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Circumcision remains as one of the most controversial topics in current urological practice. The most important argument against circumcision is the permanent change of anatomy, histology and function of the penis, with potential complications, with rates reported to be low in developed countries, whereas it may be up to 85% when circumcision is carried out by traditional circumcisers, rather than by medically trained professionals in developing countries. In some studies, reporting the complications of circumcision, primary haemorrhage was the most common (52%), whereas infection, meatal stenosis, incomplete circumcision, penile oedema, glandular injury, penile adhesions, iatrogenic hypospadias and urethral injuries were also detected at different rates. At times minor complications after circumcision which cannot be avoided even when the procedure is undertaken by specialized pediatric surgeons or urologist, in a properly equipped centres; specially if the child or his penis is congenitally abnormal, the obvious examples are, circumcising a child with an excessive suprapubic fat or a child with webbed penis or microphallus . This title aims to minimize complications of MC and to compete against its serious impact on men's' health, it will educate and teach physicians about potential complications and how they could manage it early on and avoid further patient problems This title will shed some light over the common as well the uncommon complications, which usually raise a debate about its management. There are different sets to classify MC complications: Either early, or late, minor or major, local or systemic, rare or common. Both rare and common complications will be discussed with comprehensive photos and illustrations for each complication and its operative remedy.
This textbook provides a guide to reconstructive surgery of genitourethral problems in male patients. The first section covers all aspects of urethral reconstruction, including the functional anatomy of the urethra, etiology, epidemiology, and demographic differences in urethral pathology. The second section focuses on surgical reconstruction of penile and scrotal anomalies and dysfunctions. Textbook of Male Genitourethral Reconstruction aims to aid the management of male genitourethral reconstruction patients by reviewing the recent advancements in technology and surgical technique. This book is relevant to urologists, plastic and reconstructive surgeons, medical students, and health care professionals working within urology and plastic surgery.Chapter “Tissue Transfer Techniques in the Management of Urethral Stricture Disease: Flaps and Grafts” is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
Surgical Guide to Circumcision is a compendium of the who, what, where, why, and most importantly, the how of circumcision. Given that one third of the world’s males have undergone this most ancient of surgical procedures, a contemporary resource on the subject is in order. Most circumcisions are elective with no acute medical necessity; that is, most are done for cultural reasons. Thus, in addition to being a standard surgical guide for those who perform circumcision, this book is an anthology of circumcision, from its prehistoric roots to its present day admixture of religion, culture, and medicine. Surgical Guide to Circumcision is a fully illustrated, step-by-step guide to the most common techniques of circumcision and addresses aspects such as informed consent, religious and cultural sensitivities, pre-exam, post-care, pain control, and prevention and management of potential complications. Written by experts in the field, Surgical Guide to Circumcision will appeal to family physicians, pediatricians, obstetricians, midwives, nurses, urologist, and anyone with a general interest in circumcision.
This book provides comprehensive but concise data for congenital diseases of the penis, explaining the embryological and anatomical background, incidence, historical background, investigation approaches, imaging and management of each condition. The book is organised in themed parts, starting from embryology and normal anatomy and examining anomalies for each anatomical part: prepuce, penis, urinary meatus, penile urethra with a final part of acquired penile diseases with congenital background. With clear illustrations in each chapter to explain each condition in detail, online animations for the difficult and complex cases are also provided. Practitioners in the field of pediatric urology and surgery will find this highly readable book particularly valuable. The author is a pioneer pediatric surgeon with over 30 years’ experience in the field of genitourinary anomalies.
Every year around the world 13.3 million boys and 2 million girls have part or all of their external sex organs cut off. Doctors, parents, and politicians have been misled into thinking that these mutilations are beneficial, necessary and harmless. International respected experts in the fields of medicine, science, politics, law, ethics, sociology, anthropology, history and religion present the latest research, documentation and analysis of this world-wide problem, focusing on the ethical, political and legal aspects of sexual mutilation; the cost and burden to healthcare systems; the latest medical research; anatomical and function consequences; religious and cultural aspects; psychological aspects; and the world-wide campaign to end sexual mutilation.
This volume contains the proceedings of the 10th International Symposium on Circumcision, Genital Integrity, and Human Rights. Authors are international experts in their fields, and the book contains the most up-to-date information on the issue of genital cutting of infants and children from medical, legal, bioethical, and human rights perspectives.
The definitive illustrated resource on the surgical management of infants and children -- with an emphasis on operative technique Operative Pediatric Surgery, Second Edition is a comprehensive, well-illustrated text that delivers expert coverage of the pathophysiology, diagnosis, and treatment of pediatric surgical disease. This detailed single-volume resource is enhanced by numerous drawings, radiographs, and photographs that illustrate the authors’ preferred operative techniques. Wherever appropriate, diagnostic and care guidelines are also included. Operative Pediatric Surgery, Second Edition is divided into 11 sections that include a total of 100 chapters. The book opens with an informative General Principles section that provides important background information on topics such as the history of pediatric surgery, ethical considerations, pediatric surgical critical care, and office-based ambulatory surgery. The rest of the text is organized primarily by organ, enhanced by a timely section on solid organ transplantation. In this Second Edition, each chapter author has thoroughly updated and refreshed their topic, and in many instances, minimally invasive operative techniques are included with open approaches. There are also exciting new chapters on: Hypospadias Vesicoureteral reflux Non-rhabdomyosarcoma soft tissue sarcomas Gastrointestinal polyps and cancer Adolescent bariatric surgery Operative Pediatric Surgery will prove to be an essential reference for pediatric surgeons seeking optimal diagnosis and treatment approaches for their patients.
This book is vital for physicians caring for young patients with urological conditions, as a quick reference book that is easy to read and well-illustrated. Pediatric urological conditions are fairly common, and infants and children are seen on daily basis with urological problems either in clinics or in hospitals. This book is useful to general surgeons, pediatricians, pediatric surgeons, fellows, residents, general physicians and family physicians, medical students and nurses. The Editor has gained experience in the diagnosis and management of various urological problems in infants and children, working in busy hospital over the last 25 years.