Fakjian N, Hunter S, Cole G W, Miller J
Dermatology Service, Veterans Affairs Medical Center, Long Beach, Calif. 90822.
Arch Dermatol. 1990 Aug;126(8):1046-7.
A cross-sectional study and a retrospective study were performed to determine the frequency of balanitis in a randomly selected group of dermatology patients. A total of 398 subjects were included in the cross-sectional study, 213 (53.5%) of whom had been circumcised. Balanitis was diagnosed in 2.3% of circumcised men and in 12.5% of uncircumcised men. In patients with diabetes mellitus, balanitis occurred with a prevalence of 34.8% in the uncircumcised population, compared with 0% in the circumcised population. Balanitis did occur with increased frequency in the diabetic population (16%), regardless of circumcision status, compared with the nondiabetic population (5.8%). Of 63 circumcisions performed at our institution between 1987 and 1989, 28.6% were for the treatment of balanitis; 44.4%, for phimosis (which was probably induced by chronic balanitis); 19% in preparation for placement of penile prostheses; and 8% for miscellaneous reasons. No complications of circumcision were reported. In this group of patients, balanitis was more frequent in diabetic than in nondiabetic uncircumcised men (50% vs 15.4%).
进行了一项横断面研究和一项回顾性研究，以确定在一组随机选择的皮肤科患者中龟头炎的发生率。横断面研究共纳入398名受试者，其中213人（53.5%）已行包皮环切术。包皮环切术男性中龟头炎的诊断率为2.3%，未行包皮环切术男性中为12.5%。在糖尿病患者中，未行包皮环切术人群中龟头炎的患病率为34.8%，而行包皮环切术人群中为0%。与非糖尿病人群（5.8%）相比，无论包皮环切状态如何，糖尿病患者中龟头炎的发生率确实更高（16%）。在1987年至1989年期间于我们机构进行的63例包皮环切术中，28.6%是用于治疗龟头炎；44.4%是用于治疗包茎（可能由慢性龟头炎引起）；19%是为放置阴茎假体做准备；8%是出于其他原因。未报告包皮环切术的并发症。在这组患者中，糖尿病未行包皮环切术男性的龟头炎比非糖尿病未行包皮环切术男性更常见（50%对15.4%）。
