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Meatal Stenosis - Page 2  

post #21 of 24
Quote:
Originally Posted by dnw826 View Post
I was even told by our urologist that it was about 10%. That is the stat (9-10%) that I find everywhere. I would assume 3-4% would be someone who doesn't read the research right.

FROM the AAP Circumcision Policy Statement
http://aappolicy.aappublications.org...rics;103/3/686

Quote:
COMPLICATIONS OF THE CIRCUMCISION PROCEDURE
The true incidence of complications after newborn circumcision is unknown.32 Reports of two large series have suggested that the complication rate is somewhere between 0.2% and 0.6%.33,34 Most of the complications that do occur are minor.35 The most frequent complication, bleeding, is seen in ~0.1% of circumcisions.35 It is quite rare to need transfusion after a circumcision because most bleeding episodes can be handled quite well with local measures (pressure, hemostatic agents, cautery, sutures). Infection is the second most common of the complications, but most of these infections are minor and are manifest only by some local redness and purulence.33 There also are isolated case reports of other complications such as recurrent phimosis, wound separation, concealed penis, unsatisfactory cosmesis because of excess skin, skin bridges, urinary retention, meatitis, meatal stenosis, chordee, inclusion cysts, and retained Plastibell devices.35 Case reports have been noted associating circumcision with such rare events as scalded skin syndrome, necrotizing fasciitis, sepsis, and meningitis, as well as with major surgical problems such as urethral fistula, amputation of a portion of the glans penis, and penile necrosis.32,35

See, they completely DO NOT mention meatal stenosis as a complication of circumcision.

So i'm incorrect about the 3% anyways... that must be a figure that was used online at one point-- some pro-circs would not 'disagree' with a 3% complication rate in other discussions so I think that's why I've used it... but the AAP states .2-.6%.

And the AAP says nothign about the rate of recircumcision, which is 1%.

The point is that parents considering circumcisoin are led to believe it is FAR less risky that it is. With a 9% risk of meatal stenosis and 70% chance of adhesion problems that is RARELY mentioned, no wonder parents feel secure making the choice when the AAP and other medical professionals present the risks as minor and extremely rare. And not to mention a 1% chance of having to re-due the circ, which is rarely mentioned. All they get information on is that there are risks of hygeine, infection, etc if they leave their son intact.

Jessica
post #22 of 24
Quote:
Originally Posted by jessjgh1 View Post
FROM the AAP Circumcision Policy Statement
http://aappolicy.aappublications.org...rics;103/3/686




See, they completely DO NOT mention meatal stenosis as a complication of circumcision.

So i'm incorrect about the 3% anyways... that must be a figure that was used online at one point-- some pro-circs would not 'disagree' with a 3% complication rate in other discussions so I think that's why I've used it... but the AAP states .2-.6%.

And the AAP says nothign about the rate of recircumcision, which is 1%.

The point is that parents considering circumcisoin are led to believe it is FAR less risky that it is. With a 9% risk of meatal stenosis and 70% chance of adhesion problems that is RARELY mentioned, no wonder parents feel secure making the choice when the AAP and other medical professionals present the risks as minor and extremely rare. And not to mention a 1% chance of having to re-due the circ, which is rarely mentioned. All they get information on is that there are risks of hygeine, infection, etc if they leave their son intact.

Jessica
They do mention meatal stenosis here
Quote:
There also are isolated case reports of other complications such as recurrent phimosis, wound separation, concealed penis, unsatisfactory cosmesis because of excess skin, skin bridges, urinary retention, meatitis, meatal stenosis, chordee, inclusion cysts, and retained Plastibell devices.35 Case reports have been noted associating circumcision with such rare events as scalded skin syndrome, necrotizing fasciitis, sepsis, and meningitis, as well as with major surgical problems such as urethral fistula, amputation of a portion of the glans penis, and penile necrosis.32,35
The way they mention them after pointing out how rare bleeding is and calling it the most prevalent complication makes it sound like it happen extremely rarely though. They also lump in a bunch of other common problems.

I think they get away with wording it in such a misleading way b/c technically meatal stenosis (and the other things they mention) aren't complications. If the glans of the penis is cut off during a circ that is considered a complication b/c something went wrong. Everything can go right (can't think of other way to word this) and no mistakes are made and the boy will get meatal stenosis. It's more like a side effect than a complication.
post #23 of 24
Quote:
Originally Posted by eepster View Post
Everything can go right (can't think of other way to word this) and no mistakes are made and the boy will get meatal stenosis. It's more like a side effect than a complication.

:
post #24 of 24
Quote:
...most bleeding episodes can be handled quite well with local measures (pressure, hemostatic agents, cautery, sutures)...
Holy hell they actually cauterize a bleeding penis? I know this is a little off topic but....wow.
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