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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front Med    0, Vol. Issue () : 122-125    https://doi.org/10.1007/s11684-013-0242-x
RESEARCH ARTICLE
Circumcision of preschool boys in Baghdad, Iraq: prevalence, current practice and complications
Hussein Naji1,2(), Rajaa Mustafa3
1. Department of Paediatric Surgery, Astrid Lindgren Children’s Hospital, Karolinska University Hospital, SE-17176 Stockholm, Sweden; 2. Department of Women’s and Children’s Health, Karolinska Institute, SE-17176 Stockholm, Sweden; 3. Department of Paediatric Surgery, Central Teaching Hospital for Children, Baghdad, Iraq
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Abstract

Circumcision is probably one of the most ancient surgical operations and has been performed more than any other operation. The aim of this study is to assess the prevalence of circumcision in preschool boys and to present an overview of the current practices and complications in Baghdad, Iraq. A statistical survey was conducted at the Central Teaching Hospital for Children in Baghdad, Iraq during the period April 2003 to October 2004. The survey consisted of structured interviews with the accompanying parents while waiting for their children’s routine appointments. A total of 4000 boys were included. 2 443 (61%) were circumcised and the prevalence of circumcision increased from 18% at 6 months of age to reach 92% at 6 years. Only 180 (7.4%) boys had a medical reason while the rest were circumcised for religious reasons. Parents were the only determinant in deciding the time and place of religious circumcision. Circumcision was performed by a doctor in 732 (30%) boys, by a nurse in 1276 (52%) and by a traditional circumciser in 435 (18%). Post-operative complications were encountered in 209 (8.5%) boys. Circumcision is an important surgical procedure that should be performed by trained medical staff in medical institutions. Circumcision performed by medical professionals caused significantly less complications.

Keywords circumcision      children      prevalence      religious      complications     
Corresponding Author(s): Naji Hussein,Email:hussein.naji@karolinska.se   
Issue Date: 05 March 2013
 Cite this article:   
Hussein Naji,Rajaa Mustafa. Circumcision of preschool boys in Baghdad, Iraq: prevalence, current practice and complications[J]. Front Med, 0, (): 122-125.
 URL:  
https://academic.hep.com.cn/fmd/EN/10.1007/s11684-013-0242-x
https://academic.hep.com.cn/fmd/EN/Y0/V/I/122
Fig.1  Prevalence of circumcision according to age for 4000 preschool boys.
Fig.1  Prevalence of circumcision according to age for 4000 preschool boys.
Doctor No. (%)Nurse No. (%)Circumciser No. (%)Total No. (%)
Circumcision733 (30)1271 (52)439 (18)2443
Complications19 (2.6)124 (9.7)66 (15)209 (8.5)
Bleeding9 (1.2)45 (3.5)27 (6.1)81 (3.3)
Infection5 (0.7)51 (4)21 (4.7)77 (3.1)
Inadequate circumcision1 (0.1)7 (0.5)4 (0.9)12 (0.5)
Urine retention3 (0.4)12 (0.9)9 (2)24 (1)
Not satisfied cosmetically1 (0.1)9 (0.7)5 (1.1)15 (0.6)
Tab.1  Comparison of complications of circumcision with regards to operator categories
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