Complication of newborn circumcision: Meatal stenosis or meatal web?

Özen, Mehmet Ali; Gündoğdu, Gökhan; Taşdemir, Mehmet; Eroğlu, Egemen

doi:10.1016/j.jpurol.2017.05.007

Cited by 14 publications

(11 citation statements)

References 20 publications

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“…We observed two types of meatal stenosis: pinpoint-shaped stenosis, which was rarer, and stenosis by a thin membrane, which represents the majority of cases encountered in this study. Stenosis by a thin membrane has been reported by some authors [19]. The lower half of the meatal slit is partially closed by a lmy membrane.…”

Section: Discussionmentioning

confidence: 84%

Prevalence and causes of meatal stenosis in circumcised boys

Acimi

Abderrahmane

Debbous

et al. 2022

Journal of Pediatric Urology

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Section: Discussionmentioning

confidence: 84%

Prevalence and causes of meatal stenosis in circumcised boys

Acimi

Abderrahmane

Debbous

et al. 2022

Journal of Pediatric Urology

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“…Narrow-upward deflection of the urinary stream and dysuria are the most common presenting symptoms in our patients in agreement with others. [ 8 13 ] Neglected MS might lead to a serious sequel we reported two cases of urine retention and back pressure (bilateral hydroureteronephrosis), as the diagnosis of MS was easily overlooked by not examining the urethral meatus.…”

Section: Discussionmentioning

confidence: 99%

“…Urinary tract infection (UTI), hematuria, incontinence, nocturnal enuresis, abdominal pain during and shortly after voiding, vesicoureteral reflux, hydronephrosis, and renal impairment, all are reported presentation of MS.[ 8 9 ]…”

Section: Introductionmentioning

confidence: 99%

Meatal stenosis posttraditional neonatal circumcision-cross-sectional study

Abid

Hussein

2021

Urol Ann

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Context: Circumcision holds a unique place in the daily practice of urology. Heat cautery device is the most common local technique used, we found it can cause meatal stenosis (MS) and its sequels. Aim: The study aims to determine the incidence, presenting symptoms of MS and its relation to local traditional neonatal circumcision techniques among our children. Settings and Design: This study was retrospectively study. Materials and Methods: A total of 150 children who circumcised during the infancy period, outside medical institutes, and they circumcised using local traditional techniques either heating cautery devices or surgical knives. Statistical Analysis: Of data were carried out using the Statistical Packages for the Social Sciences - version 25 (IBM Corporation). Results: Of 150 children, 60 (40%) had MS. The mean age at the time of diagnosis was 5.98 ± 3.06 years (range 1–13 years) and the majority of patients were within the age group of 5–9 years ( n = 31, 51.7%), median 6.0 years. The incidence of MS was significantly higher ( P = 0.037) among a group of children circumcised with a heating device in comparison with the circumcised group with other methods. Forty-six children (76.7%) were symptomatic and fourteen children (23.3%) diagnosis of MS had performed incidentally. Conclusions: MS is a long-term complication of neonatal circumcision with a late presentation and sequels. It is more common among group circumcised using heating cautery. We recommend using heating cautery cautiously.

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“…Circumcision: Postoperative complications that required reoperation 30 17. Meatal stenosis Complication of newborn circumcision: Meatal stenosis or meatal web 68 Does circumcision increase meatal stenosis risk?-A systematic review and metaanalysis 69 Nontherapeutic circumcision of minors as an ethically problematic form of iatrogenic injury 4 Circumcision: Postoperative complications that required reoperation 30 Are mechanical and chemical trauma the reason of meatal stenosis after newborn circumcision 70 Canadian Pediatrics Society position statement on newborn circumcision: A riskbenefit analysis revisited 26 Neonatal circumcision: New recommendations & implications for practice 1 Complications of neonatal circumcision requiring surgical intervention in a developing country 40 Complications of circumcision 27 Incidence of asymptomatic meatal stenosis in children following neonatal circumcision 71 Surgically correctable morbidity from male circumcision: Indications for specialist surgical care in Lagos 43 Rates of complications after newborn circumcision in a well-baby nursery, special care nursery, and neonatal intensive care unit 29 Meatal stenosis in boys following circumcision for lichen sclerosus (balanitis xerotica obliterans) 72 18. Cicatrix Combination treatment for cicatrix after neonatal circumcision: An office-based solution to a challenging problem 73 Revisions after unsatisfactory adult circumcisions 60 Rates of complications after newborn circumcision in a well-baby nursery, special care nursery, and neonatal intensive care unit 29 19.…”

Section: Preputial Stenosismentioning

confidence: 99%

Systematic review of complications arising from male circumcision

2021

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Background: Neonatal male circumcision is the most common procedure performed on paediatric patients (Simpson et al., 2014) and one of the most common surgical procedures in the world (American Academy of Pediatrics, 2012).Methods: A search was conducted for articles about complications arising from male circumcision surgeries by entering the term 'male circumcision' into PubMed on June 16, 2020. Six thousand six hundred forty-one articles published from 1945 to 2020 were found. Seventy-eight articles were ultimately selected for the systematic review.Results: The 78 articles selected from the literature search were entered into one of three tables. The first table includes 15 articles pertaining to chart reviews and cohort studies and report complication rates. The second table reports specific complications from 51 case reports and case series, and the third table is a summary from 12 articles regarding physician questionnaires and society recommendations. Additionally, the 78 articles were used to compile a list of 47 specific complications arising from male circumcision surgeries.Conclusions: Complications from neonatal male circumcisions are common and healthcare providers need to be better informed of the potential complications of the surgery so that they can more effectively counsel their patients about potential risks, likelihood of complications and what can be done to prevent them. While experienced providers who practice in sterile settings have better outcomes with fewer complications, encouraging parents to take into account who is performing their son's circumcision, what was their training, how clean is their practice and how much experience they have and reminding them they have the option to decline the procedure entirely allow the parents to get a more complete picture and play an essential role in the decision-making process.

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Complication of newborn circumcision: Meatal stenosis or meatal web?

Abstract: Upward deflation of urinary stream can develop after neonatal circumcision because of a meatal web without stenosis, and can be cured easily with meatoplasty. Instead of 'meatal stenosis', 'meatal web' may be a more appropriate term to explain the pathology in these patients.

Cited by 14 publications

References 20 publications

Prevalence and causes of meatal stenosis in circumcised boys

Prevalence and causes of meatal stenosis in circumcised boys

Meatal stenosis posttraditional neonatal circumcision-cross-sectional study

Systematic review of complications arising from male circumcision

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