Division of Urology, Department of Surgery, Taipei City Hospital, Zhongxiao Branch, Taipei, Taiwan.
Department of Urology, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Sci Rep. 2023 Feb 9;13(1):2313. doi: 10.1038/s41598-022-20140-8.
We aimed to investigate patient satisfaction with male circumcision in Taiwan. An online, questionnaire-based, cross-sectional study involving 376 circumcised men 20 to 40 years of age in Taiwan was conducted. Circumcision-related satisfaction was defined as a visual analogue scale score ≥ 6 (range, 1-10). Pearson's chi-square test was performed to compare differences between satisfied and unsatisfied participants. Factors predictive of participant satisfaction were analysed using multivariate logistic regression. Statistical significance was set at P < 0.05. Among 376 circumcised men, 249 (66.2%) reported satisfaction with circumcision. Satisfied participants had higher levels of education, underwent circumcision for phimosis or balanitis, underwent circumcision during adulthood, reported a larger penile size, and had fewer long-term complaints. Furthermore, 89.4% had various long-term complaints, including skin colour mismatch, changes in masturbation methods, hypertrophic scarring, excessive shortening of the prepuce, and redundant prepuce. Multivariate analysis revealed that adult circumcision and the absence of long-term conditions were predictive of satisfaction. Two-thirds of participants were satisfied with their circumcision outcome, especially those who underwent circumcision for phimosis or balanitis during adulthood. Proper preoperative patient selection and postoperative symptom prevention would improve patient satisfaction.
我们旨在调查台湾地区男性割礼患者的满意度。我们在台湾进行了一项涉及 376 名 20 至 40 岁已行割礼男性的在线、基于问卷的横断面研究。割礼相关满意度定义为视觉模拟量表评分≥6（范围 1-10）。采用 Pearson 卡方检验比较满意组和不满意组之间的差异。使用多变量逻辑回归分析预测参与者满意度的因素。P 值<0.05 为差异有统计学意义。在 376 名已行割礼的男性中，249 名（66.2%）报告对割礼满意。满意组的受教育程度更高，因包茎或龟头炎而行割礼，在成年后行割礼，报告阴茎尺寸更大，且长期并发症更少。此外，89.4%的人有各种长期并发症，包括肤色不匹配、自慰方式改变、肥厚性瘢痕形成、包皮过度缩短和包皮冗余。多变量分析显示，成年后割礼和无长期并发症是满意度的预测因素。三分之二的参与者对割礼结果满意，尤其是那些因包茎或龟头炎在成年后行割礼的人。适当的术前患者选择和术后症状预防将提高患者满意度。
