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The Canadian Veterinary Journal = La... Jul 2023An 8-year-old intact male degu was examined with a 48-hour history of paraphimosis. The penis was devitalized and medical management was unsuccessful. A subtotal penile...
An 8-year-old intact male degu was examined with a 48-hour history of paraphimosis. The penis was devitalized and medical management was unsuccessful. A subtotal penile amputation was performed and a urethral-to-preputial anastomosis was created as part of a circumferential preputial urethrostomy. The immediate outcome in this case was good, with no complications. Key clinical message: Surgical intervention for paraphimosis in degus may be required in extreme cases of penile necrosis or due to an inability to replace the penis within the prepuce. Despite the degu's small size, surgery is feasible, as has been described in other species.
Topics: Male; Animals; Octodon; Paraphimosis; Penis; Urethra; Amputation, Surgical
PubMed: 37397699
DOI: No ID Found -
Cirugia Pediatrica : Organo Oficial de... Jul 2023Circumcision is one of the most frequent urological surgical procedures in the pediatric population globally. Complications, although rare, can be severe.
INTRODUCTION
Circumcision is one of the most frequent urological surgical procedures in the pediatric population globally. Complications, although rare, can be severe.
CLINICAL CASE
We present the case of a Senegalese 10-year-old male patient who had undergone ritual circumcision in his early childhood and developed a progressive circumferential tumor in the penile body with no further associated symptoms. Surgical exploration was carried out. A fibrotic-looking penile ring, which was interpreted as an injury secondary to the non-absorbable suturing material used in the previous surgery, was identified. The tissue involved was removed, and on-demand preputioplasty was conducted. Due to technical limitations, the resected tissue could not be analyzed, which means diagnosis could not be histopathologically confirmed. The patient had a favorable progression.
CONCLUSIONS
This case demonstrates that the medical personnel in charge of performing circumcisions should be adequately trained in order to prevent severe complications.
Topics: Humans; Male; Child; Child, Preschool; Circumcision, Male; Ceremonial Behavior; Penis; Sutures
PubMed: 37417220
DOI: 10.54847/cp.2023.03.16 -
Access Microbiology 2023Non-typhoidal Salmonella (NTS) causes urinary tract infections infrequently and are usually associated with presence of genitourinary abnormalities.
INTRODUCTION
Non-typhoidal Salmonella (NTS) causes urinary tract infections infrequently and are usually associated with presence of genitourinary abnormalities.
CASE PRESENTATION
We report a case of immunocompetent male in his early 20 s with phimosis presented with history of dysuria and burning micturition for 4 months. A renal ultrasonography showed presence of bilateral intrarenal calculi. Urine analysis revealed presence of non-typhoidal Salmonella. Automated identification systems performed poorly in identification of serotype. On serotyping, it was identified as in the referral centre. The patient was managed with oral antibiotics.
CONCLUSION
This report highlights the issues of inaccurate identification of NTS even with advanced automated systems and early initiation of therapy based on the knowledge of local susceptibility patterns. UTI in immunocompetent individuals by non-typhoidal Salmonella should always be investigated further to rule out genitourinary abnormalities and appropriate antibiotics must be started to avoid chronicity and complications.
PubMed: 38188244
DOI: 10.1099/acmi.0.000610.v5 -
Access Microbiology 2024In this short letter of correspondence, we provide our specialist interpretation of what has been described in a previously published case report. We argue that this...
In this short letter of correspondence, we provide our specialist interpretation of what has been described in a previously published case report. We argue that this case describes a patient with chronic, undertreated male genital lichen sclerosus. If left unchecked, as in this case, lichen sclerosus can cause permanent architectural changes and damage to the affected tissues, and can thus predisposes to secondary infections, including bacterial, such as with .
PubMed: 38482348
DOI: 10.1099/acmi.0.000765.v2 -
Urologie (Heidelberg, Germany) Jul 2023The religious and cultural circumcision of male infants in Germany is controversially discussed. After the passing of the religious circumcision bill in 2012, an...
INTRODUCTION
The religious and cultural circumcision of male infants in Germany is controversially discussed. After the passing of the religious circumcision bill in 2012, an increase of infant circumcisions without medical indication was feared. The aim of this study was to analyze the development of the circumcision case numbers.
MATERIALS AND METHODS
We used the research database of the German Institute for Applied Health Research with a representative anonymous sample of 4.9 million insured persons to estimate the annual circumcision numbers in Germany from 2013-2018. We stratified the data according to age (< 18 vs. ≥ 18 years). The number of male adolescents in the study period was taken from the database of the German Federal Statistical Office.
RESULTS
In the study period, 673,819 circumcisions were performed. From 2014, there was a significant decrease in the number of cases across all age groups (p = 0.049). Thereby, circumcisions in minors significantly increased (p = 0.002) and procedures in adults significantly decreased (p = 0.01) during the entire study period. The number of male minors increased by 4% from 6,709,137 (2013) to 6,992,943 (2018). The corresponding population-based number increased from 7.5 circumcisions per 1000 minors in 2013 to 8 in 2018 (p = 0.037).
CONCLUSIONS
After the passage of the circumcision bill in 2012, there was a significant increase of circumcisions in the age group of < 18 years in Germany. A major limitation of our study is that presumably many ritual circumcisions might not be provided within the health care system.
Topics: Infant; Adolescent; Adult; Humans; Male; Circumcision, Male; Ceremonial Behavior; Minors; Germany; Academies and Institutes
PubMed: 37256411
DOI: 10.1007/s00120-023-02104-6