Modified Sleeve Resection, ASCOVIME-MBASSI Technique: A New Approach to Circumcision
- 1 Higher Institute of Medical Technology, Yaounde, Cameroon
- 2 Department of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
- 3 Department of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
- 4 Urology and Andrology Department, Yaounde Central Hospital, Yaounde, Cameroon
- 5 Departement of General Surgery, Soa District Hospital Yaounde 2, Yaounde, Cameroon
- 6 Association des Competences pour une Vie Meilleure (ASCOVIME), Yaounde, Cameroon
- 7 Association des Competences pour une Vie Meilleure (ASCOVIME), Yaounde, Cameroon
- 8 Department of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
- 9 Department of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
- 10 Faculty of Health Sciences, University of Bamenda, Bamenda, Cameroon
- 11 Higher Institute of Medical Technology, Yaounde, Cameroon
- 12 Association des Competences pour une Vie Meilleure (ASCOVIME), Yaounde, Cameroon
- 13 Department of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
- 14 Department of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
- 15 Department of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
- 16 Department of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
- 17 Higher Institute of Health Sciences, Bangangte, Cameroon
- 18 Yaounde Gynecology, Obstetrics and Pediatric Hospital, Yaounde, Cameroon
- 19 Departement of Visceral and Digestive Surgery, Yaounde Central Hospital, Yaounde, Cameroon
Abstract
Introduction: Complications of circumcision remain a major public health problem. A good mastery of the surgical circumcision techniques helps to limit the appearance of these complications. The aim of our study is to demonstrate a modified surgical circumcision technique (ASCOVIME-MBASSI technique) and its outcome in a resource limited setting. General Objective : This study aims to evaluate the effectiveness of the Modified sleeve resection technique (ASCOVIME-MBASSI technique) in the management of circumcisions in a resource limited setting. Methodology: We conducted a retrospective study. The files of circumcised patients aged 2 to 14 years as well as the operating reports were consulted over 13 years (January 1, 2011 to July 31, 2024) in the Urology department of the Yaounde Central Hospital and the records of patients operated during the ASCOVIME health campaigns. We excluded incomplete patient records. Qualitative variables were expressed as numbers and percentages. The p-value was significant at <0.05. Results: A total of 150 cases were retained. The mean age was 5.6 ± 9.3 years with age range from 2 years to 13 years. Majority of patients consulted for desire for circumcision (63%). Intra-operative bleeding was minimal in 99.3% of the study population and there was no glans amputation. Urinary flow was good in all cases and the majority of the study population were satisfied with the cosmetic outcome (90%). The modified sleeve resection technique prevents complications like urethrocutaneous fistula and amputation of the glans. Conclusion: Use of the ASCOVIME-MBASSI technique prevents devastating complications like urethrocutaneous fistula and amputation of the glans penis. Therefore, this new approach to circumcision should be widely vulgarized.
- Auslander, S. (2008) La lamentation du prépuce, Paris, Belfond.
- Prabhakaran, S., Ljuhar, D., Coleman, R. and Nataraja, R.M. (2018) Circumcision in the Paediatric Patient: A Review of Indications, Technique and Complications. Journal of Paediatrics and Child Health , 54, 1299-1307. https://doi.org/10.1111/jpc.14206
- Raveenthiran, V. (2018) The Evolutionary Saga of Circumcision from a Religious Perspective. Journal of Pediatric Surgery , 53, 1440-1443. https://doi.org/10.1016/j.jpedsurg.2018.03.001
- Krill, A.J., Palmer, L.S. and Palmer, J.S. (2011) Complications of Circumcision. The Scientific World Journal , 11, 2458-2468. https://doi.org/10.1100/2011/373829
- WHO (2018) Male Circumcision for HIV Prevention Manual for Male Circumcision under Local Anaesthesia and HIV Prevention Services for Adolescent Boys and Men.
- Raashid, H., Bhat, N. and Rashid, K. (2014) Complications of Circumcision. Saudi Journal of Medicine and Medical Sciences , 2, 86-89. https://doi.org/10.4103/1658-631x.136990
- Pippi Salle, J.L., Jesus, L.E., Lorenzo, A.J., Romão, R.L.P., Figueroa, V.H., Bägli, D.J., et al . (2013) Glans Amputation during Routine Neonatal Circumcision: Mechanism of Injury and Strategy for Prevention. Journal of Pediatric Urology , 9, 763-768. https://doi.org/10.1016/j.jpurol.2012.09.012
- Kalkan, M., Şahin, C. and Toraman, A.R. (2011) Complications of Circumcision: Our Experiences over the Last 15 Years. Electronic Journal of General Medicine , 8, 176-181. https://doi.org/10.29333/ejgm/82727
- Lucas, T., Hines, J.Z., Samuelson, J., Hargreave, T., Davis, S.M., Fellows, I., et al . (2021) Urethrocutaneous Fistulas after Voluntary Medical Male Circumcision for HIV Prevention—15 African Countries, 2015-2019. BMC Urology , 21, Article No. 23. https://doi.org/10.1186/s12894-021-00790-y
- Zabihi, F., Bastami, S.J. and Atqiaee, K. (2022) A Rare Case of Necrotizing Fasciitis after Early Infant Male Circumcision. Clinical Case Reports , 10, e6409. https://doi.org/10.1002/ccr3.6409
- Villanueva, C.A. and Salevitz, D. (2023) Gomco Circumcision in the Office in Patients Heavier than 5.5 kg and/or Older than 3 Months. Journal of Pediatric Urology , 19, 801.e1-801.e5. https://doi.org/10.1016/j.jpurol.2023.08.005
- Ahmed, N., Jan, Z.U., Yasin, M.D. and Aurangzeb, M. (2022) Circumcision with the Plastibell Technique: A Descriptive Case Series. Cureus , 14, e30601. https://doi.org/10.7759/cureus.30601