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J Pediatr Urol. 2011 Oct;7(5):526-8. doi: 10.1016/j.jpurol.2010.08.005. Epub 2010 Sep 18.

Incidence of asymptomatic meatal stenosis in children following neonatal circumcision.

Author information

1
Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran. mandala_110@yahoo.com

Abstract

OBJECTIVE:

To determine the incidence of meatal stenosis after neonatal circumcision.

PATIENTS AND METHODS:

Male children (5-10 years old) who had been circumcised during the neonatal period and presented at our pediatric clinic for reasons other than urinary complaints were examined and interviewed regarding urination problems.

RESULTS:

Of the 132 cases, 27 (20.4%) had severe meatal stenosis (diameter < 5 F). Thickening of the bladder and bilateral hydronephrosis (pyelocaliceal) were found in three cases (11.1%), and a voiding cystourethrogram was performed to reveal vesicoureteral reflux (VUR). One patient had grade II VUR in his right kidney and grade III in his left kidney; another had grade II VUR in both his kidneys.

CONCLUSION:

These results highlight the importance of follow-up genital examination for all male children who have been circumcised during the neonatal period, to detect possible meatal stenosis.

PMID:
20851685
DOI:
10.1016/j.jpurol.2010.08.005
[Indexed for MEDLINE]

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