THE RELATIONSHIP BETWEEN MONOSYMPTOMATIC ENURESIS AND CIRCUMCISION: IS IT BENEFICIAL OR TRAUMATIC? A RANDOMIZED STUDY

ALPER COŞKUN, KUTLUHAN ERDEM

Southern Clinics of Istanbul Eurasia - 2023;34(1):49-53

Department of Urology, University of Health Sciences, Kartal Dr. Lutfi Kırdar City Hospital, İstanbul, Türkiye

 

INTRODUCTION: This study aims to examine the effect of circumcision on monosymptomatic enuresis and to evaluate by considering whether it is beneficial or traumatic. METHODS: A total of 130 boys aged 5–9 years who applied for circumcision for cultural and religious reasons were prospectively analyzed and after exclusion criteria, 107 boys were circumcised under anesthesia. The cases were divided into enuresis negative and enuresis positive. The presence of enuresis was evaluated preoperatively and at the 3rd, 6th, and 9th months postoperatively. Results: The mean age of all cases was 6.7 years and there was no significant age difference between the groups. A statistically significant difference was found between the enuresis statuses of the enuresis-positive group after circumcision (p=0.001). The mean number of bedwetting before circumcision was 2.89 per week and 1.93 at the 9th month after circumcision. There was no statistically significant result that increased the frequency of enuresis in the enuresis-negative group in the post-circumcision period. DISCUSSION AND CONCLUSION: Circumcision is not a predisposing factor for enuresis. Furthermore, this surgery is likely to positively affect monosymptomatic enuresis and a reduction in bedwetting frequency.