Pediatrics. 1989 Aug;84(2):388-91.
Properly performed newborn circumcision prevents phimosis, paraphimosis, and balanoposthitis and has been shown to decrease the incidence of cancer of the penis among US men. It may result in a decreased incidence of urinary tract infection. However, in the absence of well-designed prospective studies, conclusions regarding the relationship of urinary tract infection to circumcision are tentative. An increased incidence of cancer of the cervix has been found in sexual partners of uncircumcised men infected with human papillomavirus. Evidence concerning the association of sexually transmitted diseases and circumcision is conflicting. Newborn circumcision is a rapid and generally safe procedure when performed by an experienced operator. It is an elective procedure to be performed only if an infant is stable and healthy. Infants respond to the procedure with transient behavioral and physiologic changes. Local anesthesia (dorsal penile nerve block) may reduce the observed physiologic response to newborn circumcision. It also has its own inherent risks. However, reports of extensive experience or follow-up with the technique in newborns are lacking. Newborn circumcision has potential medical benefits and advantages as well as disadvantages and risks. When circumcision is being considered, the benefits and risks should be explained to the parents and informed consent obtained.
正确实施新生儿包皮环切术可预防包茎、包皮嵌顿和龟头炎,并已证明可降低美国男性阴茎癌的发病率。它可能会降低尿路感染的发生率。然而,由于缺乏设计良好的前瞻性研究,关于尿路感染与包皮环切术关系的结论是初步的。在感染人乳头瘤病毒的未行包皮环切术男性的性伴侣中,宫颈癌的发病率有所增加。关于性传播疾病与包皮环切术关联的证据相互矛盾。由经验丰富的操作人员进行时,新生儿包皮环切术是一种快速且总体安全的手术。这是一种仅在婴儿稳定健康时才进行的选择性手术。婴儿对该手术会出现短暂的行为和生理变化。局部麻醉(阴茎背神经阻滞)可能会减轻观察到的新生儿包皮环切术的生理反应。它也有其自身固有的风险。然而,缺乏关于该技术在新生儿中的广泛经验或随访报告。新生儿包皮环切术有潜在的医学益处和优点,也有缺点和风险。在考虑进行包皮环切术时,应向父母解释其益处和风险并获得知情同意。