Minor procedure, major impact: Patient-reported outcomes following urethral meatotomy

Varda, Briony K.; Logvinenko, Tanya; Bauer, Stuart B.; Cilento, Bartley G.; Yu, Richard N.; Nelson, Caleb P.

doi:10.1016/j.jpurol.2017.10.012

Cited by 7 publications

(2 citation statements)

References 11 publications

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“…If it goes undetected or underestimated, it could lead to unnecessary treatments and major distress. 14,15 Cases like the two children mentioned above, where their incontinence was considered primary or related to autism, should never occur and could have simply been avoided by a thorough physical examination and an appropriate early referral to a paediatric urologist.…”

Section: Discussionmentioning

confidence: 99%

Repair of Distal Hypospadias: Cosmetic or Reconstructive?

Bhandarkar

Garriboli

2019

EMJ Urol

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Objective: Hypospadias is one of the most common congenital anomalies of male genitalia and is usually repaired in the first 2 years of life. Regarding distal forms of hypospadias, however, controversies surrounding the need for surgical repair may lead to delayed referral secondary to symptoms. This article reviews the authors’ experience in boys who presented with symptoms secondary to an untreated distal hypospadias. Materials and methods: The authors reviewed their prospectively maintained database and included all children who were secondarily referred because of symptoms due to untreated distal hypospadias in the last 5 years. The data were reviewed and analysed. Results: Seventeen patients were identified. The median age at referral was 118 months. Symptoms at presentation included poor stream, straining during voiding, incontinence, and unhappiness related to cosmesis. Surgical correction included meatoplasty or tubularised incised plate urethroplasty. The choice between foreskin reconstruction or circumcision was based on parental preference. Conclusion: The authors have presented a cohort of children with untreated distal hypospadias associated with functional and cosmetic problems. Both could be underestimated at birth, leading to problems in late childhood. Viewing repair of distal hypospadias as a purely cosmetic surgery is to disregard the nature of the anomaly and its associated implications.

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Section: Discussionmentioning

confidence: 99%

Repair of Distal Hypospadias: Cosmetic or Reconstructive?

Bhandarkar

Garriboli

2019

EMJ Urol

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“…Urinary tract infection, urinary retention, and even renal failure might manifest if the diagnosis is not prompt. Surgical intervention with a dorsal slit meatotomy is the definitive treatment, with low rates of restenosis and need for reoperation [35]. The means of assessment following surgery are evaluated by the clinical improvement of symptoms and a better uroflowmetry after meatotomy compared to the preoperative uroflowmetry result [36].…”

Section: Surgical Complications 61 Meatal Stenosismentioning

confidence: 99%

Rare Yet Devastating Complications of Circumcision

Aldamanhori¹

2020

Circumcision and the Community

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Circumcision is by far the most common procedure done in hospitals of Muslim countries. Many research data have proven its benefits in protecting against numerous sexually transmitted diseases, urinary tract infections, and penile cancer in the patients and cervical cancer in partners. The procedure is quite safe, with a low overall complication rate. Most of the adverse events of circumcision are minor and can be managed conservatively. In some areas where circumcision is performed by an inexperienced individual, or are done in a non-sterile environment, or using the wrong equipment, complications requiring expert intervention are seen. Devastating results range from simple self-limiting swelling and superficial infection to the dreadful amputation to the glans or the whole phallus, necessitating an expert in reconstruction. Circumcision is a simple surgical procedure with minimal adverse events when done by competent trained medical personnel, in a wellcontrolled sterile environment, using the appropriate equipment.

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Wedge urethral meatotomy in meatal stenosis secondary to web formation

Edan

2022

Journal of Pediatric Urology

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Minor procedure, major impact: Patient-reported outcomes following urethral meatotomy

Abstract: A majority of families report substantial symptomatic improvement after urethral meatotomy. However, boys undergoing urethral meatotomy for reasons other than a urinary stream abnormality are less likely to experience improvement.

Cited by 7 publications

References 11 publications

Repair of Distal Hypospadias: Cosmetic or Reconstructive?

Repair of Distal Hypospadias: Cosmetic or Reconstructive?

Rare Yet Devastating Complications of Circumcision

Wedge urethral meatotomy in meatal stenosis secondary to web formation

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