Morehouse School of Medicine, Atlanta, GA, USA.
Am Fam Physician. 2020 Jun 1;101(11):680-685.
Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. The American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the Centers for Disease Control and Prevention, and the American Academy of Family Physicians recognize that there are health benefits of newborn male circumcision but do not universally recommend the procedure. Performing male circumcision during the neonatal period has several advantages, including a lower risk of complications, faster healing, and lower cost. The three most common techniques for newborn male circumcision utilize the Mogen clamp, the Gomco clamp, or the Plastibell device. Complications are uncommon and can include bleeding, injury to the penis, adhesions, excessive skin removal, phimosis, and meatal stenosis. Anatomic and medical contraindications may require that the procedure be deferred beyond the neonatal period. Infants with anatomic abnormalities should be referred to a pediatric urologist. Physicians should present information about potential benefits and risks rather than withholding or recommending circumcision. Parents should weigh the health benefits and risks and consider their own religious, cultural, and personal preferences when making the decision.
新生儿男性割礼是一种常见的选择性外科手术，用于切除覆盖龟头的包皮。美国儿科学会、美国妇产科医师学会、疾病控制与预防中心和美国家庭医生学会认识到新生儿男性割礼有健康益处，但并不普遍推荐该手术。在新生儿期进行男性割礼有几个优点，包括并发症风险较低、愈合较快和成本较低。新生儿男性割礼最常用的三种技术是使用 Mogen 夹、Gomco 夹或 Plastibell 装置。并发症并不常见，可能包括出血、阴茎损伤、粘连、过度切除皮肤、包茎和尿道口狭窄。解剖和医学禁忌症可能需要将手术推迟到新生儿期之后。有解剖异常的婴儿应转介给儿科泌尿科医生。医生应提供有关潜在益处和风险的信息，而不是隐瞒或推荐割礼。父母应权衡健康益处和风险，并在做出决定时考虑自己的宗教、文化和个人偏好。
