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