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ORIGINAL ARTICLE
Year : 2021  |  Volume : 13  |  Issue : 1  |  Page : 62-66

Meatal stenosis posttraditional neonatal circumcision-cross-sectional study


1 Department of Urology, AL Yarmouk Hospital, Medical College, AL Mustansiriyah University, Baghdad, Iraq
2 Department of Urology, Al Karamh Teaching Hospital, Baghdad, Iraq

Correspondence Address:
Dr. Ammar Fadil Abid
Department of Urology, Medical College, Al Mustansiriyah University, Baghdad
Iraq
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DOI: 10.4103/UA.UA_30_20

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Context: Circumcision holds a unique place in the daily practice of urology. Heat cautery device is the most common local technique used, we found it can cause meatal stenosis (MS) and its sequels. Aim: The study aims to determine the incidence, presenting symptoms of MS and its relation to local traditional neonatal circumcision techniques among our children. Settings and Design: This study was retrospectively study. Materials and Methods: A total of 150 children who circumcised during the infancy period, outside medical institutes, and they circumcised using local traditional techniques either heating cautery devices or surgical knives. Statistical Analysis: Of data were carried out using the Statistical Packages for the Social Sciences - version 25 (IBM Corporation). Results: Of 150 children, 60 (40%) had MS. The mean age at the time of diagnosis was 5.98 ± 3.06 years (range 1–13 years) and the majority of patients were within the age group of 5–9 years (n = 31, 51.7%), median 6.0 years. The incidence of MS was significantly higher (P = 0.037) among a group of children circumcised with a heating device in comparison with the circumcised group with other methods. Forty-six children (76.7%) were symptomatic and fourteen children (23.3%) diagnosis of MS had performed incidentally. Conclusions: MS is a long-term complication of neonatal circumcision with a late presentation and sequels. It is more common among group circumcised using heating cautery. We recommend using heating cautery cautiously.


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