DISTINCTIVE METHODS AND STRATEGIES OF CIRCUMCISION WITH THEIR DAY TO DAY PRACTICE AND COMPLICATIONS

Background: Circumcision is the most widely recognized careful intercession performed in non-medicinal settings. It is the most widely recognized yet dismissed technique in our nation. Stylists, quacks and other non-qualified people perform circumcision by their own techniques without legitimate sanitization and without knowing the outcomes.

Objectives: The objectives of our examination were to decide distinctive techniques for circumcision and the result of these strategies.

Patients & Methods: This was an observational examination directed at Jinnah Hospital, Lahore from October 2017 to July 2018. A sum of 600 cases was incorporated into this investigation and data was recorded on a pre-structured performa. Chaperons/guardians having the best learning with respect to the circumcision of the tyke were met. Related facilities were reached to decide the strategies for circumcision and sanitization systems, where discovered important.

Results: Out of 600 cases 157 (26.17%) were circumcised in the first month of life (mean age: 10±3.5 days), 92 (15.33%) in first year (mean age: 7±2.4 months) and 351(58.5%) between one to twelve years old (mean age: 6±2.33 years). As to individual who performed circumcision 110 (18.33%) cases were circumcised by the stylists, 139 (23.17%) by quacks, 210 (35%) by General Practitioners (GP) and 141 (23.5%) by specialists (General and Pediatric Surgeons). With respect to strategies for circumcision, bone shaper strategy was the commonest, 307 (51.17%), while, just 60 (10%) cases were circumcised by the plastibell system. Complexities were more with stylist strategy and less with plastibell system. Under circumcision (too fewer prepuces is expelled) is the commonest intricacy with hair stylist technique. Out of 110, the 11 kids (10%) were under circumcised. In bone shaper strategy, out of 307 cases, 15 (4.87%) were under circumcised. No case was under circumcised with plastibell or open technique. With hairdresser strategy, 06 cases (5.45%) got tainted. They counselled specialists and were relieved with anti-toxins. Three (0.977%) cases were contaminated with bone shaper strategy. Draining happened in 10 patients after bone shaper technique and sewing was finished. There was no seeping with plastibell or open technique.

Conclusion: Our examination demonstrated that a major extent (41%) of male kids is as yet getting circumcised by incompetent (quacks and barbers) administrators and commonest technique for circumcision was bone shaper strategy. There is a desperate need to instruct the general population in regards to age, techniques for circumcision and their conceivable inconveniences.

Keywords: Circumcision, Plastibell method, Bone cutter method.