6. Inflammation/ulceration of meatus (9,23)

7. Circumcision of hypospadias

8. Chordee most commonly is the result of dense ventral

scarring from inflammation; may be due to removal of

excess skin from shaft or secondary to a skin bridge

9. Inclusion cyst of prepuce

10. Lymphedema (24)

11. Venous stasis (25)

12. Displacement with lodging of Plastibell around penile

shaft or glans penis (9)

13. Death

a. Anesthetic (1)

A B

Fig. 47.5. Circumcision with a Plastibell. A: The prepuce is pulled forward onto the bell. Inset: The

prepuce is compressed into the groove by the circumferential suture. B: Appearance of the completed

circumcision.

352 Section IX ■ Miscellaneous Procedures

A

C

B

D

Fig. 47.6. Complication of circumcision. A: Glans injury

6 months after circumcision. B: Trapped penis following contraction of wound after circumcision. C: Penile amputation following cautery injury during circumcision. D: Cicatrix following

circumcision.

Chapter 47 ■ Circumcision 353

b. Infection

c. Hemorrhage (14)

14. Wound separation/removal of excess skin (Fig. 47.6) (26)