La Pera Giuseppe, De Luca Francesco, Guerani Attilio, Palmieri Alessandro, Franco Giorgio
Department of Urology Azienda Ospedaliera San Camillo Forlanini, Rome, Italy.
Arch Ital Urol Androl. 2017 Dec 31;89(4):310-312. doi: 10.4081/aiua.2017.4.310.
The aim of the study is to evaluate the prevalence of andrological abnormalities, such as phimosis and foreskin sliding abnormalities among male adolescents, and if these might interfere with sexuality, leading to a later onset of sexual experiences.
Between April and May 2015 a prevention campaign in andrology was conducted in an area surrounding Rome, Ostia and the Ladispoli area, among 15-19 year-old students. The screening consisted of a frontal lesson with the students in order to explain and raise the awareness of the most common andrological abnormalities and diseases. Among the routine anamnestic questions, three additional questions were submitted to 18-year-old boys: "Have you ever had sexual intercourse?", "How old were you when you had your first sexual intercourse?" and "Have you consulted a health professional about your genitals?" Finally a detailed clinical examination was performed and the outcome sent to the family and to the General Practitioner (GP).
A total of 552 high school students were evaluated. Out of them 131 (23.7%) were at least 18 years old. Among these, 79 (60.3%) said that they had already had full sexual intercourse. The phimosis and foreskin sliding abnormalities had a prevalence of 12.9% within the 18-year-old students, with a significant prevalence among those who hadn't had any sexual intercourse at all, 21.1% vs 7.5% p = 0.023. The age of the complete first sexual experience in the circumcised young men was the same as those without phimosis; 89% of the boys with phimosis hadn't had an andrological examination in the previous years.
Male adolescents with phimosis or preputial sliding abnormalities tend to have a late onset of sexual experiences compared to same aged boys without phimosis. These data support the urgent need of an andrological consultation for all boys at the beginning of, and during, their adolescent period because genital abnormalities may interfere with sexuality. Finally, in order not to confuse effects with causes, we suggest matching a routine genital physical examination in all studies dealing with sexual psychological aspects of male adolescents.
本研究旨在评估男性青少年中诸如包茎和包皮滑动异常等男科异常情况的患病率，以及这些情况是否会干扰性行为，导致性体验较晚开始。
2015年4月至5月期间，在罗马周边地区、奥斯蒂亚和拉迪斯波利地区，针对15至19岁的学生开展了一项男科预防活动。筛查包括为学生进行一场正面授课，以解释并提高对最常见的男科异常情况和疾病的认识。在常规问诊问题中，向18岁男孩额外提出了三个问题：“你曾经有过性交吗？”“你第一次性交时多大年龄？”以及“你是否就生殖器问题咨询过健康专家？”最后进行了详细的临床检查，并将结果发送给家长和全科医生（GP）。
共评估了552名高中生。其中131名（23.7%）至少18岁。在这些人中，79名（60.3%）表示他们已经有过完全性交。在18岁学生中，包茎和包皮滑动异常的患病率为12.9%，在完全没有过任何性交的学生中患病率显著更高，分别为21.1%和7.5%，p = 0.023。接受环切术的年轻男性首次完全性体验的年龄与没有包茎的男性相同；89%有包茎的男孩过去几年没有进行过男科检查。
与同龄无包茎男孩相比，患有包茎或包皮滑动异常的男性青少年往往性体验开始较晚。这些数据支持在所有男孩青春期开始时及期间迫切需要进行男科咨询，因为生殖器异常可能会干扰性行为。最后，为了不混淆因果关系，我们建议在所有涉及男性青少年性心理方面的研究中都进行常规的生殖器体格检查。
