Discovery of Hypospadias during Newborn Circumcision Should Not Preclude Completion of the Procedure

Chalmers, David J.; Wiedel, Cole A.; Siparsky, Georgette L.; Campbell, Jeffrey B.; Wilcox, Duncan T.

doi:10.1016/j.jpeds.2014.01.013

Cited by 10 publications

(5 citation statements)

References 6 publications

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“…When MIP is diagnosed during circumcision, the common view is either to postpone the repair by consulting the patient's family or to repair it while the patient is under anesthesia, following family consent (10,(13)(14)(15)(16). However, it is also argued that the preputium and Dartos tissue are not necessary for MIP repair, and thus, circumcision can be performed (1,(17)(18)(19). In our study, it was determined that the surgical success of MIP patients was not affected by circumcision.…”

Section: Discussionmentioning

confidence: 74%

Evaluation of Factors Affecting Surgical Success in Megameatus Intact Prepuce Cases

Bağcı,

Tekin,

Tiryaki Birol

et al. 2024

jpr

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Section: Discussionmentioning

confidence: 74%

Evaluation of Factors Affecting Surgical Success in Megameatus Intact Prepuce Cases

Bağcı,

Tekin,

Tiryaki Birol

et al. 2024

jpr

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“…The lack of foreskin did not affect repair and when present, it was not utilized. 5 Within our cohort, the majority of patients with a circumcised hypospadias did not have additional surgery. The hypospadias in these cases was deemed mild enough to warrant no further intervention.…”

Section: Discussionmentioning

confidence: 89%

“…Recently, Chalmers et al 5 reported on the morbidity of aborting a neonatal circumcision when the diagnosis of hypospadias is incorrect. Within their study group, 93/103 patients had an aborted circumcision.…”

Section: Discussionmentioning

confidence: 99%

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To Finish the Cut or Not

Zamilpa

Patel

Booth

et al. 2016

Clin Pediatr (Phila)

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We retrospectively evaluated the management of patients with unrecognized glanular hypospadias and a completed (group 1) or aborted (group 2) neonatal circumcision. The rate and type of subsequent surgeries performed were analyzed. Penile curvature, urinary stream deviation, and their impact on management were evaluated. Surgery was done in 55% of patients-40% of group 1 and 86% of group 2. Completion of the circumcision was done in 63% of group 2. Hypospadias repair was performed in 56% of group 1 and in 34% of group 2. Penile curvature rate did not affect the rate or type of surgery performed. Urinary stream deviation did not affect the rate of repair, but was a significant factor leading to hypospadias repair. We concluded that providers performing neonatal circumcisions do not have to abort the procedure when a glanular hypospadias is noticed. Most patients will require circumcision completion only.

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“…Hypospadias becomes apparent during circumcision or after foreskin retraction during late childhood. Circumcision does not affect the hypospadias repair success levels in children with fully developed foreskin and absence of chordee [5]. Hypospadias repair is the preferred treatment option, and it is successful in most of the patients.…”

Section: Introductionmentioning

confidence: 99%