Yesildag Ebru
Ebru Yesildag, MD. Associate Professor, Department of Pediatric Surgery, Namik Kemal University, Faculty of Medicine, Turkey.
Pak J Med Sci. 2015 Jul-Aug;31(4):975-9. doi: 10.12669/pjms.314.7689.
Circumcision is one of the most commonly performed operations during childhood. The procedure is often underestimated in areas where it is frequently executed due to social and religion-based indications. In fact it might be an opportunity to detect and to correct any existing penile anomaly. The aim of the study was to retrospectively evaluate the boys who were admitted to a hospital for circumcision and the outcome of the procedure.
The boys who were brought to outpatient clinics for circumcision between 2009-2015, were retrospectively evaluated. The indications for hospital admission and the presence of associated penile anomalies were searched. All the boys were examined and operated by a single surgeon of the institution.
Nine hundred forty four boys were brought to pediatric surgery outpatient clinics in order to be circumcised. The operation was performed in 318 of them. The physical examination revealed penile anomalies in 29 of the 318 cases. The detected anomalies were webbed penis, penile torsion, hypospadias, chordee without hypospadias and meatal stenosis.
The proper examination of the boys by a physician prior to circumcision provides the detection of penile anomalies which can be corrected at the same session. The arrangements for performing circumcision in hospitals by the medical staff should be favored. The misleading perception of underestimation of the procedure where it is ritually performed, should be corrected.
包皮环切术是儿童期最常施行的手术之一。在因社会和宗教指征而经常施行该手术的地区，该手术往往被低估。事实上，这可能是发现并纠正任何现有阴茎异常的一个契机。本研究的目的是回顾性评估因包皮环切术入院的男孩及其手术结果。
对2009年至2015年间到门诊进行包皮环切术的男孩进行回顾性评估。查找入院指征及相关阴茎异常情况。所有男孩均由该机构的一名外科医生进行检查和手术。
944名男孩被带到小儿外科门诊进行包皮环切术。其中318人接受了手术。体格检查发现318例中有29例存在阴茎异常。检测到的异常包括蹼状阴茎、阴茎扭转、尿道下裂、无尿道下裂的阴茎下弯和尿道口狭窄。
在包皮环切术前由医生对男孩进行适当检查，可发现阴茎异常并在同一次手术中予以纠正。应提倡由医务人员在医院进行包皮环切术的安排。应纠正对仪式性施行该手术的低估这种误导性观念。
