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The association of meatal stenosis and infant circumcision

Sibel Tiryaki1, Yaşar Issi2

  • 1Department of Pediatric Surgery, Division of Pediatric Urology, Ege University Faculty of Medicine, İzmir.

The Turkish Journal of Pediatrics
|September 4, 2023
PubMed

Insights

Circumcision before age one significantly increases the risk of meatal stenosis in boys. This study suggests age one may be a critical cutoff for preventing this condition.

Area of Science:

  • Pediatric Urology
  • Surgical Outcomes

Background:

  • Meatal stenosis association with circumcision age is debated.
  • Early circumcision is traditional in some regions, correlating with high meatal stenosis rates.

Purpose of the Study:

  • To compare circumcision age in boys with and without meatal stenosis.
  • Investigate the relationship between circumcision timing and meatal stenosis risk.

Main Methods:

  • Retrospective case-control study.
  • Included 115 boys with meatal stenosis and 205 controls.
  • Data collected on age at circumcision and reason for procedure.

Main Results:

  • Boys with meatal stenosis had a significantly different median age at circumcision (3 months) compared to controls (5 months).
  • Circumcision before age one showed a twofold increase in meatal stenosis risk (39% vs. 23%).
  • No significant difference in risk was observed between newborn and later circumcisions.

Conclusions:

  • Supports a link between circumcision age and meatal stenosis risk.
  • Suggests age one as a potential cutoff for increased meatal stenosis risk.
Abstract

Keywords:
circumcisioninfantmeatal stenosismeatal webneonatal

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