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Meatal stenosis posttraditional neonatal circumcision-cross-sectional study.
Ammar Fadil Abid1, Naser Sabah Hussein2
1Department of Urology, AL Yarmouk Hospital, Medical College, AL Mustansiriyah University, Baghdad, Iraq.
Urology Annals
|April 26, 2021
Summary
Neonatal circumcision using heat cautery devices is linked to a higher incidence of meatal stenosis (MS) in children. This condition often presents later in childhood, with symptoms appearing in over 75% of affected cases.
Area of Science:
- Pediatric Urology
- Surgical Complications
- Public Health
Background:
- Circumcision is a common urological procedure.
- Heat cautery is a prevalent local technique for neonatal circumcision.
- This technique may lead to meatal stenosis (MS) and its sequelae.
Purpose of the Study:
- To determine the incidence of meatal stenosis (MS) in children.
- To identify presenting symptoms of MS.
- To investigate the relationship between MS and local traditional neonatal circumcision techniques.
Main Methods:
- Retrospective study design.
- Inclusion of 150 children circumcised in infancy using traditional methods (heat cautery or surgical knives).
- Data analysis using SPSS version 25.
Main Results:
- Meatal stenosis (MS) was diagnosed in 40% (60/150) of children.
- MS incidence was significantly higher in children circumcised with heat cautery devices (P=0.037).
- Over 76% of MS cases were symptomatic, with a mean age at diagnosis of approximately 6 years.
Conclusions:
- Meatal stenosis (MS) is a potential long-term complication of neonatal circumcision.
- The use of heat cautery devices is associated with a higher risk of MS.
- Cautious use of heat cautery is recommended to minimize MS risk.
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