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Title

EFFECT OF MEATAL STENOSIS ON URINARY TRACT BY USING ULTRASONOGRAPHY

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 Start Page 18 | End Page 18

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Abstract

 Introduction: In our country meatal stenosis due to early circumcision is common. Long lasting meatal stenosis may cause bladder outlet obstruction. The aim of this study is to evaluate the effect of meatal stenosis on lower and upper urinary tract using ultrasonography.Methods: From 2008 to 2011, forty two boys (age 2 to 8 years) suffered from meatal stenosis were enrolled in this study. Diagnosis of meatal stenosis and its severity were confirmed by Nelaton catheter in all cases. Documented subjects were referred for urinary tract ultrasonography. Hydronephrosis, hydroureter, bladder wall thickness in full and empty bladder, bladder volume and residual urine were evaluated by ultrasonography.Results: Meatal stenosis was confirmed in 42 subjects. Thirty seven subjects (88%) had normal upper urinary tract ultrasonography. Five cases (12%) showed bilateral hydronephrosis. In 35 subjects (83%) bladder wall thickness was increased and 30 cases (60%) had high residual urine (more than 20% of bladder volume).Conclusion: Long term meatal stenosis could induce bladder wall thickness and increase residual urine. Early correction of meatal stenosis can prevent these urinary complications.

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