Incidence of asymptomatic meatal stenosis in children following neonatal circumcision

J Pediatr Urol. 2011 Oct;7(5):526-8. doi: 10.1016/j.jpurol.2010.08.005. Epub 2010 Sep 18.


Objective: To determine the incidence of meatal stenosis after neonatal circumcision.

Patients and methods: Male children (5-10 years old) who had been circumcised during the neonatal period and presented at our pediatric clinic for reasons other than urinary complaints were examined and interviewed regarding urination problems.

Results: Of the 132 cases, 27 (20.4%) had severe meatal stenosis (diameter < 5 F). Thickening of the bladder and bilateral hydronephrosis (pyelocaliceal) were found in three cases (11.1%), and a voiding cystourethrogram was performed to reveal vesicoureteral reflux (VUR). One patient had grade II VUR in his right kidney and grade III in his left kidney; another had grade II VUR in both his kidneys.

Conclusion: These results highlight the importance of follow-up genital examination for all male children who have been circumcised during the neonatal period, to detect possible meatal stenosis.

Publication types

  • Comparative Study

MeSH terms

  • Child
  • Child, Preschool
  • Circumcision, Male / adverse effects*
  • Follow-Up Studies
  • Humans
  • Incidence
  • Infant, Newborn
  • Iran / epidemiology
  • Male
  • Retrospective Studies
  • Time Factors
  • Urethral Stricture / epidemiology*
  • Urethral Stricture / etiology