Combination treatment for cicatrix after neonatal circumcision: An office-based solution to a challenging problem. Issue 5 (October 2018)

• Record Type: Journal Article
• Authors: Alpert, Seth A.; Ching, Christina B.; DaJusta, Daniel G.; McLeod, Daryl J.; Fuchs, Molly E.; Jayanthi, Venkata R.
• Is Part Of: Journal of pediatric urology. Volume 14:Issue 5(2018)
• Page Start: 471
• Page End: 475
• Publication Date: 2018-10
• Subjects: Circumcision -- Newborn -- Cicatrix -- Postoperative complications; Pediatric urology -- Periodicals; Urologic Diseases -- Periodicals; Urogenital Diseases -- Periodicals; Urologic Surgical Procedures -- Periodicals; Child; Infant; Urologie pédiatrique -- Périodiques; Appareil urinaire -- Maladies -- Périodiques; Pédiatrie; Urologie; Pediatric urology; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); Electronic journals; Periodicals; Electronic journals; 618.926
• DOI: 10.1016/j.jpurol.2018.05.022
• Languages: English
• ISSNs: 1477-5131

Abstract

Summary: Cicatrix formation, which can form after neonatal circumcision to entrap the glans penis, presents a therapeutic challenge. Previous studies in the literature have described either using a topical steroid cream or stretching of the scar tissue with an instrument but not a combination of both modalities. In our experience, monotherapy has resulted in significant recurrence and/or need for further treatment. We present our successful experience that combines cicatrix stretching with a hemostat using local anesthesia in the office followed by several weeks of topical steroids with a minority of patients needing any additional therapy.