The spectrum of genital median raphe anomalies among infants undergoing ritual circumcision.
OBJECTIVE
To evaluate the extent of genital median raphe (GMR) anomalies and their relation to other genitourinary anomalies, as well as the impact on performing ritual circumcision.


PATIENTS AND METHODS
This prospective study was designed to collect data from neonates coming for ritual circumcision in order to detect any associated congenital anomalies in their genitalia, particularly in the genital raphe. 2880 babies aged from 1 day to 7 weeks were examined, 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 were detected with an overall incidence of 2%; 18 of them had hypospadias, 5 had renal anomalies and 3 had limb anomalies. Circumcision was postponed in 37 cases where further investigations were done, but routine circumcision was carried out in the remaining 20.


CONCLUSION
It is crucial to examine every baby coming for circumcision to detect obvious or hidden congenital genital anomalies. Congenital anomalies of GMR are not so rare as thought, and some of these anomalies may necessitate surgical correction, and are commonly accompanied by urinary tract anomalies.
['Baky Fahmy|Mohamed A|MA|']
D001003:Anal Canal D002944:Circumcision, Male D005350:Fibroma D005834:Genital Neoplasms, Male D006801:Humans D017495:Hyperpigmentation D017496:Hypopigmentation D007021:Hypospadias D015994:Incidence D007223:Infant D007231:Infant, Newborn D008297:Male D010413:Penis D010502:Perineum D011446:Prospective Studies D012611:Scrotum D014564:Urogenital Abnormalities
Genital genital median raphe Raphe Anomalies Circumcision GMR