Buried penis is usually the result of inappropriate

circumcision in a chubby baby with a small or concealed penis. Excessive removal of skin should be

treated with application of antiseptic (iodophor) daily

and not with grafting or burying the penis in scrotum.

The skin will grow back.

15. Recurrence of pneumothorax (27)

16. Reaction to epinephrine used to control bleeding

a. Tachycardia

b. Local vasospasm (may lead to necrosis of the glans)

17. Complications due to local anesthetic

a. Methemoglobinemia has been reported following

exposure to prilocaine, procaine, benzocaine, and

lidocaine (28).

b. Hematoma; those reported in neonates have

resolved spontaneously.

c. Seizures (29)

18. Mechanical problems with Gomco clamp (30)

a. Loss of a part

b. Warping of the plate after multiple use

c. Breakage of arm during tightening

d. Grooves and nicks in bell at junction of bell and plate

References

1. Gairdner D. The fate of the foreskin—a study of circumcision. Br

Med J. 1949;2:1433.

2. History of circumcision: a religious obligation or a medical necessity. J Nephrol. 2011;Suppl 17:S100.

3. Farley SJ. Neonatal circumcision: the controversy rages on. Nat

Clin Pract Urol. 2009;6(2):59

4. Yellen HS. Bloodless circumcision of the newborn. Am J Obstet

Gynecol. 1935;30:146.

5. Dubrisin R, Zaprudsky P. Circumcising neonates with the Mogen

clamp. Contemp OB/Gyn. 1991;36:79.

6. Fette A, Schleef J, Haberlik A, et al. Circumcision in pediatric

surgery using an ultrasound dissection scalpel. Technol Health

Care. 2000;8:75.

7. Gough DCS, Lawton N. Circumcision—which dressing?. Br

J Urol. 1990;65:418.

8. Garry DJ, Swoboda E, Elimian A, et al. A video study of pain relief

during newborn male circumcision. J Perinatol. 2006;26:106.

9. Kirya C, Werthmann MW Jr. Neonatal circumcision and penile

dorsal nerve block—a painless procedure. J Pediatr. 1978;92:998.

10. Essid A, Hamazaoui M, Sahli S, et al. Glans reimplantation after

circumcision accident. Prog Urol. 2005;15:745.

11. Gesundheit B, Grisaru-Soen G, Greenberg D, et al. Neonatal genital herpes simplex type 1 infection after Jewish ritual circumcision:

modern medicine and religious tradition. Pediatrics. 2004;114:e259.

12. Barnes S, Ben Chaim J, Kessler A. Postcircumcision necrosis of

the glans penis: gray scale and color Doppler sonographic findings. J Clin Ultrasound. 2007;35(2):105.

13. Bode CO, Ikhisemojie S, Ademuyiwa AO. Penile Injuries from

proximal migration of the Plastibell circumcision ring. J Pediatr

Urol. 2010;6(1):23.