Parental Satisfaction with Male Circumcision Outcomes in an Urban Healthcare Setting: A Cross-Sectional Study

Ahmad  Shajari; Amir Reza  Gheiratmand; Mohammad  Golshan Tafti

doi:10.18502/jimc.v9i2.21190

Ahmad Shajari Department of Pediatric Nephrology, Yazd University of Medical Sciences, Yazd, Iran
Amir Reza Gheiratmand Ali-ebne-Abitaleb School of Medicine, Islamic Azad University, Yazd Branch, Yazd, Iran
Mohammad Golshan Tafti Department of Pediatrics, Ali-Ebn-Abitaleb School of Medicine, Islamic Azad

DOI: https://doi.org/10.18502/jimc.v9i2.21190

Keywords: Ambulatory care facilities, Circumcision, Constriction, Hypospadias, Infant, Male

Abstract

Background: Male circumcision is among the most common surgical procedures globally, yet limited data exist on maternal satisfaction, particularly where traditional and medical practices coexist. This study evaluated maternal satisfaction with circumcision outcomes and identified key influencing factors.

Methods: This descriptive cross-sectional study included 350 mothers

of male infants circumcised within the prior six months, recruited via random sampling from seven urban healthcare clinics (January-June 2024). Inclusion criteria were infants without penile abnormalities; maternal refusal or congenital anomalies (e.g., hypospadias) warranted

exclusion. Data on demographics, procedure type, provider qualifications,

complications, and satisfaction (overall and informational) were collected via structured interviews using validated Likert scales. Statistical analyses employed descriptive statistics, normality testing, t-tests, ANOVA, and nonparametric tests (significance: p<0.05).

Results: Of respondents, 50.9% were younger than 30 years. Neonatal

circumcisions (48.3%) and Plastibell procedures (92.8%) predominated. Circumcisions were performed by specialists (52.3%), general practitioners (24.9%), or non-medical providers (22.9%), mostly in hospitals (53.4%), outpatient clinics (36.6%), or traditional settings (10.0%). Overall mean satisfaction was 3.99±1.03, with low satisfaction regarding information (2.65±1.05). Satisfaction significantly differed by provider type (specialists highest: 4.42±0.91, non-medical lowest: 2.84±0.99; p<0.01) and setting (hospital highest: 4.43±0.80, traditional lowest: 2.77±1.06; p<0.01). Complications (4.0%; predominantly bleeding and meatal stenosis) primarily occurred with non-medical practitioners, significantly reducing satisfaction (p<0.01).

Conclusion: Provider qualifications, setting, and complications significantly influence maternal satisfaction. Despite overall high satisfaction with hospital-based procedures, improved standardized counseling and regulatory oversight of non-medical practitioners are urgently required.