Ekwunife Okechukwu Hyginus, Ugwu Jideofor Okechukwu, Okoli Chinedu C, Modekwe Victor Ifeanyichukwu, Osuigwe Andrew N
Department of Surgery, Paediatric Surgery Unit, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Afr J Paediatr Surg. 2015 Oct-Dec;12(4):251-6. doi: 10.4103/0189-6725.172565.
Parents are central in decisions and choices concerning circumcision of their male children and plastibell circumcision is a widely practiced technique. This study determined parental preferences for male neonatal and infant circumcisions and evaluate the early outcomes of plastibell circumcisions in a tertiary centre.
This is a prospective study on consecutive male neonates and infants who were brought for circumcisions at Nnamdi Azikiwe University Teaching Hospital Nnewi, South-East Nigeria and their respective parents between January 2012 and December 2012. Data on demography, parental choices and early outcome of plastibell circumcision were obtained and analysed.
A total of 337 requests for circumcisions were made for boys with age range of 2-140 days. Culture and religion were the most common reasons for circumcision requests in 200 (59.3%) and 122 (36.2%), respectively, other reasons were medical, cosmesis, to reduce promiscuity and just to follow the norm. Most parents, 249 (73.9%) preferred the procedure to be performed on the 8 th day and 88.7% would like the doctors to perform the procedure while 84.6% preferred the plastibell method. Among those who had circumcision, 114 complied with follow-up schedules and there were complications in 22 (19.3%) patients. Parents assessed the early outcome as excellent, very good, good and poor in 30.7%, 45.6%, 18.4% and 5.3% of the patients, respectively.
Parents request for male circumcision in our environment is largely for cultural and religious reasons; and prefer the procedure to be performed by a physician. Plastibell method is well known and preferred and its outcome is acceptable by most parents.
在关于男童包皮环切术的决策和选择中，父母起着核心作用，而包皮环套环切术是一种广泛应用的技术。本研究确定了父母对男性新生儿和婴儿包皮环切术的偏好，并评估了在一家三级中心进行包皮环套环切术的早期结果。
这是一项对2012年1月至2012年12月期间在尼日利亚东南部Nnewi的Nnamdi Azikiwe大学教学医院接受包皮环切术的连续男性新生儿和婴儿及其各自父母进行的前瞻性研究。获取并分析了有关人口统计学、父母选择以及包皮环套环切术早期结果的数据。
共收到337例为年龄在2至140天的男孩进行包皮环切术的请求。文化和宗教分别是200例（59.3%）和122例（36.2%）包皮环切术请求的最常见原因，其他原因包括医学、美容、减少滥交以及仅仅是遵循常规。大多数父母，即249例（73.9%）希望在第8天进行手术，88.7%希望由医生进行手术，而84.6%更喜欢包皮环套法。在接受包皮环切术的患者中，114例遵守了随访计划，22例（19.3%）患者出现了并发症。父母对早期结果的评估为优秀、非常好、良好和差的患者分别占30.7%、45.6%、18.4%和5.3%。
在我们的环境中，父母要求对男性进行包皮环切术主要是出于文化和宗教原因；并且更希望由医生进行手术。包皮环套法广为人知且更受青睐，其结果为大多数父母所接受。
