FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2006291257> ?p ?o ?g. }

• W2006291257 endingPage "38.e6" @default.
• W2006291257 startingPage "38.e1" @default.
• W2006291257 abstract "The literature on treatment of meatal stenosis is limited to single center series. Controversy exists regarding choice of meatotomy versus meatoplasty and need for general anesthesia. Our objective was to analyze treatment efficacy, current practice patterns and utilization of anesthesia. We hypothesized that meatoplasty would be associated with a lower re-operative rate.We used a hospital consortium database to identify children who were diagnosed with meatal stenosis between January 1, 2009 and December 31, 2012. Both univariate and multivariate analyses were completed to evaluate correlations between patient, surgeon and hospital characteristics and type of procedure. The propensity of surgeons to operate with or without general anesthesia was analyzed.We identified 4373 male patients with a diagnosis of meatal stenosis treated by 123 surgeons. Fifty-percent of boys had procedural intervention during the 4-year period. Median follow-up was 25 and 22 months after meatotomy and meatoplasty, respectively. There was a re-operative rate of 3.5% and 0.2% for office meatotomy versus meatoplasty with general anesthesia. Multivariate analysis demonstrated that being White and living in the Northeast independently increased odds of intervention. Half of the surgeons treated meatal stenosis exclusively under general anesthesia.This study is limited by an inability to determine recurrence rates. Only patients having secondary surgery at the same institution within the time period captured by the database (6 months-4 years) could be identified. As such, the true recurrence of meatal stenosis is likely higher. Although the re-operative rate is not equivalent to the recurrence rate, the two are correlated. Likewise, the surgeon's propensity to operate could be biased by their propensity to diagnosis meatal stenosis and this could affect the rates cited. In addition to the cost benefit achieved with avoidance of general anesthesia (estimated to be a 10-fold cost reduction, the 2012 Consensus Statement of the International Anesthesia Research Society has highlighted that there is increasing evidence from research studies suggesting the benefits of general anesthesia should be considered in the context of its possible harmful effects. Although this study and others have highlighted that in-office procedures are a viable alternative to meatoplasty with general anesthesia, there are multiple factors in being able to perform an office meatotomy. Arguably, the two most important are the patient's ability to cooperate and his anatomy.The large sample size, over 4000 patients, allowed us to show that the hypothesis, that meatoplasty would be associated with a lower re-operative rate (0.2%), is true. With a low re-operative rate (3.5%), office meatotomy is a reasonable choice of surgical treatment if the child can cooperate and the anatomy is appropriate. On the other hand, if general anesthesia is utilized, formal meatoplasty is associated with a lower re-operative rate." @default.
• W2006291257 created "2016-06-24" @default.
• W2006291257 creator A5039902551 @default.
• W2006291257 creator A5046546943 @default.
• W2006291257 creator A5062912806 @default.
• W2006291257 creator A5075771582 @default.
• W2006291257 date "2015-02-01" @default.
• W2006291257 modified "2023-09-27" @default.
• W2006291257 title "Meatal stenosis: A retrospective analysis of over 4000 patients" @default.
• W2006291257 cites W1973845870 @default.
• W2006291257 cites W1980694794 @default.
• W2006291257 cites W1985409916 @default.
• W2006291257 cites W2014523850 @default.
• W2006291257 cites W2063218076 @default.
• W2006291257 cites W2100569554 @default.
• W2006291257 cites W2122873523 @default.
• W2006291257 cites W2151227994 @default.
• W2006291257 cites W2151368477 @default.
• W2006291257 cites W2158994482 @default.
• W2006291257 cites W2172150178 @default.
• W2006291257 cites W4242074536 @default.
• W2006291257 doi "https://doi.org/10.1016/j.jpurol.2014.09.006" @default.
• W2006291257 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25703201" @default.
• W2006291257 hasPublicationYear "2015" @default.
• W2006291257 type Work @default.
• W2006291257 sameAs 2006291257 @default.
• W2006291257 citedByCount "20" @default.
• W2006291257 countsByYear W20062912572017 @default.
• W2006291257 countsByYear W20062912572018 @default.
• W2006291257 countsByYear W20062912572019 @default.
• W2006291257 countsByYear W20062912572020 @default.
• W2006291257 countsByYear W20062912572021 @default.
• W2006291257 countsByYear W20062912572022 @default.
• W2006291257 countsByYear W20062912572023 @default.
• W2006291257 crossrefType "journal-article" @default.
• W2006291257 hasAuthorship W2006291257A5039902551 @default.
• W2006291257 hasAuthorship W2006291257A5046546943 @default.
• W2006291257 hasAuthorship W2006291257A5062912806 @default.
• W2006291257 hasAuthorship W2006291257A5075771582 @default.
• W2006291257 hasBestOaLocation W20062912572 @default.
• W2006291257 hasConcept C126322002 @default.
• W2006291257 hasConcept C126838900 @default.
• W2006291257 hasConcept C141071460 @default.
• W2006291257 hasConcept C144301174 @default.
• W2006291257 hasConcept C167135981 @default.
• W2006291257 hasConcept C2776603339 @default.
• W2006291257 hasConcept C2777085111 @default.
• W2006291257 hasConcept C2778841284 @default.
• W2006291257 hasConcept C2780007028 @default.
• W2006291257 hasConcept C2780073493 @default.
• W2006291257 hasConcept C38180746 @default.
• W2006291257 hasConcept C71924100 @default.
• W2006291257 hasConceptScore W2006291257C126322002 @default.
• W2006291257 hasConceptScore W2006291257C126838900 @default.
• W2006291257 hasConceptScore W2006291257C141071460 @default.
• W2006291257 hasConceptScore W2006291257C144301174 @default.
• W2006291257 hasConceptScore W2006291257C167135981 @default.
• W2006291257 hasConceptScore W2006291257C2776603339 @default.
• W2006291257 hasConceptScore W2006291257C2777085111 @default.
• W2006291257 hasConceptScore W2006291257C2778841284 @default.
• W2006291257 hasConceptScore W2006291257C2780007028 @default.
• W2006291257 hasConceptScore W2006291257C2780073493 @default.
• W2006291257 hasConceptScore W2006291257C38180746 @default.
• W2006291257 hasConceptScore W2006291257C71924100 @default.
• W2006291257 hasIssue "1" @default.
• W2006291257 hasLocation W20062912571 @default.
• W2006291257 hasLocation W20062912572 @default.
• W2006291257 hasLocation W20062912573 @default.
• W2006291257 hasOpenAccess W2006291257 @default.
• W2006291257 hasPrimaryLocation W20062912571 @default.
• W2006291257 hasRelatedWork W1820598954 @default.
• W2006291257 hasRelatedWork W2044186715 @default.
• W2006291257 hasRelatedWork W2341879199 @default.
• W2006291257 hasRelatedWork W2792795379 @default.
• W2006291257 hasRelatedWork W3139267926 @default.
• W2006291257 hasRelatedWork W4214517713 @default.
• W2006291257 hasRelatedWork W4236522400 @default.
• W2006291257 hasRelatedWork W4305082178 @default.
• W2006291257 hasRelatedWork W4319440053 @default.
• W2006291257 hasRelatedWork W4319598236 @default.
• W2006291257 hasVolume "11" @default.
• W2006291257 isParatext "false" @default.
• W2006291257 isRetracted "false" @default.
• W2006291257 magId "2006291257" @default.
• W2006291257 workType "article" @default.