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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 1 No. 2 (2010)

Lubrication of Meatus and Circumcision Site for Prevention of Post-circumcision Meatal Stenosis in Children Younger Than Two Years Old

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2010
CONTENTSVolume 01Number 2July 2010
Editorial
‘Constipation in Children’ – Think Twice Before Starting Treatment
Md. Kabirul Islam
86
Review Articles
Vaccination in Pregnancy
Shamim Fatema Nargis, Md. Shahinur Rahman
158
Original Articles
Operative Outcome of Acute Extradural Haematoma, Operated at Different Time Interval and Review of International Guidelines
MM Ehsanul Haque, S Sultana, SU Ahamed, Md. Abdullah Alamgir
88
Single Stage Correction of Rectovestibular Fistula
Kaniz Hasina, Abdul Hanif, S. M. Shafiqul Alam, Shahin Reza, Nazrul Islam, A. K. M. Mizanur Rahman, S. M. Shamsul Huda, M.M. Masud Pervez, Susankar Kumar Mondal, Shahnoor Islam
99
Bronchogenic Cyst
Mirza Kamrul Zahid, Anwarul Anam Kibria, AKM Razzaque, Md. Shamsul Alam, Shahinur Rahman, Kazi Saiful Islam
106
Comparison Between One Stage Correction of Vestibular Fistula by Transfistula Anorectoplasty (TFARP) and Anterior Sagittal Anorectoplasty (ASARP)
Jaglul Gaffer Khan, Mohammad Kabirul Islam, M. A. Rahaman, Jamila Akter, Kaniz Hasina, Susankar Kumar Mondal, Md. Ansar Ali
111
Correlation Between FNAC and Open Biopsy in Cervical Lymphadenopathy in Children
Tahmina Hossain, Md. Ruhul Amin, MTH Siddiqui, Md. Ashraf Ul Huq, Md. Matiur Rahman
118
Lubrication of Meatus and Circumcision Site for Prevention of Post-circumcision Meatal Stenosis in Children Younger Than Two Years Old
Susankar Kumar Mondal, Kaniz Hasina, Md. Ashraf Ul Huq, Md. Ansar Ali, Md. Mahbub-Ul Alam, Muhammed Moinul Hoque, Jaglul Gaffer Khan, A K M Mizanur Rahman, Shahnoor Islam
127
Postnatal Management of Prenatal Obstructive Hydronephrosis
Mugahid Al-Hassan, Paddy Dewan, Padma Rao
132
Study of Voiding Obstruction in Physiological Phimosis
Shahnoor Islam, AKM Amirul Morshed, Shafiqul Hoque
137
To Manage Infantile Hypertrophic Pyloric Stenosis by "Double-Y Pyloromyotomy" is a better Surgical Approach
Md. Ansar Ali, Kaniz Hasina, Shahnoor Islam, Md. Ashraf Ul Huq, Md. Mahbub-Ul Alam, Susankar Kumar Mondal
143
Use of Betel Leaves in Pediatric Stoma Care
Md. Ashraf Ul Huq, A K M Mizanur Rahman, Tahmina Hossain
148
Laparoscopic Repair of Peptic Ulcer Perforation - Our Initial Experience
Md. Saiful Hoque, Gazi Mohammad Zakir Hossain, Nur Hossain Bhuiyan, Md. Rashedul Hasan, Mayin Uddin Mahmud, Alamgir Rashid Chowdhury
153
Case Reports
Bilateral Lumbar Hernia - a Rare Occurrence in Infant
Shahnoor Islam, AKM Amirul Morshed, Md. Ashraf Ul Huq, Md. Mahbub-Ul Alam, Susankar Kumar Mondal, Kaniz Hasina
162
Inflammatory Pseudotumour of Mesentery - A Case Report
Bilal Mirza, Afzal Sheikh
166
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Susankar Kumar MondalResident, Dept of Pediatric Surgery, Dhaka Medical College & Hospital
  • Kaniz HasinaAssistant Professor, Dept of Pediatric Surgery, Dhaka Medical College & Hospital
  • Md. Ashraf Ul HuqAssociate Professor, Dept of Pediatric Surgery, Dhaka Medical College & Hospital
  • Md. Ansar AliDept of Pediatric Surgery, Dhaka Medical College & Hospital
  • Md. Mahbub-Ul AlamProfessor & Head, Dept. of Pediatric Surgery, Dhaka Medical College & Hospital
  • Muhammed Moinul HoqueDept of Pediatric Surgery, Dhaka Medical College & Hospital
  • Jaglul Gaffer KhanMedical Officer, SOPD, Dhaka Medical College & Hospital
  • A K M Mizanur RahmanRegistrar, Dept. of Pediatric Surgery, Dhaka Medical College & Hospital
  • Shahnoor IslamAssistant Professor, Dept of Pediatric Surgery, Dhaka Medical College & Hospital

Keywords

Circumcision Lubricants Meatitis Meatal stenosis Bleeding Wound infection

Abstract

Introduction: Approximately one in three men is circumcised globally, but there are relatively few data on the safety of the procedure. Circumcision is a surgical procedure performed for centuries for medical, religious and several other reasons. Circumcision is the most common surgical procedure performed in boys through out the world. Meatal stenosis is one of its late complications. We evaluated the topical use of lubricant jelly (Vaseline- petroleum jelly) after circumcision in boys in order to reduce or prevent the risk of meatal stenosis. Objective: To see the effectiveness of use of lubricants and to determine the functional outcome, that is prevention of post circumcision meatal stenosis. Materials and Method: A randomized control trial was performed, in which two groups of boys younger than two years old underwent circumcision according to dissection (sleeve) method. The parents in the study groups were strictly instructed to use petroleum jelly on the meatus and circumcision site at every morning or after each diaper change where necessary for three months, on the other hand parents in the control group were instructed not to use any lubricants or topical medication on the same site. The boys were followed up regularly and evaluated for meatal stenosis, bleeding and infection. Results: A total of 120 boys, 60 in each group completed the study. None of the boys in the study group develop meatal stenosis, but 6 (10%) in the control group develop meatal stenosis (p < 0.05). Infection of the circumcision site was seen in 1 (0.6%) and 3 (5%) children in the lubricant and control groups, respectively (p<0.05) and bleeding was seen in 3 (5.0%) and 6 (10.0%) respectively. Conclusion: Based on the findings of this study, it seems logical to use a lubricant jelly for prevention of post circumcision meatal stenosis and other complications.

Journal of Paediatric Surgeons of Bangladesh (2010) Vol. 1 (2): 127–131

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