Elsevier

The Surgeon

Volume 16, Issue 2, April 2018, Pages 126-129
The Surgeon

Correspondence: Letter to the Editor
Re: Cultural background, non-therapeutic circumcision and the risk of meatal stenosis and other urethral stricture disease: Two nationwide register-based cohort studies in Denmark 1977–2013

https://doi.org/10.1016/j.surge.2017.08.001Get rights and content

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Cited by (9)

  • Is there a correlation between meatal stenosis severity, lower urinary tract symptoms and uroflowmetry?

    2022, Journal of Pediatric Urology
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    Considerable portion of patients are asymptomatic and are diagnosed by pediatrician or pediatric urologist on physical exam and in many cases, this ends up with surgical intervention. Symptomatic patients usually present with upward deviation of urine stream, high-velocity narrow stream, prolonged voiding, penile pain during initiation of micturition, difficulty-to-aim, and rarely hematuria, urinary tract infections, straining while urinating, dribbling, urinary urgency and frequency [4,5]. The literature supports meatotomy or meatoplasty in patients with meatal stenosis since this condition may lead to recurrent urinary tract infections and occasionally bladder complications [2,3].

  • Wedge urethral meatotomy in meatal stenosis secondary to web formation

    2022, Journal of Pediatric Urology
    Citation Excerpt :

    Meatal stenosis (MS) is a common acquired urological problem facing pediatric surgeons and urologists. It can affect both the circumcised and non-circumcised boys with a higher incidence in the non-circumcised boys because of the increased risk of penile inflammatory conditions, most commonly lichen sclerosis and urinary tract infection [1], and in the most recent meta-analysis study, the incidence of meatal stenosis following circumcision is only 0.65% [2]. The onset for development of MS was found to be 2–4 weeks following neonatal circumcision, with the symptomatic presentation in about 5% only [3,4].

  • Nomogram of paediatric male urethral size: A systematic review

    2022, Journal of Pediatric Urology
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    As such the nature and extent of the effect, if any, of circumcision on meatal calibre remains unclear. While rates of pathological meatal narrowing (meatal stenosis) are higher among circumcised boys [8–10], to what degree it is caused by circumcision, or related to the indication for circumcision, is still not certain [10,11,30]. Much of this uncertainty stems from a lack of standardised diagnostic criteria [10,11].

  • Formulation and validation of meatal stenosis grading system

    2020, Journal of Pediatric Urology
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    Although the severity of MS is considered by most physicians to be a major factor in decision-making for surgical treatment because of potential clinical implications, very few studies demonstrate this relation. This discrepancy between MS and symptoms might be attributed to non-standardized and great variation in MS definition [13] most studies do not define meatal stenosis, while other uses meatal caliber, inspection of urinary stream caliber, symptoms, or other features [3,4,8]. Standardizing the MS definition is an important step toward promoting standardized data collection and providing appropriate treatment for patients.

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