Abid Ammar Fadil, Hussein Naser Sabah
Department of Urology, AL Yarmouk Hospital, Medical College, AL Mustansiriyah University, Baghdad, Iraq.
Department of Urology, Al Karamh Teaching Hospital, Baghdad, Iraq.
Urol Ann. 2021 Jan-Mar;13(1):62-66. doi: 10.4103/UA.UA_30_20. Epub 2021 Jan 19.
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.
The study aims to determine the incidence, presenting symptoms of MS and its relation to local traditional neonatal circumcision techniques among our children.
This study was retrospectively study.
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.
Of data were carried out using the Statistical Packages for the Social Sciences - version 25 (IBM Corporation).
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 ( = 31, 51.7%), median 6.0 years. The incidence of MS was significantly higher ( = 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.
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.
包皮环切术在泌尿外科的日常实践中占有独特的地位。热灼烙器械是最常用的局部技术，我们发现它会导致尿道口狭窄（MS）及其后遗症。
本研究旨在确定我们研究对象中MS的发病率、表现症状及其与当地传统新生儿包皮环切术技术的关系。
本研究为回顾性研究。
共有150名在婴儿期于医疗机构外接受包皮环切术的儿童，他们采用局部传统技术，使用热灼烙器械或手术刀进行环切。
使用社会科学统计软件包第25版（IBM公司）对数据进行分析。
150名儿童中，60名（40%）患有MS。诊断时的平均年龄为5.98±3.06岁（范围1 - 13岁），大多数患者在5 - 9岁年龄组（n = 31，51.7%），中位数为6.0岁。与采用其他方法进行包皮环切的儿童组相比，使用热灼烙器械进行包皮环切的儿童组中MS的发病率显著更高（P = 0.037）。46名儿童（76.7%）有症状，14名儿童（23.3%）的MS诊断是偶然发现的。
MS是新生儿包皮环切术的一种长期并发症，表现较晚且有后遗症。在使用热灼烙进行包皮环切的人群中更为常见。我们建议谨慎使用热灼烙器械。
