Stitch granuloma of the penis: A very rare complication after male circumcision

Abstract

Surgical suture material is usually inert and nontoxic and causes minimal inflammation of tissue. It is not ordinarily a source of infection. Silk granuloma has been reported as benign complication seen after surgery elsewhere in the body. Suture granuloma can occur many months or years after the primary surgical procedure. The most common suture causing tissue irritation and subsequent granuloma is probably the silk (nonabsorbable suture) especially braided one. We report a granulomatous inflammatory tumour of penis in a fit two-year-old child. The lesion increased in size spontaneously within six weeks after circumcision.The child had symptoms of wound infection (i.e., pain, erythema, induration, and local tenderness with occasional seropurulent discharge) after closure of the circumcision wound with Vicryl suture material.