Urogenital Anomalies Identified on Examination of Pediatric Patients Before Circumcision

Authors : Mevlut Keles, Abdullah Cirakoglu, Erdal Benli, Ibrahim Yazici, Nurullah Kadim, Ahmet Yuce

Pages : 115-121

Doi:10.56941/odutip.1537385

View : 106 | Download : 95

Publication Date : 2024-12-31

Article Type : Research Paper

Abstract :Objective: Circumcision is included in European urology guidelines as a treatment choice only for severe phimosis, while it is a procedure routinely performed for socio-cultural reasons in many different countries. Parents bring their children to urology clinics requesting circumcision. Before circumcision, it is very important to perform full urogenital examination because many urogenital anomalies that require treatment may be identified so. In this study, we aimed to determine the urogenital anomalies identified in children before circumcision. Material and Method: This study retrospectively investigated findings of 190 pediatric cases attending our urology for circumcision between September 2015 and September 2021. Each child had standard examinations of penis, urethra, testis and scrotum. The presence and laterality of undescended testis, presence and laterality of retractile testis, presence and degree of phimosis, presence and localization of hypospadias, presence and degree of buried penis, presence direction, and angle of penis chordee-curvature, presence of penoscrotal web, presence and laterality of hydrocele, presence of urethral stenosis, and presence of urethral duplication were recorded. Complete phimosis was noted when the foreskin could not be retracted or when less than half of the glans penis could be seen when retracted; partial phimosis was noted when more than half of the glans penis could be seen but not the whole penis; and no phimosis was noted when the foreskin could be easily retracted without difficulty and the glans penis could be seen completely. When grading the buried penis, fully and partially buried penis were recorded. Results: In our study assessing the examination findings of 190 pediatric cases attending our urology clinic for circumcision between September 2015 and September 2021, a total of 127 children had urogenital anomalies (66%). Buried penis (46 cases, 24%) was the most frequently encountered urogenital anomaly. Undescended testis was the second most common (19 cases, 10%), while retractile testis (15 cases, 7%) was the third most common anomaly. Accordingly, phimosis was identified in 11 cases, penile curvature in 6 cases, hypospadias in 3 cases, hydrocele in 3 cases, penoscrotal web in 1 cases and urethral meatus duplication in 1 case. Conclusion: Circumcision is performed for both medical reasons and socio-cultural reasons in many countries. However, these patients may have serious urogenital anomalies. Careful physical examination is very important for patients attending for circumcision.
Keywords : Sünnet, genital anomali, ürogenital anomali, çocuk hasta