Tag: PROCEDURE

Circumcision

CIRCUMCISION


CIRCUMCISION

INDICATIONS-

  • Religious (jews and muslims)
  • Phimosis
  • Paraphimosis
  • Balanitis & balanoposthitis
  • Early carcinoma of prepuce or glans penis
  • STD
  • Recurrent UTI

PROCEDURE-

  • In children, it is done under GA
  • In adults, it is done under LA.

COMPLICATIONS-

  • Reactionary haemorrhage
  • Infection
  • Stricture urethra near external meatus in children
  • Chordee

Exam Important

INDICATIONS-

  • Religious (jews and muslims)
  • Phimosis
  • Paraphimosis
  • Balanitis & balanoposthitis
  • Early carcinoma of prepuce or glans penis
  • STD
  • Recurrent UTI

PROCEDURE-

  • In children, it is done under GA
  • In adults, it is done under LA.

COMPLICATIONS-

  • Reactionary haemorrhage
  • Infection
  • Stricture urethra near external meatus in children
  • Chordee
Don’t Forget to Solve all the previous Year Question asked on CIRCUMCISION

Module Below Start Quiz

Circumcision

Circumcision

Q. 1 Which of the following is/are TRUE about hypospadias?

1. Defect is seen in the ventral part
2. Always associated with chordee
3. Associated with hooded prepuce
4. Circumcision should be avoided

 A

1,2 & 3

 B

2,3 & 4

 C

1,3 & 4

 D

All are true

Q. 1

Which of the following is/are TRUE about hypospadias?

1. Defect is seen in the ventral part
2. Always associated with chordee
3. Associated with hooded prepuce
4. Circumcision should be avoided

 A

1,2 & 3

 B

2,3 & 4

 C

1,3 & 4

 D

All are true

Ans. C

Explanation:

About option 1
Hypospadias results from failure of fusion of the urethral folds on the undersurface of the genital tubercle so defect is seen on the ventral part
.

About option 2
“In the penile variety (not other type- so not always present) the urethra and corpus spongiosum distal to the ectopic opening are absent.

These structures are represented by a fibrous cord. Due to contracture of this fibrous cord, the penis is curved ventrally, which is known as chordee”.
 
About option 3
“In all cases the inferior aspect of the prepuce is poorly developed. As the superior aspect of the prepuce is almost normally developed whereas the inferior aspect is poorly developed, the prepuce takes the form of a hood and is called “hooded prepuce”.
About option 4
“Circumcision should not be done in these patients, as prepuce can be used later in surgical repair (85% of patients)”
Ref: L & B 25/e, Page 1362-63 ; CSDT 11/e, Page 1028 ; Textbook Of Surgery By S. Das 5/e, Page 1322-23

Q. 2 Regarding neonatal circumcision, which one of the following is true:

 A

It should be done without anaesthesia, as it is hazardous to give anaesthesia.

 B

It should be done without anesthesia, as neonates do not perceive pain as adults

 C

It should be done under local anaesthesia only.

 D

General anaesthesia should be given to neonate for circumcision as they also feel pain as adults.

Q. 2

Regarding neonatal circumcision, which one of the following is true:

 A

It should be done without anaesthesia, as it is hazardous to give anaesthesia.

 B

It should be done without anesthesia, as neonates do not perceive pain as adults

 C

It should be done under local anaesthesia only.

 D

General anaesthesia should be given to neonate for circumcision as they also feel pain as adults.

Ans. D

Explanation:

D i.e. G.A. Should be given to neonate for circumcision as they also feel pain as adults


Q. 3

Circumcision cannot be used in management of 

 A

Phimosis

 B

Severe balanitis xerotica

 C

Paraphimosis

 D

Penile Cancer

Q. 3

Circumcision cannot be used in management of 

 A

Phimosis

 B

Severe balanitis xerotica

 C

Paraphimosis

 D

Penile Cancer

Ans. D

Explanation:

Answer- D. Penile Cancer

  • Phimosis
  • Balanitis 
  • Posthitis
  • Paraphimosis
  • Severe UTIs

Q. 4 Indication of circumcision includes:

 A

Hypospadias

 B

Epispadias

 C

Phimosis

 D

Balanitis

Q. 4

Indication of circumcision includes:

 A

Hypospadias

 B

Epispadias

 C

Phimosis

 D

Balanitis

Ans. C:D:E

Explanation:

Answer- C,Phimosis D,Balanitis E, Balanoposthitis
Indication- religious & phimosis
Medical indications for circumcision in boys include-

  1. recurrent attacks of balanoposthitis
  2. recurrent urinary tract infections
  3. In adults, inability to retract for intercourse, abnormally tight frenulum, balanitis

Quiz In Between



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