Department of Urology, Naval Medical Center, San Diego, California 92134-5000, USA.
J Urol. 2011 Oct;186(4 Suppl):1638-41. doi: 10.1016/j.juro.2011.04.016.
Penile adhesions with hidden penis and penile skin bridges are complications after neonatal circumcision that seem to develop more often in overweight children. They could possibly be avoided if there were neonatal parameters predicting circumcision complications. We hypothesized that penile adhesions with hidden penis and skin bridges may be predicted by the height and weight of a newborn.
We performed an institutional review board approved case-control study. Boys younger than 5 years who presented for evaluation of penile adhesions with hidden penis and/or penile skin bridges after newborn circumcision were compared to boys of the same age who were circumcised at birth and did not have penile adhesions with hidden penis and/or skin bridges when evaluated for cryptorchidism or hernia/hydrocele. Weight for length percentiles were compared at birth and at urological evaluation.
We evaluated 51 patients with penile adhesions and hidden penis after newborn circumcision, and compared them to 33 age matched controls. Boys with hidden penis had a statistically higher weight for length percentile at birth and at urological evaluation. However, in boys with penile skin bridges there was no statistical difference in the weight for length percentile at either time.
An increased weight for length percentile in male infants before and after circumcision may be associated with penile adhesions with hidden penis but not penile skin bridges. These parameters should be considered before newborn circumcision when counseling parents, and after circumcision since early recognition of obesity might indicate the need for diligent genital hygiene to try to prevent post-circumcision complications.
隐匿阴茎伴阴茎皮肤桥是新生儿包皮环切术后的并发症，似乎在超重儿童中更为常见。如果有预测包皮环切术并发症的新生儿参数，这些并发症可能可以避免。我们假设隐匿阴茎伴阴茎皮肤桥可能可以通过新生儿的身高和体重来预测。
我们进行了一项机构审查委员会批准的病例对照研究。比较了 51 名因新生儿包皮环切术后出现隐匿阴茎伴或不伴阴茎皮肤桥的阴茎粘连而就诊的男孩，以及 33 名在出生时接受包皮环切术且在评估隐睾或疝/鞘膜积液时无隐匿阴茎伴或不伴皮肤桥的同龄男孩。比较了出生时和泌尿科评估时的体重与身长的百分比。
我们评估了 51 名因新生儿包皮环切术后出现隐匿阴茎伴阴茎粘连的患者，并与 33 名年龄匹配的对照组进行比较。有隐匿性阴茎的男孩在出生时和泌尿科评估时的体重与身长百分比均有统计学意义。然而，在有阴茎皮肤桥的男孩中，这两个时间点的体重与身长百分比均无统计学差异。
男性婴儿在包皮环切术前和术后的体重与身长百分比增加可能与隐匿阴茎伴阴茎粘连有关，但与阴茎皮肤桥无关。在为父母提供咨询时，应该在新生儿包皮环切术前考虑这些参数，并且在包皮环切术后，因为肥胖的早期识别可能表明需要认真进行生殖器卫生，以试图预防包皮环切术后的并发症。
