Meatal Surgery at the Time of Circumcision for Lichen Sclerosus (LS/BXO) Does Not Reduce the Need for Later Meatal Intervention: A Retrospective Cohort Study

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Key takeaways

• Prophylactic meatotomy/meatoplasty at circumcision does not prevent future meatal stenosis in boys with lichen sclerosus.
• Meatal intervention may still be required post-circumcision despite initial meatal surgery in LS/BXO patients.
• Circumcision alone may be insufficient for managing urethral meatal involvement in pediatric lichen sclerosus.
• Surgeons should counsel families that additional meatal procedures may be needed even after combined circumcision and meatoplasty.

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