At what age range should children be circumcised?
Joint Authors
Bicer, Senol
Kuyrukluyildiz, Ufuk
Akyol, Fathi
Shahin, Murad
Binici, Orhan
Onk, Didem
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 17, Issue 3 (31 Mar. 2015), pp.1-4, 4 p.
Publisher
Publication Date
2015-03-31
Country of Publication
United Arab Emirates
No. of Pages
4
Main Subjects
Topics
Abstract EN
Although male circumcision is a surgical intervention that is frequently performed in children, there is no consensus about the age at which it should be performed.
Objectives : The purpose of this study was to determine the best age range for routine male circumcision with respect to a child’s health and the cost.
Patients and Methods : This clinical trial was conducted in the affiliated hospital of the Erzincan University of Medical Sciences, Turkey, in 2014.
The circumcised children were evaluated in 3 groups: < 1 year old (Group 1), 1-7 years old (Group 2), and > 7 years old (Group 3).
To obtain a satisfactory Wilton sedation score, midazolam 0.1 mg/kg IV was administered first.
If adequate sedation was not achieved, ketamine 2 mg/kg IV was also administered.
If adequate sedation was still not achieved, general anesthesia was administered via a laryngeal mask.
At the end of the surgery, the groups were compared in terms of post-anesthesia recovery duration, complications, discharging duration, and cost.
Results : A total of 603 children were circumcised, 374 in Group 1, 94 in Group 2, and 135 in Group 3.
Midazolam was sufficient for sedation in 364 Group 1 patients (97.3%), 6 Group 2 patients (6.3%), and 38 Group 3 patients (28.1%).
The shortest post-anesthesia recovery duration after surgical intervention and time until discharge, the lowest cost, and the fewest anesthesia complications were observed in Group 1 (P < 0.05 for all).
Conclusions : Although almost all of the < 1 year-old children could be sedated with midazolam alone, most of the > 1 year-old children required ketamine or general anesthesia.
Performing circumcision when children are less than 1 year old decreases the risk of complications due to anesthesia and lowers the costs compared with performing the procedure on older children.
American Psychological Association (APA)
Bicer, Senol& Kuyrukluyildiz, Ufuk& Akyol, Fathi& Shahin, Murad& Binici, Orhan& Onk, Didem. 2015. At what age range should children be circumcised?. Iranian Red Crescent Medical Journal،Vol. 17, no. 3, pp.1-4.
https://search.emarefa.net/detail/BIM-554191
Modern Language Association (MLA)
Bicer, Senol…[et al.]. At what age range should children be circumcised?. Iranian Red Crescent Medical Journal Vol. 17, no. 3 (Mar. 2015), pp.1-4.
https://search.emarefa.net/detail/BIM-554191
American Medical Association (AMA)
Bicer, Senol& Kuyrukluyildiz, Ufuk& Akyol, Fathi& Shahin, Murad& Binici, Orhan& Onk, Didem. At what age range should children be circumcised?. Iranian Red Crescent Medical Journal. 2015. Vol. 17, no. 3, pp.1-4.
https://search.emarefa.net/detail/BIM-554191
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 4
Record ID
BIM-554191