Introduction: Skin bridge that is formed as an adhesion from glans to penile shaft skin is a rare and late complication of childhood circumcision, leading to cosmetic and functional problems. Skin bridge must be corrected by simple surgical excision or electrocautery, frequently under general anesthesia. In this article, we presented clinical features and outcomes of surgical treatment performed under local anesthesia in 6 cases with skin bridge, who was circumcised in childhood and presented with penile deviation and/or painful erection.

Materials and Methods: The charts of the cases with penile skin bridge who have been diagnosed and treated during last 6 years were reviewed and their diagnostic and therapeutic features were noted.

Results: During last 6 years, 6 cases with skin bridge were found. Of the patients, 2 were child and others were adult. Three patients were circumcised at clinics by surgeons and others at their home by traditional circumcisers. Five patients were circumcised due to cultural and the other due to medical reason. In all patients, penile deviation was the common symptom, while 4 had painful erection and psychological impairment. Four patients were treated by surgical excision and 2 others by electrocautery. Surgery was performed under local anesthesia and in follow-up, it is noted that the skin bridges were corrected in all patients and no pain was felt during erection in 4 of the patients.

Conclusions: Our case series show that skin bridge as a complication of childhood circumcision might lead to functional problems as well cosmetic issues in adult life and corrective surgery could be performed under local anesthesia, providing satisfactory outcomes

Keywords: Circumcision, complication, skin bridge