Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
J Pediatr Urol. 2011 Oct;7(5):526-8. doi: 10.1016/j.jpurol.2010.08.005. Epub 2010 Sep 18.
To determine the incidence of meatal stenosis after neonatal circumcision.
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.
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.
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.
确定新生儿割礼后尿道口狭窄的发生率。
在儿科诊所因非排尿问题就诊的男性儿童（5-10 岁），检查并询问其排尿问题。
132 例中，27 例（20.4%）存在严重尿道口狭窄（直径<5F）。3 例（11.1%）发现膀胱增厚和双侧肾盂积水（肾盂积水），行排尿性膀胱尿道造影术显示有膀胱输尿管反流（VUR）。1 例右侧肾脏为 II 级 VUR，左侧肾脏为 III 级；另 1 例双侧肾脏均为 II 级 VUR。
这些结果强调了对所有接受过新生儿割礼的男性儿童进行随访生殖器检查的重要性，以发现可能存在的尿道口狭窄。
