Prabhakaran Swetha, Ljuhar Damir, Coleman Robert, Nataraja Ramesh M
Department of Paediatric Surgery and Urology, Monash Children's Hospital, Melbourne, Victoria, Australia.
Department of Paediatrics, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
J Paediatr Child Health. 2018 Dec;54(12):1299-1307. doi: 10.1111/jpc.14206. Epub 2018 Sep 23.
Circumcision is one of the most commonly performed surgical procedures in the world. Despite this, the practice of paediatric circumcision remains highly controversial, and continues to generate ongoing debate. This debate has become more relevant recently with the provisional guidelines from the Centers for Disease Control and Prevention recommending a change of practice. In this review article, we provide an overview of the history and incidence of circumcision, normal preputial development, types of phimosis, the absolute and relative indications for circumcision as well as the evidence base for its use as a preventative measure. Our aim is to provide paediatricians with a greater understanding of this common surgical procedure and the conditions it treats, to guide their clinical practice and parent counselling.
包皮环切术是世界上最常见的外科手术之一。尽管如此，小儿包皮环切术的做法仍然极具争议，并持续引发争论。最近，随着美国疾病控制与预防中心的临时指南建议改变做法，这场争论变得更加重要。在这篇综述文章中，我们概述了包皮环切术的历史和发病率、正常包皮发育、包茎类型、包皮环切术的绝对和相对指征以及将其用作预防措施的证据基础。我们的目的是让儿科医生更好地了解这种常见的外科手术及其所治疗的病症，以指导他们的临床实践和对家长的咨询。
