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Urethral Meatal Caliber in Circumcised and Uncircumcised Males

CARL D. BERRY Jr., M.D.; ROLAND R. CROSS Jr., M.D.
AMA Am J Dis Child. 1956;92(2):152-156. doi:10.1001/archpedi.1956.02060030146007.
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Congenital or acquired stenosis of the external urethral meatus is recognized as an important cause of serious urinary-tract obstruction. When the literature is reviewed on this subject, one of the aspects often discussed is the possible influence of early routine circumcision on the integrity of the urethral meatus during infancy and early childhood in allowing development of ulcerative meatitis and its sequel, secondary stenosis. The ideas pertaining to this aspect of the subject will be briefly summarized as a background for this study.

Gairdner, in his study of circumcision, emphasizes the following points to support his belief that the prepuce should not be considered a vestigial structure that is devoid of function: 1. The prepuce is not fully retractable in 96% of male infants at birth but becomes so in all but 10% of cases by three years of age. Nonretract-ability at birth is not due to so-called "adhesions" or

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