Dr. Harold Reed Blog

Category Archives: LIchen sclerosus of the penis

Does Circumcision Increase Meatal Stenosis?

Does Circumcision Increase Meatal Stenosis?  A review article appears in this month’s Urology (the gold journal, named for its cover) by Drs. Brian Morris and John Krieger.  A metanalysis was done on 27 studies involving a total of 1,498536 males.  The incidence of meatal stenosis (MS) was 0.656% (less than 1%).  Studies comparing circumcised to uncircumcised males found no statistical difference.  Author suggest the application of petroleum jelly to the meatus following circumcision could reduce the likelihood of MS to 0.024%.

Lichen sclerosus, a condition affecting mostly uncircumcised males is also a risk factor for phimosis.  Yet patients having phimosis are more likely to have a circumcision.  So a pre-existing condition may influence an uneducated opinion that circumcision is the primary factor causing meatal stenosis.  Lichen sclerosus creates patches of shiny white skin that’s thinner than normal and can scar. The scar can travel into the urethra and cause urethral stenosis as well.  It can affect any part of your body, but it most commonly affects skin in the genital and anal regions.

Harold M. Reed, M.D.
The Reed Centre for Cosmetic Circumcision | Miami

Lichen sclerosus of the penis (whitish areas)