Olana Soraya, Mazzilli Rossella, Delfino Michele, Zamponi Virginia, Iorio Cristina, Mazzilli Fernando
Andrology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, University of Rome "Sapienza", Rome.
Arch Ital Urol Androl. 2018 Sep 30;90(3):208-211. doi: 10.4081/aiua.2018.3.208.
The aims of this research were to study: a) the prevalence of male adolescents, aged between 10 and 19 years of age, referred to our Unit for an andrological assessment; b) the reasons (stated and subsequently modified) for referral; c) the prevalence of clinically diagnosed diseases.
A total of 2.855 subjects, referred to the Andrology Unit for a first examination, were retrospectively studied. For each adolescent, a medical history was taken and an andrological physical examination was carried out.
Prevalence was found to be 6.9% (197/2855). Subjects were divided into two groups according to age (A: ≤ 14 and B: ≥ 15 years). The original reason stated for their consultation was corrected by 11.7% of the subjects (23/197); this correction concerned almost all the Group B subjects (21/23 (91.3%) vs 2/23 (8.7%) of Group A; p < 0.01). Regarding sexual dysfunctions, a simple explanation of certain conditions reassured the subject in about 15% of the cases. Furthermore, the physical examination proved extremely useful, revealing clinical alterations in more than 60% of subjects.
In conclusion, to date in Italy, the prevalence of adolescents among males referred to an Andrology Unit for assessment is very low. It is important to encourage adolescents to undergo andrological examination to enable identification of reproductive function and psycho-sexual disorders.
本研究旨在探讨：a）10至19岁男性青少年因男科评估转诊至本单位的患病率；b）转诊原因（最初陈述及后续修正）；c）临床诊断疾病的患病率。
对总共2855名首次转诊至男科单位进行检查的受试者进行回顾性研究。为每位青少年采集病史并进行男科体格检查。
患病率为6.9%（197/2855）。受试者按年龄分为两组（A组：≤14岁；B组：≥15岁）。11.7%的受试者（23/197）修正了最初陈述的咨询原因；这种修正几乎涉及所有B组受试者（21/23（91.3%）对比A组的2/23（8.7%）；p<0.01）。关于性功能障碍，在约15%的病例中，对某些情况的简单解释让受试者安心。此外，体格检查证明非常有用，超过60%的受试者发现有临床改变。
总之，目前在意大利，因评估转诊至男科单位的男性青少年患病率非常低。鼓励青少年接受男科检查以识别生殖功能和心理 - 性障碍很重要。
