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Reduced bacterial colonisation of the glans penis after male circumcision in children - A prospective study.
男孩包皮环切后减少了阴茎头上的细菌——一项前瞻性研究

J Pediatr Urol. 2013 May 17.
pii: S1477-5131(13)00104-6. doi: 10.1016/j.jpurol.2013.04.011. [Epub ahead of print]

 

男孩包皮环切后减少了阴茎头上的细菌——一项前瞻性研究

Ladenhauf HN, Ardelean MA, Schimke C, Yankovic F, Schimpl G.

Department of Paediatric and Adolescent Surgery, Salzburg University Hospital, Muellner Hauptstrasse 48, 5020 Salzburg, Austria. Electronic address: hannah.ladenhauf@gmail.com.

 

摘要

目的: 这项前瞻性研究的目的是评估男性包皮环切对儿童阴茎头上细菌的影响。

患者与方法: 这项研究招募了244名男孩,研究组包括在2009年8月和2010年7月之间入院接受包皮环切的143名男孩。在术前和术后1周采用尿道周围拭子采集标本。对照组101名男孩无包茎,只采集一次标本。患者进一步分为5岁以下和5岁以上两组。分析细菌培养物,结果分为非尿路感染病原菌和尿路感染病原菌,并且在组内和组间进行比较。

结果: 包皮环切术前在对照组和实验组的患者中都表现出明显的细菌(> 98%),涉及已知的尿路感染病原菌在86%以上的。包皮环切后,5岁以下男孩的细菌从100%下降到86.3%(P <0.005),5岁或以上的男孩从98.57%到77.14%(P <0.001)。此外,尿路感染病原菌的分值显著下降。

结论: 男性包皮环切显着降低阴茎头上非尿路感染病原菌和尿路感染病原菌相关的细菌。

 

J Pediatr Urol. 2013 May 17.
pii: S1477-5131(13)00104-6. doi: 10.1016/j.jpurol.2013.04.011. [Epub ahead of print]

Reduced bacterial colonisation of the glans penis after male circumcision in children - A prospective study.

Ladenhauf HN, Ardelean MA, Schimke C, Yankovic F, Schimpl G.

Source

Department of Paediatric and Adolescent Surgery, Salzburg University Hospital, Muellner Hauptstrasse 48, 5020 Salzburg, Austria. Electronic address: hannah.ladenhauf@gmail.com.

Abstract

OBJECTIVE:

The aim of this prospective study was to evaluate the effect of male circumcision on the bacterial colonisation of the glans penis in children.

PATIENTS AND METHODS:

244 males were included in this study. The study group consisted of 143 boys admitted for circumcision between August 2009 and July 2010. Periurethral swabs were taken preoperatively and one week postoperatively. The control group included 101 boys without phimosis, in which only one swab was taken. Patients were subgrouped according to age below and above five years. Bacterial cultures were analysed, results were categorized by non-uropathogenic and uropathogenic bacteria, and compared within and between groups.

RESULTS:

Patients in both control group and study group before circumcision showed significant bacterial colonisation (>98%), involving known uropathogenic bacteria in over 86%. After circumcision, bacterial colonisation dropped from 100% to 86.3% (p < 0.005) in boys younger than five years and from 98.57% to 77.14% (p < 0.001) in those aged five or above, respectively. Moreover, the fraction of uropathogenic bacteria decreased significantly.

CONCLUSION:

Male circumcision significantly reduces the bacterial colonisation of the glans penis with regard to both non-uropathogenic and uropathogenic bacteria.

Copyright 2013 Journal of Pediatric Urology Company. All rights reserved.
PMID: 23685114
[PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/23685114

 
 
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