Experience and outcomes for PAs in a neonatal circumcision clinic.
JAAPA
; 33(10): 40-43, 2020 Oct.
Article
en En
| MEDLINE
| ID: mdl-32976234
ABSTRACT
OBJECTIVE:
To evaluate the outcomes of neonatal circumcision performed by a PA in pediatric urology.METHODS:
A retrospective review was performed of infants evaluated for neonatal circumcision by a single PA in pediatric urology over 30 months. Technique, age and weight at circumcision, presence or absence of genital anomalies, and complications were gathered.RESULTS:
Of the 371 male infants evaluated for neonatal circumcision, 276 underwent the procedure. Complications included retained Plastibell (2.1%), penile adhesions (1.1%), swelling (1.8%), and cosmetic concerns (0.73%). Eighteen unanticipated postprocedure visits occurred-four in the ED and 14 in the outpatient clinic. No acute procedural complications occurred. One patient (0.3%) underwent lysis of penile adhesions at age 19 months.CONCLUSION:
Neonatal circumcisions are commonly performed by nonsurgeons with variable formal circumcision training. These data support that well-trained PAs can perform neonatal circumcisions with low complication rates.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_doencas_nao_transmissiveis
Asunto principal:
Asistentes Médicos
/
Circuncisión Masculina
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
JAAPA
Asunto de la revista:
MEDICINA
Año:
2020
Tipo del documento:
Article