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《对行包皮重建术的男性的深入了解:一项前瞻性队列研究》。

'An insight into circumcised men seeking foreskin reconstruction: a prospective cohort study'.

机构信息

Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, location VUMC, Amsterdam, The Netherlands.

Center of Expertise on Gender Dysphoria, Amsterdam University Medical Center, location VUMC, Amsterdam, The Netherlands.

出版信息

Int J Impot Res. 2020 Nov;32(6):611-616. doi: 10.1038/s41443-019-0223-y. Epub 2020 Jan 2.

DOI:10.1038/s41443-019-0223-y
PMID:31896833
Abstract

The aim of this study was to present a cohort of men seeking assistance with foreskin reconstruction, with the objective to broaden the general understanding for this specific request. All men between January 2015 and May 2019 seeking assistance with foreskin reconstruction were included. We prospectively collected data on patient demographics and outcomes such as their motivations, treatment trajectory, and experiences. A total of 11 patients were identified and included (age range 20-62). The majority were circumcised during adulthood for medical reasons. Among the most prominent motivations to pursue reconstruction were experiencing impairment of body integrity, feeling mutilated, increasing glans sensitivity and having issues with an imposed cultural or religious identity. Most patients stated that they experienced little support from healthcare professionals and that the Internet was their main source of information. Furthermore, almost all patients practiced penile tissue stretching to reconstruct the foreskin with unregistered devices. Foreskin reconstruction is a scarcely reported topic and is sought out for different reasons. Although rare, these patients experience a heavy burden and will go to great lengths to reconstruct their foreskin, more often so without the involvement of healthcare professions. In contrary to the surgical treatment options, the nonsurgical methods seem promising, but these rely heavily on lay-sources found online.

摘要

本研究旨在介绍一组寻求包皮重建帮助的男性患者,旨在拓宽对这一特定需求的普遍认识。所有在 2015 年 1 月至 2019 年 5 月期间寻求包皮重建帮助的男性均纳入研究。我们前瞻性地收集了患者人口统计学和结果数据,例如他们的动机、治疗轨迹和经历。共确定并纳入了 11 名患者(年龄范围 20-62 岁)。大多数人因医疗原因在成年后接受了割礼。寻求重建的主要动机包括身体完整性受损、感到残缺、增加龟头敏感度以及与强加的文化或宗教身份有关的问题。大多数患者表示,他们很少得到医疗保健专业人员的支持,互联网是他们获取信息的主要来源。此外,几乎所有患者都使用未经注册的设备进行阴茎组织拉伸来重建包皮。包皮重建是一个鲜为人知的话题,有不同的原因。尽管很少见,但这些患者承受着沉重的负担,他们会竭尽全力重建包皮,而且往往没有医疗保健专业人员的参与。与手术治疗方法不同,非手术方法似乎很有希望,但这些方法严重依赖于互联网上的非专业资源。

相似文献

1
'An insight into circumcised men seeking foreskin reconstruction: a prospective cohort study'.《对行包皮重建术的男性的深入了解:一项前瞻性队列研究》。
Int J Impot Res. 2020 Nov;32(6):611-616. doi: 10.1038/s41443-019-0223-y. Epub 2020 Jan 2.
2
Male circumcision decreases penile sensitivity as measured in a large cohort.男性割礼会降低阴茎敏感度,这在一个大样本中得到了测量。
BJU Int. 2013 May;111(5):820-7. doi: 10.1111/j.1464-410X.2012.11761.x. Epub 2013 Feb 4.
3
A review on the history of and treatment options for foreskin reconstruction after circumcision.包皮环切术后重建包皮的历史和治疗选择综述。
Int J Impot Res. 2022 Aug;34(5):424-433. doi: 10.1038/s41443-021-00438-3. Epub 2021 Apr 14.
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Circumcision is not mandatory in penile surgery.包皮环切术并非阴茎手术的强制性要求。
BJU Int. 2010 Jan;105(2):222-4. doi: 10.1111/j.1464-410X.2009.08763.x. Epub 2009 Jul 7.
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Examining Penile Sensitivity in Neonatally Circumcised and Intact Men Using Quantitative Sensory Testing.使用定量感觉测试检查新生儿期行包皮环切术和未行包皮环切术男性的阴茎敏感度。
J Urol. 2016 Jun;195(6):1848-53. doi: 10.1016/j.juro.2015.12.080. Epub 2015 Dec 25.
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Sensation and sexual arousal in circumcised and uncircumcised men.包皮环切术男性与未行包皮环切术男性的感觉及性唤起
J Sex Med. 2007 May;4(3):667-674. doi: 10.1111/j.1743-6109.2007.00471.x. Epub 2007 Apr 6.
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Fine-touch pressure thresholds in the adult penis.成年男性阴茎的精细触觉压力阈值。
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Dermatological complications of circumcision: lesson learned from cases in a pediatric dermatology practice.包皮环切术的皮肤并发症:儿科皮肤科实践病例的经验教训
Pediatr Dermatol. 2013 Sep-Oct;30(5):519-28. doi: 10.1111/pde.12140. Epub 2013 May 20.
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Foreskin restorers: insights into motivations, successes, challenges, and experiences with medical and mental health professionals - An abridged summary of key findings.包皮修复者:与医疗和心理健康专业人士的动机、成功、挑战和经验见解——关键发现摘要。
Int J Impot Res. 2023 May;35(3):309-322. doi: 10.1038/s41443-023-00686-5. Epub 2023 Mar 30.
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Potentially under-recognized late-stage physical and psychosexual complications of non-therapeutic neonatal penile circumcision: a qualitative and quantitative analysis of self-reports from an online community forum.非治疗性新生儿阴茎环切术潜在的被低估的晚期身体和心理性传播疾病并发症:对在线社区论坛自我报告的定性和定量分析。
Int J Impot Res. 2023 May;35(3):234-241. doi: 10.1038/s41443-022-00619-8. Epub 2022 Oct 23.

引用本文的文献

1
Comment: Foreskin restorers: insights into motivations, successes, challenges and experiences with medical and mental health professionals.
Int J Impot Res. 2023 May;35(3):323. doi: 10.1038/s41443-023-00693-6. Epub 2023 Apr 17.
2
Foreskin restorers: insights into motivations, successes, challenges, and experiences with medical and mental health professionals - An abridged summary of key findings.包皮修复者:与医疗和心理健康专业人士的动机、成功、挑战和经验见解——关键发现摘要。
Int J Impot Res. 2023 May;35(3):309-322. doi: 10.1038/s41443-023-00686-5. Epub 2023 Mar 30.
3
Is it time for a time-out? Progress versus politics in studying the psychosexual implications of penile circumcision.是时候暂停一下了吗?研究阴茎环切术的性心理影响时,是重视进展还是重视政治?
Int J Impot Res. 2023 May;35(3):252-255. doi: 10.1038/s41443-022-00608-x. Epub 2022 Aug 30.
4
Deficiencies and biases in professional understanding of the effects of childhood male genital cutting: comments on "Psychological, psychosocial and psychosexual aspects of penile circumcision" by Marcus C. Tye and Lauren Sardi.
Int J Impot Res. 2023 May;35(3):249-251. doi: 10.1038/s41443-022-00574-4. Epub 2022 Apr 25.