{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T15:42:38Z","timestamp":1758814958005,"version":"3.40.5"},"reference-count":15,"publisher":"PAGEPress Publications","issue":"2","license":[{"start":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T00:00:00Z","timestamp":1624924800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Ital Urol Androl"],"abstract":"<jats:p>Objective: During meatotomy procedure for children with meatal stenosis (MS), a straight clamp used as a hemostat on the ventrum of the meatus before incised with scissors for clamping and holding bleeding from the site of operation. The aim of this study was to evaluate the optimum clamping time for meatotomy in children with MS. Materials and methods: All the patients with MS between 2014 to 2019 were enrolled in this retrospective study. Patients with uncircumcised penis, traumatic catheterization, any kind of penile abnormality such as hypospadias or penile curvature, and active urinary tract infection (UTI) were excluded. The indication of meatotomy was a pinpoint meatus that develops with dorsal or lateral deflection of the urinary stream and high-velocity urine flow. During meatotomy procedure, clamping time was examined in different groups such as 2, 3, and 4 minutes. The main symptoms of presentation and ultrasonography (US) findings were recorded and compared between groups. To assess the optimum time clamping, postoperative bleeding was noted carefully in all groups. The success rate was recorded at onemonth postoperative follow-up in the clinic. Results: Of the 120 patients with MS who underwent a meatotomy procedure, there were 40 (33.3%) participants in each group. The main symptoms were painful urination and urine stream deviation that represented in 54 (46%) patients. Bladder wall thickness was the main pre-operation finding in the US which was observed in 67 (55.8%) patients. In comparison between the groups related to clamping time, bleeding was observed and required suturing when clamping was applied for 2 minutes in 4 (3.3%) patients (p = 0.016). With a minimum follow-up of 12 months, no recurrent meatal stenosis was reported. Conclusions: Clamping time for more than 2 minutes may prevent bleeding during and after meatotomy.<\/jats:p>","DOI":"10.4081\/aiua.2021.2.244","type":"journal-article","created":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T13:02:20Z","timestamp":1624971740000},"page":"244-247","source":"Crossref","is-referenced-by-count":3,"title":["Optimal clamping time in meatotomy procedure for children with meatal stenosis: Experience with 120 cases"],"prefix":"10.4081","volume":"93","author":[{"given":"Mehdi","family":"Shirazi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umayir","family":"Chowdhury","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7188-2715","authenticated-orcid":false,"given":"Faisal","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad-Bagher","family":"Rajabalian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hossein-Ali","family":"Nikbakht","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalil","family":"Al-Naggar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ebrahim","family":"Al-Shami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2021,6,29]]},"reference":[{"key":"39897","doi-asserted-by":"crossref","unstructured":"Wang M-H. Surgical management of meatal stenosis with meatoplasty. J Vis Exp. 2010.","DOI":"10.3791\/2213"},{"key":"39898","doi-asserted-by":"crossref","unstructured":"Van Howe RS. Incidence of meatal stenosis following neonatal circumcision in a primary care setting.Clin Pediatr. 2006; 45:49-54.","DOI":"10.1177\/000992280604500108"},{"key":"39899","doi-asserted-by":"crossref","unstructured":"Ben-Meir D, Livne PM, Feigin E, et al. Meatotomy using local anesthesia and sedation or general anesthesia with or without penile block in children: a prospective randomized study. J Urol. 2011; 185:654-7.","DOI":"10.1016\/j.juro.2010.09.119"},{"key":"39900","doi-asserted-by":"crossref","unstructured":"Ajemian EP, Lichtwardt JR, Gonzalez J, et al. Technique for avoiding stricture following urethral meatotomy. J Urol. 1961;86:340-2.","DOI":"10.1016\/S0022-5347(17)65173-5"},{"key":"39901","doi-asserted-by":"crossref","unstructured":"Lane JW. Modified technique of urethral meatotomy in males. Urology. 1986; 27:170.","DOI":"10.1016\/0090-4295(86)90378-X"},{"key":"39902","doi-asserted-by":"crossref","unstructured":"Cartwright PC, Snow BW, McNees DC. Urethral meatotomy in the office using topical EMLA cream for anesthesia. J Urol. 1996; 156:857-9.","DOI":"10.1016\/S0022-5347(01)65840-3"},{"key":"39903","doi-asserted-by":"crossref","unstructured":"Roth RB. Office Urology. J Postgrad Med. 1971; 49:109-13.","DOI":"10.1080\/00325481.1971.11696585"},{"key":"39904","doi-asserted-by":"crossref","unstructured":"Fronczak C, Villanueva C. Clinic meatotomy under topical anesthesia. J Pediatr Urol. 2017; 13:499. e1-. e3.","DOI":"10.1016\/j.jpurol.2017.02.014"},{"key":"39905","doi-asserted-by":"crossref","unstructured":"Neheman A, Rappaport YH, Darawsha AE, et al. Uroflowmetry before and after meatotomy in boys with symptomatic meatal stenosis following neonatal circumcision-A long-term prospective study. Urology. 2019; 125:191-5.","DOI":"10.1016\/j.urology.2018.12.005"},{"key":"39906","doi-asserted-by":"crossref","unstructured":"Karami H, Abedinzadeh M, Moslemi MK. Assessment of meatal stenosis in neonates undergoing circumcision using Plastibell Device with two different techniques. Res Rep Urol. 2018; 10:113.","DOI":"10.2147\/RRU.S171292"},{"key":"39907","doi-asserted-by":"crossref","unstructured":"Cubillos J, George A, Gitlin J, et al. Tailored sutureless meatoplasty: A new technique for correcting meatal stenosis. J Pediatr Urol. 2012; 8:92-6.","DOI":"10.1016\/j.jpurol.2010.10.002"},{"key":"39908","doi-asserted-by":"crossref","unstructured":"Priyadarshi V, Puri A, Singh JP, et al. Meatotomy using topical anesthesia: a painless option. Urol Ann. 2015; 7:67.","DOI":"10.4103\/0974-7796.148622"},{"key":"39909","doi-asserted-by":"crossref","unstructured":"Elkhafifi MH. Presentation and management of postcircumcision meatal stenosis at Hawari Center, Benghazi, Libya: A clinical review of 86 cases. Libyan Int Med Univ J. 2019; 4:69.","DOI":"10.4103\/LIUJ.LIUJ_24_19"},{"key":"39910","unstructured":"Saeedi P, Ahmadnia H, Akhavan Rezayat A. Evaluation of the Effect of Meatal Stenosis on the Urinary Tract by using Ultrasonography. Urol J. 2017; 14:3071-4."},{"key":"39911","unstructured":"Mahmoudi H. Evaluation of meatal stenosis following neonatal circumcision. Urol J. 2005; 2:86-8."}],"container-title":["Archivio Italiano di Urologia e Andrologia"],"original-title":[],"link":[{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/aiua\/article\/download\/aiua.2021.2.244\/9442","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/aiua\/article\/download\/aiua.2021.2.244\/9442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T13:02:37Z","timestamp":1624971757000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/aiua\/article\/view\/aiua.2021.2.244"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,29]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,6,29]]}},"URL":"https:\/\/doi.org\/10.4081\/aiua.2021.2.244","relation":{},"ISSN":["2282-4197","1124-3562"],"issn-type":[{"type":"electronic","value":"2282-4197"},{"type":"print","value":"1124-3562"}],"subject":[],"published":{"date-parts":[[2021,6,29]]}}}