Hariri Mohammad Kazem, Rajabalian Mohammad-Bagher, Narouie Behzad, Yousefi Tilaki Seyedeh Fatemeh, Rostami Ghasem, Jadidi Sajedeh, Torabinavid Parham
Islamic Azad University of Medical Sciences, Sari Branch, Sari, Iran.
Babol University of Medical Sciences, Babol, Iran.
Glob Pediatr Health. 2024 Mar 7;11:2333794X241237059. doi: 10.1177/2333794X241237059. eCollection 2024.
This study focused on assessing the diameter of the meatus before and after circumcision to evaluate meatal stenosis. In this cross-sectional study, boys who met the inclusion criteria, their demographic parameters, and meatus diameter were recorded. Thirty days after circumcision, complications were evaluated meatus diameter was measured again and their information was analyzed by SPSS 26 software. Four hundred boys were studied, and it was found that 41 cases (10.3%) developed meatal stenosis after circumcision, with 85% having a pre-circumcision meatus diameter of 4 mm or less. Statistical analysis revealed a significant correlation ( < .05) between smaller pre-circumcision meatus diameter and postoperative meatal stenosis. The study concludes that a smaller meatus diameter before circumcision significantly increases the risk of postoperative tightness. It suggests prophylactic measures like meatus dilatation or applying topical ointment for those at high risk (meatus diameter ≤ 4 mm) to prevent or mitigate postoperative meatal stenosis.
本研究聚焦于评估包皮环切术前、后的尿道口直径，以评估尿道口狭窄情况。在这项横断面研究中，记录了符合纳入标准的男孩的人口统计学参数及尿道口直径。包皮环切术后30天，评估并发症情况，再次测量尿道口直径，并使用SPSS 26软件对其信息进行分析。共研究了400名男孩，发现41例（10.3%）在包皮环切术后出现尿道口狭窄，其中85%的患儿术前尿道口直径为4毫米或更小。统计分析显示，术前尿道口直径较小与术后尿道口狭窄之间存在显著相关性（<0.05）。该研究得出结论，包皮环切术前尿道口直径较小会显著增加术后尿道口狭窄的风险。研究建议，对于高风险人群（尿道口直径≤4毫米）采取如尿道口扩张或涂抹局部药膏等预防措施，以预防或减轻术后尿道口狭窄。
