Complications of Circumcision: A Three Year Experience in N'Djamena Mother Child Hospital (Chad)
Aim: This study aimed at describing the various aspects of complications of circumcision and their management in patients referred to N'Djamena Mother Child Hospital (Chad) Material and Methods: All patients referred for complications of circumcision reported on a 3 year period (July 2011 May 2014) were included. Demographic data, circumstances of the circumcision, clinical presentation and management were computed. Results: Thirty one cases of complications from traditionally performed circumcisions (n 19) or circumcisions were performed by paramedics (n 12) The average age was 7.5 2 years. More than 60% of the patients were between 6 and 10 years old. The complications reported included: urethral fistula in the balano preputial sulcus in 10 cases (32% entire amputation of the glans in 2 cases (6.5% amputation of the penis in one case (3.5% stenosis of the urethral meatus in 8 cases (26% bleeding in 5 cases (16% and infections in 5 cases (16% A surgical treatment was performed according to clinical cases. Conclusion: Circumcision is safe when performed in hospitals. Unfortunately, serious complications may occur if it is performed by non experts. Hence there is a necessity to raise people's awareness on the importance of the medicalization of circumcision.