Meatal stenosis following circumcision with Plastibell device and conventional dissection Surgery; a prospective investigation

Ghods, Kamran; Soltany, Setareh; Toussy, Jafar Alavy; Ghorbani, Raheb; Arab, Davood; Ardestanizadeh, Arash; Hemmati, Hamidreza

doi:10.15171/jrip.2018.20

Cited by 1 publication

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“…[9,12] It accounts for 26% of late complications. [10,13] The wide variations in frequencies of adverse effect following circumcision are likely due to several factors such as age, training, and expertise of the provider. [14,15] The pathophysiology of postcircumcision MS is debatable.…”

Section: Discussionmentioning

confidence: 99%

“…[17] In the study by Ghods et al, the most common symptoms among symptomatic patient group were discomfort on voiding or dysuria and decreased urinary caliber. [13] Upadhyay et al reported their 12 years' experience with 50 cases and the most common presenting complaint among 34 (68%) symptomatic patients was decreased urinary caliber. [22] Similar to our results, in the study performed by Joudi et al, 25 out 27 (92.6%) of symptomatic cases were presented with decreased urinary width and prolonged voiding times; [12] however, prolonged voiding times in our cases represents only 2.3% of all patients.…”

Section: Discussionmentioning

confidence: 99%

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Presentation and management of postcircumcision meatal stenosis at Hawari Center, Benghazi, Libya: A clinical review of 86 cases

Elkhafifi¹

2019

Libyan International Medical University Journal

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Background: Circumcision is a commonly practiced surgical procedure particularly in Islamic countries. As any other surgical procedure, it is attended by some complications of either early (e.g., bleeding) or late (e.g., meatal stenosis [MS]). Objectives: This study was designed to study the different clinical pictures, age at presentation, and management and outcome of postcircumcision MS. Patients and Methods: This is a retrospective study involving 86 children diagnosed with symptomatic MS and underwent meatotomy during the period from January 2010 to December 2018 at Hawari Center for Urology and Otolaryngology, Benghazi. The medical records of the patients reviewed included age at presentation, different clinical pictures, management, and outcomes. All patients were circumcised during the neonatal or infancy period. Results: Patients' age ranged between 3 and 13 years with a mean age of 5.14 years. More than three-quarters of the patients (84.8%) were between 3 and 8 years of age. Forty-six patients (53.4%) presented with pain (burning) during micturition; 17 patients (19.7%) with thin casting stream; 13 patients (15.11%) with thin dorsally deviated stream; five patients (5.8%) with sudden urge to micturiate; 3 (3.40%) patients with frequency of micturition; and only two patients (2.3%) with prolonged voiding time. All our patients operated by meatotomy as a day case procedure under general anesthesia, and there were no recurrences of MS symptoms in any case during the follow-up period. Conclusion: MS is a frequent late complication of neonatal circumcision; it should be excluded by careful meatal examination in any child who is circumcised particularly at the neonatal or nappy period and presented with abnormal micturition or even lower abdominal pain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Presentation and management of postcircumcision meatal stenosis at Hawari Center, Benghazi, Libya: A clinical review of 86 cases

Elkhafifi¹

2019

Libyan International Medical University Journal

View full text Add to dashboard Cite

show abstract

Meatal stenosis following circumcision with Plastibell device and conventional dissection Surgery; a prospective investigation

Abstract: The study emphasizes the superiority of the Plastibell device in circumcision, because of its simplicity and lower complication risk.

Cited by 1 publication

References 16 publications

Presentation and management of postcircumcision meatal stenosis at Hawari Center, Benghazi, Libya: A clinical review of 86 cases

Presentation and management of postcircumcision meatal stenosis at Hawari Center, Benghazi, Libya: A clinical review of 86 cases

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