinical, and therapeutic aspects of the complications of circumcision in three hospitals in the city of Douala.
Methods: this was a descriptive cross-sectional study lasting 4 months. (January-April 2021) with retrospective recruitment over 10 years (1st January 2011 to December 31st, 2020) in the surgery Departments of the Douala General Hospital, the Catholic Hospital, Notre Dame de l’Amour of Douala and the Urology Department of Laquintinie Hospital of Douala. During this study period, all records of complications of circumcision that met the inclusion criteria were included in this study. A pre-designed questionnaire was used for data collection.
Results: we retained 102 patient files, of which 96 presented a single complication while 6 patients had more than one complication. The average age was 6.51±5.74 years with extremes ranging from 1 month to 29 years. The age group most represented was that of 0 to 5 years. The time elapsed before the consultation was 1.86 years with extremes from 30 minutes to 16 years. The main reason for consultation was leakage of urine through the urethral fistula (26.47%) followed by dysuria (24.51%). We found that 23.5% of patients were circumcised outside the hospital. Paramedical personals were responsible for the majority of complications (66.7%). The most common complication was urethral fistula 27.5% followed by stenosis of the urethral meatus 24.5%. The study showed that 16.66% of patients required emergency treatment, among 29.50% hemostatic sutures and 12.60% pressure dressing, etc. A total of 95 patients received surgical treatment. The clinical course was satisfactory in 96.1% of cases and 3.9% had a reserved opinion.
Conclusion: circumcision which is known as the most practiced surgical act must be performed by informed and trained staff to avoid the occurrence of complications.
