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1597 The Spectrum of Genital Median Raphe Anomalies among Infants Undergoing Ritual Circumcision
  1. MB Fahmy
  1. Pediatric Surgery, Al Azher, Cairo, Egypt


Background This prospective study designed to collect data from all babies coming to do ritual circumcision in our center for any associated congenital anomalies in their genitalia.

Objective To evaluate the extent, spectrum of genital median raphe GMR anomalies and its impaction on the normal baby life and also its effect on the circumcision outcome.

Materials and Methods 2880 babies aged from one day to 7 weeks were examined in a period of 6 years, from 2006 to 2011, all doubtful cases were reevaluated and cases with GMR anomalies were investigated for detection of other congenital anomalies and enrolled in the study.

Results 57 cases of GMR anomalies among 2880 examined babies with overall incidence of 2%, 18 of them had hypospadias, 5 had renal anomalies and 3 had limb anomalies. Circumcision postponed in 37 cases, where further investigations done, but routine circumcision carried on in 20 in spite of the presence of GMR anomalies.

Conclusion It is crucial to examine every baby coming for circumcision to detect any obvious or hidden congenital genital anomalies, congenital anomalies of median genital raphe are not so rare and some of these anomalies may necessitates surgical correction, and commonly accompanied with urinary tract anomalies.

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