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Meatotomy Under Local Anesthesia or General Anesthesia in Children: A Retrospective Study

Research Article

Article Title: Meatotomy Under Local Anesthesia or General Anesthesia in Children: A Retrospective Study

Author: Tameer Sawaid*, Ran Katz and Wasiem Abo Nassra

Published Date: October 07, 2025

DOI: 10.26717/BJSTR.2025.63.009901

Abstract:

We compared the complication and success rate of patients undergoing meatototmy in Local Anesthesia or General Anesthesia. A Retrospective Study, a data of patients who underwent meatotomy between january 2016 and march 2025 was retrospectively gathered and reviewed. The study included 150 patients, these patients were divided into two groups, Group A – Meatotomy with local anesthesia, Group B – Meatotomy under general anesthesia. All procedures were performed with the same method by the same surgeon. Meatotomy was performed after applying EMLA 5% cream and covering it with a Tegaderm dressing, waiting for 30 minutes. Complications and success rate were assessed in patients during follow up, and a comparison was made between the two groups. Group A (Local Anesthesia), 95% success rate, 3 (3.7%) patients had bleeding that stops with compression. Group B (General Anesthesia) The success rate was 92%, Moreover the complication rate was 15% (bleeding in 11 patients which managed with meatoplasty). 4 patients had Persistent Symptoms in group A compared to 6 patients in group B (5% to 8%).

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