Showing posts with label Men's health. Show all posts
Showing posts with label Men's health. Show all posts

Sunday, September 25, 2011

Circumcision Devices can be Avoided to Stay Free from Clamp Related Injuries

Molly Hennessy-Fiske, Los Angeles Times, reported on September 26, 2011; Melanie Hall brought her week-old son Terrel to a Los Angeles doctor for circumcision. But after a nurse took the baby into an examining room, something went terribly wrong.
The doctor called her in from the waiting room. He had cut off most of the tip of her son's penis.
Hall sued both the doctor and the distributor of the Mogen clamp he had used to circumcise her now 8-year-old son, Terrel.
Though her claim against the physician was dismissed, Miltex Inc. and its parent company, Integra Life Sciences Holding Corp., agreed this summer to a $4.6-million settlement.
Terrel now lives with his mother in Austin, Texas. He had had two reconstructive surgeries, and will need at least two more between his teens and 20s for repair of the physical damage. Then there will be plastic surgery.
There are several such devices, which are in use for circumcision. Nearly all circumcisions in the U.S. are performed with devices like Mogen clamp, Gomco clamp or Plastibell.
plastibell circumcision day 5 postoperativeImage of Plastibell Circumcision
These days, about 56% of boys born in the U.S. are circumcised in hospitals according to the Centers for Disease Control and Prevention; apart from those done by religious leaders and others.
In August 2000, the U.S. Food and Drug Administration issued a public health notice about the Mogen and Gomco clamps after receiving about 20 injury reports a year since 1996, including lacerations, Bleeding, penile amputations and urethral injuries.

But complications continued. In the 11 years between the FDA warnings and the Hall settlement, the agency has received 139 additional reports of problems related to circumcision clamps, including 51 injuries. Twenty-one of those reports were related to Mogen clamps, all but one of which involved injuries.
In India, mostly circumcision is done in some community on religious grounds and in some others on therapeutic grounds. Except very few cases of reactive bleeding, mutilation of essential parts of penis is not seen.
There is standard method of circumcision without use of the devices; that can be safely performed under a short acting general anaesthesia or local anaesthesia. The procedure allows the surgeon to cut the foreskin under direct vision. He can secure the bleeding blood vessels then and there, leaving no chance for post-operative bleeding.
Complications of greater magnitude as in this instant case may feed fuel to the fire of the opponents of circumcision, who are echoing to stop the procedure for quite some time in certain regions of the world.
But, circumcision has its own role in many circumstances. It can be made optional choice of parents of new born.
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Tuesday, October 20, 2009

Retention Of Urine In Boy

A 12 years old boy came crying along with his mother. On inquiry, the boy showed the swollen end of his penis and inability to pass urine for sometime. His mother told that the boy had faced similar problem since some months back, when the skin of penis was opened, which enabled him to pass urine. He was also advised surgery in the coming winter. Why in winer I do not understand. Somehow people here prefer winter season to undergo surgery. The opening in the prepuce, penile foreskin was not visible and the prepuce seen distended with fluid inside it. It was painful to touch. The opening was seen closed with a flimsy adhesion, after clearing it, collected urine from the under the prepuce came out and the boy got relief. He further was able to pass urine comfortably. A small nodule was felt inside the prepuce. After some blood test the boy was advised a surgery, when the prepuce would be excised, a circumcision. My concern was the nodule inside the prepuce, because the carcinoma penis grows under cover of prepuce. The age factor was going against the diagnosis. So, I thought there could be a papilloma at least.




A circumcision was performed next day under local anesthesia. It was uneventful. It was noticed that there was a rough area in the inner side of the foreskin and it was reddish. It seems due to an inflammatory process following irritation. However the excised specimen was sent for histopathological study. The boy was sent home. I am waiting for the biopsy report. In India people till now, have not accepted circumcision as an aesthetic measure. Muslims take up it as a custom. Now it was in news that a Human Papilloma virus Vaccine has got FDA node for administration in boys. But it has been well documented that a circumcision in the early childhood prevents cancer of penis, as seen in Jews.

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Wednesday, June 17, 2009

HOT AND HUMID CLIMATE/HEAT STROKE

It is very much hot and humid here in Paradip,Orissa,India.The monsoon is scheduled to arrive.During my walking sweat comes out from scalp as rain drops.But I completed it.I have scheduled some endoscopies to-day at 8 AM.I hope the day will not be better without rain.This is the difficulty in coastal areas.
  People are prone to heat stroke during this time, a fatal outcome in these areas .T hope this is not seen in cold countries.I lot of fluid and avoiding exposer to sun are the mainstray of prevention.Govt of Orissa has closed the schools ,prevented labourers from working in the mid-day and installed road side water supply to the comuters.

  Let us stay safe.

OrissaImage via Wikipedia


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Tuesday, June 9, 2009

PARAPHIMISIS

PenisPARTS OF PENIS

Paraphimosis mostly seen in children and adolescents .When a phimosed i.e. non retractile prepuce of penis though tight yet yields to forcible retraction and not reduced acts as a constricting ring behind the glans.This obstructs the return of fluid from from the distal part of penis.The ring swells and exerts increasing pressure to return of fluid and gives rise to a grotesque appearance. It is painful and requires medical attention.The prepuce has to be reduced after relieving the constricting ring of skin.May require a formal circumcision but better defered if there is a lot of oedema in that part.
Recently I came across an article in "The Times of India" which says circumcision prevents Cancer of penis,HIV and Herpes infection in persons undergone circumcision in very early life as stated by the researchers.I had also seen similar news sometime back in a news paper.As per book it has been seen that cancer of penis is very rarely seen in Jews who undergo circumcision in very early childhood as a custom.It is definitely not known what prevents this. More research has to be undertaken to reach in the conclusion of circumcision can prevent HIV.

Diagram of the arteries of the penis.BLOOD FLOW TO AND FRO IN PENIS


PARAPHIMOSIS OF PENIS
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