title: To Finish the Cut or Not.
abstract: We retrospectively evaluated the management of patients with unrecognized glanular hypospadias and a completed (group 1) or aborted (group 2) neonatal circumcision. The rate and type of subsequent surgeries performed were analyzed. Penile curvature, urinary stream deviation, and their impact on management were evaluated. Surgery was done in 55% of patients-40% of group 1 and 86% of group 2. Completion of the circumcision was done in 63% of group 2. Hypospadias repair was performed in 56% of group 1 and in 34% of group 2. Penile curvature rate did not affect the rate or type of surgery performed. Urinary stream deviation did not affect the rate of repair, but was a significant factor leading to hypospadias repair. We concluded that providers performing neonatal circumcisions do not have to abort the procedure when a glanular hypospadias is noticed. Most patients will require circumcision completion only.
authors.affiliation: 1 Arkansas Children's Hospital, Little Rock, AR, USA.
authors.forename: Ismael
authors.initials: I
authors.lastname: Zamilpa
authors.affiliation: 1 Arkansas Children's Hospital, Little Rock, AR, USA.
authors.forename: Ashay
authors.initials: A
authors.lastname: Patel
authors.affiliation: 2 Arkansas Children's Hospital, Fayetteville, AR, USA.
authors.forename: Joshua
authors.initials: J
authors.lastname: Booth
authors.affiliation: 3 University of Arkansas for Medical Sciences, Little Rock, AR, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Canon
mesh_terms: D002675:Child, Preschool; D002944:Circumcision, Male / Q000706:statistics & numerical data*; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010413:Penis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery
keywords: circumcision; hypospadias; neonatal circumcision