Doğan Gül, Yilmaz Dilek, Ipek Hülya, Metin Mehmet, Kahraman Hande, Afşarlar Çağatay Evrim
Department of Pediatric Surgery, Faculty of Medicine, Hitit University, Çorum, Turkiye.
Department of Pathology, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, University of Health Sciences, İstanbul, Turkiye.
Turk J Med Sci. 2024 Nov 13;55(1):237-241. doi: 10.55730/1300-0144.5963. eCollection 2025.
BACKGROUND/AIM: Circumcision refers to the surgical removal of all or part of the prepuce. Circumcision is commonly performed on males in childhood to prevent urinary tract infections and for religious reasons. This study was designed to investigate the inflammatory processes in the prepuce according to the degree of phimosis in patients who underwent circumcision.
We conducted a prospective study on 173 male children under the age of 18 who underwent circumcision between June and September 2024. A comprehensive physical examination of the genitourinary system was performed. Foreskin retraction was assessed and recorded using the Kikiros grading score, and an elective surgical appointment was scheduled accordingly.
As the age of the patient decreases, phimosis appears to be more advanced. In Stage 2 phimosis, where the foreskin is more covered, mild to moderate inflammation is observed, whereas in Stage 1 phimosis, where the foreskin is moderately covered, severe inflammation is noted. This suggests that the partial constriction in Stage 1 phimosis may facilitate contamination from external sources.
It is known that circumcision in boys reduces urinary tract infections. This study investigated the inflammatory processes in the prepuce according to the degrees of phimosis. The results indicate that performing circumcision at younger ages is beneficial for preventing ascending urinary infections and reducing the need for antibiotic treatment.
背景/目的：包皮环切术是指手术切除全部或部分包皮。包皮环切术通常在男性儿童期进行，以预防尿路感染以及基于宗教原因。本研究旨在根据接受包皮环切术患者的包茎程度，调查包皮中的炎症过程。
我们对2024年6月至9月期间接受包皮环切术的173名18岁以下男性儿童进行了一项前瞻性研究。对泌尿生殖系统进行了全面的体格检查。使用基基罗斯分级评分评估并记录包皮退缩情况，并据此安排择期手术。
随着患者年龄的降低，包茎似乎更为严重。在包皮覆盖较多的2期包茎中，观察到轻度至中度炎症，而在包皮覆盖适中的1期包茎中，注意到严重炎症。这表明1期包茎中的部分狭窄可能便于外部来源的污染。
众所周知，男孩进行包皮环切术可减少尿路感染。本研究根据包茎程度调查了包皮中的炎症过程。结果表明，在较年轻时进行包皮环切术有利于预防上行性尿路感染并减少抗生素治疗的需求。
