Other untoward events can result from taking too much skin from the penile shaft causing denudation or rarely, concealed penis, or from not removing sufficient foreskin, producing an unsatisfactory cosmetic result or recurrent phimosis, wound separation, unsatisfactory cosmesis because of excess skin, urinary retention, and retained Plastibell devices. Other postoperative complications include formation of skin bridges between the penile shaft and glans, meatitis and meatal stenosis, chordee, inclusion cysts in the circumcision line, lymphedema, hypospadias and epispadias, and urinary retention. Case reports have associated circumcision with other rare but severe events including scalded skin syndrome, necrotizing fasciitis, sepsis and meningitis, urethrocutaneous fistulas, necrosis (secondary to cauterization) [ie death and subsequent removal of the entire penis], as well as with major surgical problems such as urethral fistula, and partial amputation of the glans penis. [...total amputation of the glans, and death.]
Circumcision may lead to complications, which range from minor to severe. They include easily controllable bleeding, amputation of the glans, acute renal failure, life-threatening sepsis and, rarely, death. The evidence of postoperative complications is unknown. The rates of complications reported in several large case series are low, from 0.2% to 0.6%. However, published rates range as widely as 0.06% to 55%. Williams and Kapila (Williams N, Kapila L: Complications of circumcision. Br J Surg 1993; 80: 1231-1236) have suggested that a realistic rate is between 2% and 10%.