Male Circumcision: Contemporary Practice Pattern of the Egyptian Pediatric Surgeons

Abstract Background: To determine the practice pattern of male circumcision among pediatric surgeons in Egypt. Aim of Study: This study proved a shortage of communi-cation between the surgeons and the parents. And it was limited by the inability to correlate the clinical practice with the outcome results and the fact that not all members of EPSA responded to e-mails or personal communication. Patients and Methods: During 33rd Congress of Egyptian Pediatric Surgical Association in 2018, the pediatric surgeons were asked to fill a 22-question survey about their practice in male circumcision. Results: Correct responses were received from 126 sur-geons; 27% of responders operated more than 150 cases per year, 35% performed circumcision at the neonatal period, 45.2% used bone cutting forceps, 88.1% preferred electrocau-tery for sealing minute bleeding vessels; (81.7% use bipolar diathermy and only 6.4% used monopolar diathermy), 8% of the responders never used sutures in circumcision. There is a wide variation in the type of anesthesia and analgesia used. 61% recommended removal of the dressing after 24 hours. 70.4% of the responders regularly reviewed the cases in the outpatient clinics. Conclusion: The current survey reflects the diversity in the practice patterns of circumcision among pediatric surgeons in Egypt. Guillotine method using bone cutting forceps still the commonest method used. Other methods are limited due to the unavailability of the devices in most institutions. The pain control measures and the post-procedure care should be improved.