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改变了传统的男性包皮环切手术概念


一种更加安全、有效和可接受的男性包皮环切器械和手术方法


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A 'Snip' in time: what is the best age to circumcise?
及时的一“剪”:包皮环切的最佳年龄是几岁?
BMC Pediatr. 2012 Feb 28;12(1):20. [Epub ahead of print]

A 'Snip' in time: what is the best age to circumcise?

Morris BJ, Waskett JH, Banerjee J, Wamai RG, Tobian AA, Gray RH, Bailis SA, Bailey RC, Klausner JD, Willcourt RJ, Halperin DT, Wiswell TE, Mindel A.

Abstract

BACKGROUND:

Circumcision is a common procedure, but regional and societal attitudes differ on whether there is a need for a male to be circumcised and, if so, at what age. This is an important issue for many parents, but also paediatricians, other doctors, policy makers, public health authorities, medical bodies, and males themselves.

DISCUSSION:

We show here that infancy is an optimal time for clinical circumcision because an infant's low mobility facilitates the use of local anesthesia, sutures are not required, healing is quick, cosmetic outcome is usually excellent, costs are minimal, and complications are uncommon. The benefits of infant circumcision include prevention of urinary tract infections (a cause of renal scarring), reduction in risk of inflammatory foreskin conditions such as balanoposthitis, foreskin injuries, phimosis and paraphimosis. When the boy later becomes sexually active he has substantial protection against risk of HIV and other viral sexually transmitted infections such as genital herpes and oncogenic human papillomavirus, as well as penile cancer. The risk of cervical cancer in his female partner(s) is also reduced. Circumcision in adolescence or adulthood may evoke a fear of pain, penile damage or reduced sexual pleasure, even though unfounded. Time off work or school will be needed, cost is much greater, as are risks of complications, healing is slower, and stitches or tissue glue must be used.

SUMMARY:

Infant circumcision is safe, simple, convenient and cost-effective. The available evidence strongly supports infancy as the optimal time for circumcision.

PMID:
22373281
[PubMed - as supplied by publisher]



BMC Pediatr. 2012 Feb 28;12(1):20. [Epub ahead of print]

及时的一“剪”:包皮环切的最佳年龄是几岁?

Morris BJ, Waskett JH, Banerjee J, Wamai RG, Tobian AA, Gray RH, Bailis SA, Bailey RC, Klausner JD, Willcourt RJ, Halperin DT, Wiswell TE, Mindel A.


摘要

背景:

包皮环切是一种常见的手术,但不同地区和社会对于男性是否需要接受包皮环切以及,如果需要包皮环切,在什么年龄的态度各异。这对于许多父母、儿科医生、其他医生、决策者、公共卫生部门、医疗机构,以及男性本身来说,是一个重要问题。


讨论


我们在这里说明,婴儿期是临床包皮环切的一个最佳时间,因为婴儿的低活动性,便于使用局部麻醉,不需要缝合,愈合快,愈合后外观效果佳,成本最低,并发症罕见。婴儿包皮环切的好处,包括预防尿路感染(引起肾瘢痕),减少包皮发生炎症的风险,如阴茎头炎、包皮损伤、包茎和嵌顿。当这个男孩以后进入性活跃期时,他已经对HIV和其他性传播病毒感染,如生殖器疱疹和致癌性人类乳头瘤病毒,以及阴茎癌的风险有实质性的保护。他的女性伙伴患子宫颈癌的风险也会降低。在青少年期或成年期进行的包皮环切可引起对疼痛、阴茎损伤或降低性快感的恐惧,即使这些恐惧毫无根据。需要请假,成本也会更高,因为有并发症的风险,愈合慢,也必须使用缝合或组织胶。


小结


婴儿包皮环切安全、简单、方便和成本效益高。现有的证据强烈支持婴儿期是包皮环切的最佳时间。

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