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Introduction: Parental refusal of intramuscular (IM) vitamin K in newborns poses challenges, particularly for pediatric urologists assessing the safety of neonatal circumcision. Vitamin K deficiency bleeding (VKDB) is a known risk, with lack of prophylaxis increasing bleeding complications. This study evaluates the safety of neonatal circumcision without IM vitamin K, reviews guidelines, and explores alternative prophylaxis options.

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Response to commentary re parental regret following decision for sons to undergo elective post-neonatal circumcision.

J Pediatr Urol

November 2024

Department of Pediatric Urology, Dana-Dwek Children's Hospital, Tel-Aviv Medical Center, Tel-Aviv, Israel; School of Medicine, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel. Electronic address:

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Surgical repair of extensive penile shaft skin injuries following neonatal circumcision.

Urol Case Rep

November 2024

Department of Urology, Atrium Health Wake Forest Baptist, 1 Medical Center Blvd, Winston Salem, NC, 27157, United States.

Circumcision is a common procedure performed since ancient times with an excellent safety profile and potential health benefits. In the United States, it is commonly performed in the neonatal period using devices such as the Gomco, Mogen, or Plastibell device. In the rare circumstance of a complication, it is often related to bleeding and usually managed conservatively.

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