Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
Distribution of Meatal Stenosis According to Age Following the Dorsal Slit Technique and Its Effects on the Urinary System: Cross-Sectional Observational Study
Dorsal Slit Tekniği Sonrası Meatal Stenozun Yaşlara Göre Dağılımı ve Üriner Sistemdeki Etkileri: Kesitsel Gözlemsel Çalışma
Kenan YALÇINa , Engin KÖLÜKÇÜa , Ahmet Burak GÜRPINARb , Yunus Emre KUYUCUc
aTokat Gaziosmanpaşa University Faculty of Medicine, Department of Urology, Tokat, Türkiye
bTokat Gaziosmanpaşa University Faculty of Medicine, Department of Medical Biochemistry, Tokat, Türkiye
cTokat Gaziosmanpaşa University Faculty of Medicine, Department of Biostatistics, Tokat, Türkiye
J Reconstr Urol.
doi: 10.5336/urology.2025-112210
Article Language: EN
Full Text
ABSTRACT
Objective: Meatal stenosis after circumcision is a concerning complication that may require various interventions. Its agerelated distribution remains unclear, and its effects on the urinary system are not fully understood. We aimed to evaluate the age-related distribution and urinary system effects of meatal stenosis following the dorsal slit technique. Material and Methods: A total of 5,422 cases who underwent circumcision using the dorsal slit technique were evaluated for meatal stenosis. Cases diagnosed with meatal stenosis were divided into 3 groups based on the age range. Surgical or non-surgical interventions were performed on the cases. Cases with anomalies in the urogenital system were excluded from the study. The age-related distribution and urinary system effects of these cases were evaluated. Results: Meatal stenosis was detected in 377 (6.95%) of the 5,422 circumcised cases. The age-related distribution of meatal stenosis and the frequency of undergoing meatoplasty were statistically significant between patients who underwent meatoplasty and those who did not (p<0.05). However, the comparison of urinary system effects by age group between these 2 groups was not found to be statistically significant (p>0.05). Conclusion: This study demonstrated that meatal stenosis is a common complication following the dorsal slit technique, that younger age at circumcision is associated with a higher incidence of meatal stenosis, and that meatoplasty procedures are more frequently required in such cases. Furthermore, the potential effects of meatal stenosis on the urinary system should be carefully considered in affected patients.

Keywords: Circumcision; complication; meatal stenosis; urinary system; dorsal slit
ÖZET
Amaç: Sünnet sonrası meatal stenoz, çeşitli müdahaleler gerektirebilecek endişe verici bir komplikasyondur. Yaşlara göre dağılımı belirsizliğini korumakta ve üriner sistemdeki etkileri tam olarak bilinmemektedir. Çalışmamızda, dorsal slit tekniği sonrası meatal stenozun yaşlara göre dağılımı ve üriner sistemdeki etkilerini değerlendirmeyi amaçladık. Gereç ve Yöntemler: Dorsal slit tekniği ile sünnet yapılan 5.422 olgu meatal stenoz açısından değerlendirildi. Meatal stenoz tespit edilen olgular yaş aralığına göre 3 gruba ayrıldı. Olgulara cerrahi veya cerrahi dışı işlem uygulandı. Ürogenital sistemde anomalisi bulunan olgular çalışma dışı bırakıldı. Bu olguların, yaşlara göre dağılımı ve üriner sistemdeki etkileri değerlendirildi. Bulgular: Sünnet yapılan 5.422 olgunun 377'sinde (%6,95) meatal stenoz tespit edildi. Meatoplasti yapılan ve meatoplasti yapılmayan olguların meatal stenoz açısından yaşlara göre dağılımı ve yaş gruplarına göre meatoplasti operasyonu geçirmesi istatistiksel olarak anlamlıydı (p<0,05). Meatoplasti yapılan ve meatoplasti yapılmayan olguların üriner sistemdeki etkilerinin yaş gruplarına göre karşılaştırılması ise istatistiksel olarak anlamlı bulunmadı (p>0,05). Sonuç: Dorsal slit tekniği sonrası meatal stenozun sık görüldüğü, sünnet yaşı ne kadar erken ise meatal stenozun daha sık görüldüğü ve meatoplasti operasyonunun da daha sık yapıldığı bu çalışmada gösterilmiştir. Ayrıca meatal stenoz tespit edilen olguların üriner sistemdeki etkilerini akılda tutmak gerekmektedir.

Anahtar Kelimeler: Sünnet; komplikasyon; meatal stenoz; üriner sistem; dorsal slit

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