Meatal Stenosis Post Traditional Neonatal Circumcision-Cross Sectional Study

Abstract

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