Meatal Stenosis in Children

Allen, James S.; Summers, Jack L.

doi:10.1016/s0022-5347(17)59782-7

Cited by 17 publications

(3 citation statements)

References 2 publications

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“…The meatal stenosis is the most common, longer-term complication following circumcision, with an incidence variously reported to be 0.9% to 32.1% (15,16), it is comparable by our results. We found meatal stenosis in 15 patients (12.5%), which was more prevalence in neonates 8 (29.62%).…”

Section: Discussionsupporting

confidence: 90%

Comparison of the Late Complications of Circumcision in Different Age Groups

et al. 2017

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Background: Circumcision is the most common surgical procedure throughout the world today and is usually performed in children for medical, cultural, or religious reasons. In most countries, nonsurgeons or traditional circumcisers perform this procedure, however, there is still a debate regarding the proper age of circumcision. Objectives: To determine the best and appropriate time for circumcision, we compared the late complications of this procedure between patients who are circumcised in different age groups. Methods: This is a retrospective and descriptive study that was performed on patients who were referred for late circumcision complications. The patients were divided according to the age range of circumcision as well as the performed age, which were divided into 4 groups (neonate, infant, child, and adolescent) by the author, during the period of May 2010 to December 2013 at an urology clinic. All late complications that were obtained were analyzed and compared between these groups.

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Section: Discussionsupporting

confidence: 90%

Comparison of the Late Complications of Circumcision in Different Age Groups

et al. 2017

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“…The urethral meatus is the narrowest part of the urethra and can be regarded as the ‘size’ of the urethra. The ‘normal’ minimum size of the urethral meatus in American male newborns was 7 F [23,24], while Snodgrass clearly quoted a minimum size of 10 F [18]. The calibre of the 17 TIP neourethrae was larger than the suggested normal minimum and 13 were within the ‘normal’ size cited by Snodgrass.…”

Section: Discussionmentioning

confidence: 97%

Tubularized incised plate urethroplasty for proximal hypospadias

et al. 2000

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Objective To review our experience of using the tubularized incised plate (TIP) urethroplasty (useful in the treatment of distal hypospadias) to treat proximal hypospadias. Materials and methods From March 1997 to March 2000 primary repairs were carried out on 40 boys (mean age 4.5 years) with proximal hypospadias. After degloving the penile skin the meatus was at the mid-shaft in 10 boys, at the proximal penile shaft in 11, at the penoscrotal junction in 16, at the scrotum in two and at the perineum in one. The 21 patients with a mid or proximal shaft meatus were categorized as having mid-shaft and the other 19 as having posterior hypospadias. Tunica albuginea plication (TAP) was used to correct residual ventral curvature. The method of urethroplasty was adapted from that described by Snodgrass. The key step of the TIP repair is a midline incision of the urethral plate; a subcutaneous tissue¯ap dissected from the inner prepuce is used to cover the neourethra. An 8 or 10 F nasogastric tube is used as a urethral stent and removed 7 or 8 days after surgery. Follow-up endoscopy and urethral sounding were carried out in 17 of the patients aged <6 years; the mean followup was 12.5 months.Results TAP was used to correct penile curvature in nine (23%) of the patients. Excluding stenosis, the TIP repair was successful in 20 (90%) of those with midshaft and in 16 of the 19 with posterior hypospadias; for all complications the respective rates were 19 of 22 and 15 of 19. The overall success rate was 88% for all 40 patients with proximal hypospadias; a urethrocutaneous ®stula occurred in two of those with mid-shaft and three of those with posterior hypospadias. Urethral meatal stenosis occurred in four (12%) of the patients (two in each group); two were associated with a ®stula and the other two had only mild meatal stenosis. The overall complication rate was 17.5% (three and four in the mid and the posterior hypospadias groups, respectively). The meatal stenosis was managed by simple dilatation in three and meatoplasty in one patient. Endoscopically, the mucosa of neourethra was pink and smooth in all 17 patients assessed. The calibre of all 17 neourethra was o 8 F and in 13 was o 10 F. Conclusion TIP repair is a reliable method for treating both mid-shaft and posterior hypospadias.

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“…Significant meatal stenosis was found in 578, of whom at least a third had a "pinpoint meatus." 21 During a time period when 788 boys were born, 28 (3.55%, 95%CI=2.26-4.85%) boys with meatal stenosis sufficiently severe to require meatotomy were seen at the Royal Newcastle Hospital in Australia at a time when the incidence of neonatal circumcision was high. 22 In a 3-year period Persad et al 23 performed 88 circumcisions and 91 preputial plasties for phimosis.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Meatal Stenosis following Neonatal Circumcision in a Primary Care Setting

Howe

2006

Clin Pediatr (Phila)

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The objective of this study was to prospectively document the incidence of meatal stenosis in boys. The study included a consecutive sample of boys whose visit with the physician included a genital examination in a private primary care pediatric practice in rural northern Wisconsin. Meatal stenosis was diagnosed in boys from 1.94 to 12.34 years of age. The diagnosis was made in 24 of 329 circumcised boys who were Tanner I development and older than 3 years of age (7.29%, 95%CI=4.48-10.10%). Nearly all required meatotomy to resolve their symptoms. All of the boys with meatal stenosis were circumcised neonatally (exact OR=3.54, 95%CI=0.62-infinity). The ratio of circumcised boys to noncircumcised boys in this study provided 80% power to demonstrate a 21.4% difference in the incidence of meatal stenosis between circumcised and noncircumcised Tanner I boys 3 years and older. Meatal stenosis may be the most common complication following neonatal circumcision. The frequency of this complication and the need for surgical correction need to be disclosed as part of the informed consent for neonatal circumcision. A careful meatal examination is indicted in any circumcised boy with abdominal or urinary complaints.

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Meatal Stenosis in Children

Cited by 17 publications

References 2 publications

Comparison of the Late Complications of Circumcision in Different Age Groups

Comparison of the Late Complications of Circumcision in Different Age Groups

Tubularized incised plate urethroplasty for proximal hypospadias

Incidence of Meatal Stenosis following Neonatal Circumcision in a Primary Care Setting

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