Iacob Stanca Iris, Feinn Richard S, Sardi Lauren
Frank H. Netter MD School of Medicine Quinnipiac University North Haven Connecticut USA.
Department of Sociology Quinnipiac University Hamden Connecticut USA.
BJUI Compass. 2021 Nov 11;3(2):99-123. doi: 10.1002/bco2.123. eCollection 2022 Mar.
Neonatal male circumcision is the most common procedure performed on paediatric patients (Simpson et al., 2014) and one of the most common surgical procedures in the world (American Academy of Pediatrics, 2012).
A search was conducted for articles about complications arising from male circumcision surgeries by entering the term 'male circumcision' into PubMed on June 16, 2020. Six thousand six hundred forty-one articles published from 1945 to 2020 were found. Seventy-eight articles were ultimately selected for the systematic review.
The 78 articles selected from the literature search were entered into one of three tables. The first table includes 15 articles pertaining to chart reviews and cohort studies and report complication rates. The second table reports specific complications from 51 case reports and case series, and the third table is a summary from 12 articles regarding physician questionnaires and society recommendations. Additionally, the 78 articles were used to compile a list of 47 specific complications arising from male circumcision surgeries.
Complications from neonatal male circumcisions are common and healthcare providers need to be better informed of the potential complications of the surgery so that they can more effectively counsel their patients about potential risks, likelihood of complications and what can be done to prevent them. While experienced providers who practice in sterile settings have better outcomes with fewer complications, encouraging parents to take into account who is performing their son's circumcision, what was their training, how clean is their practice and how much experience they have and reminding them they have the option to decline the procedure entirely allow the parents to get a more complete picture and play an essential role in the decision-making process.
新生儿男性包皮环切术是儿科患者中最常见的手术（辛普森等人，2014年），也是世界上最常见的外科手术之一（美国儿科学会，2012年）。
2020年6月16日，通过在PubMed中输入“男性包皮环切术”一词，搜索关于男性包皮环切术手术并发症的文章。共找到1945年至2020年发表的6641篇文章。最终选择78篇文章进行系统评价。
从文献搜索中选出的78篇文章被录入三个表格之一。第一个表格包括15篇关于图表回顾和队列研究并报告并发症发生率的文章。第二个表格报告了51例病例报告和病例系列中的特定并发症，第三个表格是12篇关于医生问卷调查和学会建议的文章的总结。此外，这78篇文章被用于编制一份由男性包皮环切术手术引起的47种特定并发症的清单。
新生儿男性包皮环切术的并发症很常见，医疗服务提供者需要更好地了解该手术的潜在并发症，以便他们能够更有效地向患者咨询潜在风险、并发症的可能性以及如何预防并发症。虽然在无菌环境中操作的经验丰富的医疗服务提供者并发症较少且效果更好，但鼓励父母考虑谁为他们的儿子进行包皮环切术、其培训情况如何、其操作环境有多清洁以及他们有多少经验，并提醒他们有权完全拒绝该手术，这能让父母更全面地了解情况，并在决策过程中发挥重要作用。
