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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。

Foreskin restorers: insights into motivations, successes, challenges, and experiences with medical and mental health professionals - An abridged summary of key findings.

机构信息

Independent Researcher, Your Sexual Medicine Journal, .

Quinnipiac University, Hamden, CT, USA.

出版信息

Int J Impot Res. 2023 May;35(3):309-322. doi: 10.1038/s41443-023-00686-5. Epub 2023 Mar 30.

DOI:10.1038/s41443-023-00686-5
PMID:36997741
Abstract

Demographically diverse surveys in the United States suggest that 5-10% of non-voluntarily circumcised American males wish that they had not been circumcised. Similar data are unavailable in other countries. An unknown proportion of circumcised males experience acute circumcision-related distress; some attempt to regain a sense of bodily integrity through non-surgical foreskin restoration. Their concerns are often ignored by health professionals. We conducted an in-depth investigation into foreskin restorers' lived experiences. An online survey containing 49 qualitative and 10 demographic questions was developed to identify restorers' motivations, successes, challenges, and experiences with health professionals. Targeted sampling was employed to reach this distinctive population. Invitations were disseminated to customers of commercial restoration devices, online restoration forums, device manufacturer websites, and via genital autonomy organizations. Over 2100 surveys were submitted by respondents from 60 countries. We report results from 1790 fully completed surveys. Adverse physical, sexual, emotional/psychological and self-esteem impacts attributed to circumcision had motivated participants to seek foreskin restoration. Most sought no professional help due to hopelessness, fear, or mistrust. Those who sought help encountered trivialization, dismissal, or ridicule. Most participants recommended restoration. Many professionals are unprepared to assist this population. Circumcision sufferers/foreskin restorers have largely been ill-served by medical and mental health professionals.

摘要

美国的人口统计学调查表明,5-10%的非自愿割礼的美国男性希望自己没有接受过割礼。其他国家没有类似的数据。一些割礼男性经历了急性割礼相关的痛苦;有些人试图通过非手术的包皮修复来恢复身体完整性。他们的担忧往往被医疗保健专业人员忽视。我们对包皮修复者的生活经历进行了深入调查。开发了一个包含 49 个定性和 10 个人口统计学问题的在线调查,以确定修复者的动机、成功、挑战以及与医疗保健专业人员的经历。采用目标抽样来接触到这一独特的人群。邀请发送给商业修复设备的客户、在线修复论坛、设备制造商网站以及生殖自主权组织。超过 2100 份调查问卷由来自 60 个国家的受访者提交。我们报告了 1790 份完整完成的调查问卷的结果。割礼导致的身体、性、情感/心理和自尊方面的不良影响促使参与者寻求包皮修复。由于绝望、恐惧或不信任,大多数人没有寻求专业帮助。那些寻求帮助的人遭遇了轻视、拒绝或嘲笑。大多数参与者建议进行修复。许多专业人士对此类人群缺乏准备。割礼受害者/包皮修复者在很大程度上受到医疗和心理健康专业人士的不良对待。

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J Pediatr Urol. 2022 Feb;18(1):89.e1-89.e6. doi: 10.1016/j.jpurol.2021.10.008. Epub 2021 Oct 20.
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Male Circumcision Complications - A Systematic Review, Meta-Analysis and Meta-Regression.男性割礼并发症 - 系统评价、荟萃分析和荟萃回归。
Urology. 2021 Jun;152:25-34. doi: 10.1016/j.urology.2021.01.041. Epub 2021 Feb 2.
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Neonatal male circumcision is associated with altered adult socio-affective processing.新生儿男性包皮环切术与成人社会情感加工的改变有关。
Heliyon. 2020 Nov 26;6(11):e05566. doi: 10.1016/j.heliyon.2020.e05566. eCollection 2020 Nov.
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'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》。
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False beliefs predict increased circumcision satisfaction in a sample of US American men.在美国男性样本中,错误信念预测了更高的割礼满意度。
Cult Health Sex. 2018 Aug;20(8):945-959. doi: 10.1080/13691058.2017.1400104. Epub 2017 Dec 6.
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Attitude Toward One's Circumcision Status Is More Important than Actual Circumcision Status for Men's Body Image and Sexual Functioning.对于男性的身体意象和性功能而言,对割礼状况的态度比实际割礼状况更为重要。
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