First People's Hospital of Xiaoshan, Xiaoshan District, Hangzhou, Zhejiang, China.
Pediatrics. 2014 Mar;133(3):e624-7. doi: 10.1542/peds.2013-2285. Epub 2014 Feb 24.
We conducted genital health wellness screens in male kindergarten children between the ages of 3 and 6 years to assess the incidence of congenital abnormalities and their treatment.
We performed genital examinations on 2241 male children in 8 kindergartens. We screened for 4 conditions: phimosis, hypospadias, cryptorchidism, and hydrocele/hernia. We assessed the incidence of these conditions and the effectiveness or lack of their treatment.
Among this sample, 55.5% children aged 3 to 4 years and 44.1% aged 5 to 6 years were found to have persistent phimosis. The circumcision rate, excluding those performed in conjunction with hypospadias repair, was 2.8%, but it carried a 3.2% complication rate. There was a lower incidence of hypospadias and cryptorchidism than reported in the literature at 0.2% and 0.4%, respectively. Our hypospadias repair rate was 60%, with a success rate of 66.7%. Our cryptorchidism repair rate was only 25%, and all repairs were performed above the age of 5 years. Incidence of hydrocele and hernias was 1.2%, and our treatment rate was 46.2%. Finally, we found high incidence of keloid formation, 73.3%, associated with inguinal incision.
There was high prevalence of phimosis in Chinese boys, a natural physiologic condition, up to age 6. There appeared to be lower incidences of hypospadias and cryptorchidism in our screened population. However, there were opportunities for us to improve the diagnosis and treatment of these 2 conditions. Our hydrocele/hernia incidence was on par with literature, but we had a lower treatment rate. Finally, we found a high incidence of keloid formation associated with inguinal incision.
我们对 3 至 6 岁的男幼儿园儿童进行了生殖器健康检查，以评估先天性异常的发生率及其治疗情况。
我们对 8 所幼儿园的 2241 名男童进行了生殖器检查。我们筛查了 4 种情况：包茎、尿道下裂、隐睾和鞘膜积液/疝。我们评估了这些情况的发生率以及治疗的有效性或缺乏情况。
在这个样本中，55.5%的 3 至 4 岁儿童和 44.1%的 5 至 6 岁儿童被发现存在持续性包茎。除了与尿道下裂修复同时进行的手术外，割礼率为 2.8%，但并发症发生率为 3.2%。尿道下裂和隐睾的发生率低于文献报道，分别为 0.2%和 0.4%。我们的尿道下裂修复率为 60%，成功率为 66.7%。我们的隐睾修复率仅为 25%，所有修复手术均在 5 岁以上进行。鞘膜积液和疝的发生率为 1.2%，我们的治疗率为 46.2%。最后，我们发现腹股沟切口处的瘢痕疙瘩形成率很高，为 73.3%。
中国男孩包茎的患病率很高，这是一种自然的生理现象，直到 6 岁。我们筛查人群中尿道下裂和隐睾的发病率似乎较低。然而，我们有机会改善这两种疾病的诊断和治疗。我们的鞘膜积液/疝的发生率与文献相符，但治疗率较低。最后，我们发现腹股沟切口处的瘢痕疙瘩形成率很高。
