The reproductive system of adolescents is exposed to a high risk of anomalies. In spite of the successes of surgical correction, the percentage of postoperative complications remains high. Special attention should be paid to circumcision, which is regarded as a religious tradition in many countries and carried out with sanitary violations. This research developed a systematic algorithm for the prevention of complications of surgical interventions in case of external genitalia anomalies. The article describes results of a statistical analysis related to the main risk factors of postoperative complications in primary genital surgery in male adolescents. The analysis implied calculating the frequency of value occurrence, the percentage of value occurrence, cumulative frequency. Using the Spearman criterion, we carried out correlation analysis; 11 predicts of complications in the postoperative period during manipulations on the genitals were determined with regard to logistic regression. Comparison of the interdependent variables by using the Chi-square method and the Wilcox on test gave the possibility to determine statistically significant differences in the frequency distribution of patients in terms of complications of the main group. A set of necessary measures for preventing postoperative complications was presented in the form of a prevention circle.

Barker, G., & Angsten, G. (2014). Pediatric Urology - Evidence for Optimal Patient Management. Acta Paediatria, 103, 345–345. doi: 10.1111/apa.12505

Bhat, A., Mandal, A.K. (2008). Acute postoperative complications of hypospadias repair. Indian Journal of Urology, 24, 241.

Breuer, G.S., & Walfisch, S. (1987). Circumcision complications and indications for ritual recircumcision--clinical experience and review of the literature. Israel journal of medical sciences, 23, 252–6.

Caldamone, A.A. (2014). Pediatric Urology: Evidence for Optimal Patient Management. Journal of Pediatric Urology, 10, 203.

Chan, I.H., & Wong, K.K. (2016). Common urological problems in children: prepuce, phimosis, and buried penis. Hong Kong Med J, 22, 263–269. doi: 10.12809/hkmj154645

Chan, P.T.K., Wright, E.J., & Goldstein, M. (2005). Incidence and postoperative outcomes of accidental ligation of the testicular artery during microsurgical varicocelectomy. J Urol 173, 482–4. doi: 10.1097/01.ju.0000148942.61914.2e

Cho, P., & Cendron, M. (2014). The surgical management of male epispadias in the new millennium. Curr Urol Rep, 15,1–5. doi: 10.1007/s11934-014-0472-8

Committee On Medical Ethics. (2004). The law and ethics of male circumcision: guidance for doctors. J Med Ethics, 30, 259–63.

Cortes, D., Thorup, J.M., & Visfeldt, J. (2001). Cryptorchidism: Aspects of fertility and neoplasms. A study including data of 1,335 consecutive boys who underwent testicular biopsy simultaneously with surgery for cryptorchidism. Horm Res 55, 21–27. doi: 10.1159/000049959

Dabaja, A., & Goldstein, M. (2014). Microsurgical hydrocelectomy: Rationale and technique. Urol Pract, 1, 189–193. doi: 10.1016/j.urpr.2014.06.003

Fox, M., & Thomson, M. (2005). A covenant with the status quo? Male circumcision and the new BMA guidance to doctors. J Med Ethics, 31, 463–469.

Gavrina, D. (2008). Surgical treatment of the foreskin diseases. Synopsis. State Medical Academy, Tver,

Higuchi, T., Holmdahl, G., Kaefer, M. et al. (2016). International Consultation on Urological Diseases: Congenital Anomalies of the Genitalia in Adolescence. Urology.

Iacono, F., Ruffo, A., Prezioso, D. et al. (2014). Treatment of bilateral varicocele and other scrotal comorbidities using a single scrotal access: our experience on 34 patients. Biomed Res Int 2014, 403603. doi: 10.1155/2014/403603

Ilyin, V.V., Kayumov, A.T., & Hajrullin, A.G. (2016). Values: An Analysis of the Multi-Value World of the Human Personality. IEJME-Mathematics Education, 11(5), 1393-1401.

Ko, M-C., Liu, C-K., Lee, W-K. et al. (2007). Age-specific prevalence rates of phimosis and circumcision in Taiwanese boys. J Formos Med Assoc 106, 302–7. doi: 10.1016/S0929-6646(09)60256-4

Lozovoy, V., Nugumanova, A., & Lozovaya, E. (2010). The reasons for reoperation after complications of primary urological interventions. XIV Int. Conf. „Family Heal. - XXI Century“, 319 – 320. Italy: Rimini.

Montasser, E., Gohary, E., & Amin, M. (2010). O riginal A rticle Webbed penis. A new classification 15, 50–53.

Pajovic, B., Radojevic, N., Dimitrovski, A. et al. (2015). Advantages of microsurgical varicocelectomy over conventional techniques. Eur Rev Med Pharmacol Sci, 19, 532–538.

Perlmutter, A.E., Morabito, R., & Tarry, W.F. (2006). Impact of patient age on distal hypospadias repair: A surgical perspective. Urology, 68, 648–651. doi: 10.1016/j.urology.2006.03.079

Snodgrass, W., Macedo, A., Hoebeke, P., & Mouriquand, P.D.E. (2011). Hypospadias dilemmas: a round table. J Pediatr Urol, 7, 145–57. doi: 10.1016/j.jpurol.2010.11.009

Soulie, M., Seguin, P., Richeux, L. et al. (2001). Urological complications of laparoscopic surgery: experience with 350 procedures at a single center. J Urol, 165, 1960–3.

Woodhouse, C.R.J., & Christie, D. (2005). Nonsurgical factors in the success of hypospadias repair. BJU Int, 96, 22–27. doi: 10.1111/j.1464-410X.2005.05560.x

Yaman, O., Soygur, T., Zumrutbas, A.E., & Resorlu, B. (2006). Results of microsurgical subinguinal varicocelectomy in children and adolescents. Urology, 68, 410–2. doi: 10.1016/j.urology.2006.02.022