Abstract Book - 26th ESPU Congress, Joint Meeting with ICCS + SPU + AAP/SOU + AAPU + SFU

116 / 492

11:05 - 11:08
S7-4 (PP)
CONCEALED PENIS AFTER CIRCUMCISION DOES NOT LOWER PERIMEATAL
UROPATHOGENIC COLONIZATION IN HEALTHY BOYS. SO CAN IT PREVENT
FEBRILE URINARY TRACT INFECTIONS IN BOYS WITH URINARY TRACT
PROBLEMS?
Mete OZKIDIK1, Onur TELLI2, Nurullah HAMIDI1, Uygar BAGCI1, Anar IBRAHIMOV1, Aytac KAYIS 1, Berk BURGU2 and
Tarkan SOYGUR2
1) Ankara University, Urology, Ankara, TURKEY - 2) Ankara University, Pediatric Urology, Ankara, TURKEY
PURPOSE
Circumcision has been shown to lower perimeatal uropathogenic colonization and can be recommended for patients with
urinary tract abnormalities to prevent febrile aimed to investigate whether concealed-penis is effective to
prevent the uropathogenic colonization in healthy children and lower febrile urinary tract infections in boys with urinary
tract problems
MATERIAL AND METHODS
248 boys who were circumcised for social-religious reasons between March 2010 and September 2014 were enrolled in
the study.Group-1 consisted of 144(%41.3) circumcised boys,group 2 consisted of 104(%29.8) boys with concealed
penis),and group-3(control group) consisted of 100(%28.7) uncircumcised boys without phimosis.A swab was swept
circumferentially once around the periurethral meatus and glanular sulcus regions.Also records of different 123
circumcised (medical recommendation, mean age: 26±3.1 months) boys with diagnosed urinary tract problems (VUR,
PUV, neurogenic bladder, etc.) were retrospectively analyzed to evaluate the post circumcision frequency of febrile UTIs
between concealed and non-concealed groups.
RESULTS
The mean age for healthy boys was 6.2±0.7 years. Patients with concealed penis (group-2) and uncircumcised boys
(group-3) had significant higher uropathogenic bacterial colonization than circumcised boys (group-1) both in
periurethral meatus %62.6, %68.9 and %29.6;and glanular sulcus %69.2, %77.4 and %43.8(p<0.05).The mean follow
up for boys with urinary tract problems was 18.2 months and the recorded number of febrile UTIs were significantly
higher in the concealed group(p<0.05).All febrile infections except one in this group occurred below the age of 1.
CONCLUSIONS
Healthy boys both with concealed penis after circumcision or non-circumcised have similar uropathogenic colonization in
the periurethral and glanular regions.Strikingly if circumcision is going to be recommended to prevent febrile UTIs in
boys with urinary tract abnormalities,concealed penis should be it is inevitable or the penis not properly
constructed caregivers should be informed about the ineffectiveness to prevent UTIs,especially below the age of 1 in
boys with urinary tract problems.