Experience and outcomes for PAs in a neonatal circumcision clinic. Issue 10 (October 2020)

• Record Type: Journal Article
• Authors: Colón-Sanchez, Kaity; Middleton, Tiernan; Ellsworth, Pamela
• Is Part Of: JAAPA. Volume 33:Issue 10(2020)
• Publication Date: 2020-10
• Subjects: neonatal circumcision -- complications -- advanced practice providers -- PAs -- urology -- surgery; Medicine -- Periodicals; Physicians' assistants -- Periodicals; Medicine -- Periodicals; Physician Assistants -- Periodicals; Medicine; Physicians' assistants; Periodicals; 610.7372069
• DOI: 10.1097/01.JAA.0000697252.63695.3f
• Languages: English
• ISSNs: 0893-7400

Abstract

ABSTRACT: Objective: To evaluate the outcomes of neonatal circumcision performed by a PA in pediatric urology. Methods: A retrospective review was performed of infants evaluated for neonatal circumcision by a single PA in pediatric urology over 30 months. Technique, age and weight at circumcision, presence or absence of genital anomalies, and complications were gathered. Results: Of the 371 male infants evaluated for neonatal circumcision, 276 underwent the procedure. Complications included retained Plastibell (2.1%), penile adhesions (1.1%), swelling (1.8%), and cosmetic concerns (0.73%). Eighteen unanticipated postprocedure visits occurred—four in the ED and 14 in the outpatient clinic. No acute procedural complications occurred. One patient (0.3%) underwent lysis of penile adhesions at age 19 months. Conclusion: Neonatal circumcisions are commonly performed by nonsurgeons with variable formal circumcision training. These data support that well-trained PAs can perform neonatal circumcisions with low complication rates.