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Bleeding after circumcision is more likely in children with lichen sclerosus (balanitis xerotica obliterans).患有硬化性苔藓(闭塞性干燥性龟头炎)的儿童包皮环切术后更易出血。
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Complication of newborn circumcision: Meatal stenosis or meatal web?新生儿包皮环切术并发症:尿道口狭窄还是尿道下裂?
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Revision of circumcision in children: Report of 56 cases.儿童包皮环切术的修订:56例报告。
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Is it reliable to make a decision based on visual changes in the patient's diaper in the evaluation of post circumcision bleeding?基于患者尿布外观变化来评估包皮环切术后出血时,所作的决策是否可靠?
Afr J Paediatr Surg. 2023 Jan-Mar;20(1):12-20. doi: 10.4103/ajps.ajps_157_21.
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Systematic review of complications arising from male circumcision.男性包皮环切术并发症的系统评价。
BJUI Compass. 2021 Nov 11;3(2):99-123. doi: 10.1002/bco2.123. eCollection 2022 Mar.

本文引用的文献

1
Circumcision in the paediatric patient: A review of indications, technique and complications.儿科患者的包皮环切术:适应证、技术及并发症综述
J Paediatr Child Health. 2018 Dec;54(12):1299-1307. doi: 10.1111/jpc.14206. Epub 2018 Sep 23.
2
Plastibell circumcision of 2,276 male infants: a multi-centre study.2276例男婴的包皮环切术:一项多中心研究。
Pan Afr Med J. 2016 Feb 9;23:35. doi: 10.11604/pamj.2016.23.35.7841. eCollection 2016.
3
Adult circumcision and male sexual health: a retrospective analysis.成人包皮环切术与男性性健康:一项回顾性分析。
Andrologia. 2014 Jun;46(5):459-64. doi: 10.1111/and.12101. Epub 2013 Apr 20.
4
[Male circumcision is not associated with an increased prevalence of erectile dysfunction: results of the Cottbus 10,000-men survey].[男性包皮环切术与勃起功能障碍患病率增加无关:科特布斯万人调查结果]
Urologe A. 2013 Apr;52(4):562-9. doi: 10.1007/s00120-012-3112-2.
5
Glans amputation during routine neonatal circumcision: mechanism of injury and strategy for prevention.新生儿常规包皮环切术中龟头切除:损伤机制和预防策略。
J Pediatr Urol. 2013 Dec;9(6 Pt A):763-8. doi: 10.1016/j.jpurol.2012.09.012. Epub 2012 Nov 5.
6
Complications of circumcision.包皮环切术的并发症。
ScientificWorldJournal. 2011;11:2458-68. doi: 10.1100/2011/373829. Epub 2011 Dec 26.
7
Male circumcision for HIV prevention: current evidence and implementation in sub-Saharan Africa.男性割礼预防艾滋病:撒哈拉以南非洲的现有证据和实施情况。
J Int AIDS Soc. 2011 Oct 20;14:49. doi: 10.1186/1758-2652-14-49.
8
Circumcision and acquisition of human papillomavirus infection in young men.环切术与年轻男性 HPV 感染的获得。
Sex Transm Dis. 2011 Nov;38(11):1074-81. doi: 10.1097/OLQ.0b013e31822e60cb.
9
Complications of circumcision in male neonates, infants and children: a systematic review.男性新生儿、婴儿和儿童包皮环切术的并发症:系统评价。
BMC Urol. 2010 Feb 16;10:2. doi: 10.1186/1471-2490-10-2.
10
Late complications of newborn circumcision: a common and avoidable problem.新生儿包皮环切术的远期并发症:一个常见且可避免的问题。
Pediatr Surg Int. 2010 May;26(5):515-8. doi: 10.1007/s00383-010-2566-9. Epub 2010 Feb 14.

男性包皮环切术评估:198例患者的回顾性分析。

Evaluation of Male Circumcision: Retrospective Analysis of One Hundred and Ninety-eight Patients.

作者信息

Ferhatoglu Murat F, Kartal Abdulcabbar, Gurkan Alp

机构信息

General Surgery, Okan University Medical Faculty, Istanbul, TUR.

出版信息

Cureus. 2019 Apr 27;11(4):e4555. doi: 10.7759/cureus.4555.

DOI:10.7759/cureus.4555
PMID:31275779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6592839/
Abstract

Introduction Circumcision is the oldest and most frequently used surgical procedure. It dates back to at least 10,000 years from today. The debate on the benefits and necessity of circumcision is ongoing. In this study, we aimed to determine the complications and complication rate of circumcisions occurring in our circumcision clinic and to compare these with the complication rates in the world. Methods A total of 198 male patients circumcised between 2011 at 2019 at Bursa State Hospital was enrolled in the presented retrospective study. Demographic data of the patients were assessed and the height and weight of the patients were evaluated according to the child growth standards and weight for age percentile charts for boys of the World Health Organization (WHO). All early or late complications were noted after circumcision. Results The mean age of the patients was 93.57±40.12 (2-248) months. The mean follow-up time was 16.32±9.24 (2-35) months. Sixteen patients had bleeding, four patients had a penile hematoma, and 108 patients had penile edema. There is no statistically significant difference in the penile edema occurrence according to the weight of the patients (p=0.58).  Conclusion Circumcision is a frequently applied procedure. Like any other surgery, perioperative and postoperative complications can be observed. More importantly, a significant number of these complications can be prevented by careful surgery and postoperative care.

摘要

引言 包皮环切术是最古老且最常用的外科手术。它至少可追溯到距今一万年前。关于包皮环切术的益处和必要性的争论仍在继续。在本研究中,我们旨在确定我院包皮环切门诊进行的包皮环切术的并发症及并发症发生率,并将其与全球的并发症发生率进行比较。方法 本回顾性研究纳入了2011年至2019年在布尔萨市立医院接受包皮环切术的198例男性患者。评估患者的人口统计学数据,并根据世界卫生组织(WHO)的儿童生长标准和男孩年龄别体重百分位数图表评估患者的身高和体重。记录包皮环切术后所有早期或晚期并发症。结果 患者的平均年龄为93.57±40.12(2 - 248)个月。平均随访时间为16.32±9.24(2 - 35)个月。16例患者出现出血,4例患者出现阴茎血肿,108例患者出现阴茎水肿。阴茎水肿的发生率在不同体重的患者中无统计学显著差异(p = 0.58)。结论 包皮环切术是一种常用的手术。与其他任何手术一样,围手术期和术后并发症都可能出现。更重要的是,通过仔细的手术操作和术后护理,这些并发症中的很大一部分是可以预防的。