Kim K K
Department of Urology, School of Medicine, Hallym University, Seoul, Korea.
J Korean Med Sci. 1996 Aug;11(4):332-4. doi: 10.3346/jkms.1996.11.4.332.
Recently, an increase in incidences of urinary tract infections in uncircumcised male infants has been reported. However, determining what is the best management for the prepuce of newborns and infants is still to be solved. I investigated prospectively how much foreskins are retracted with age and what correlations it has with urinary tract infection in 122 males children below 15 years of age. Under 6 months of age, the majority of the foreskins were unretractable. As they got older, over 3 years of age, their prepuces became retractable. The incidence of bacteriuria was 11.4% in uncircumcised but none in circumcised and hypospadias. In 8 patients showing bacteriuria, their foreskins were retracted below 25% in length. Among them, 5 patients, in whom E. coli were grown in their urine, showed radiologic renal abnormalities and suffered from high fever indicating systemic infection. However, the other 3 cases infected by Proteus mirabilis in their urine complained of only local penile symptoms.
最近，有报道称未行包皮环切术的男婴尿路感染发病率有所上升。然而，确定新生儿和婴儿包皮的最佳处理方法仍有待解决。我对122名15岁以下男童进行了前瞻性研究，观察随着年龄增长包皮可退缩的程度以及其与尿路感染的相关性。6个月以下的婴儿，大多数包皮不可退缩。随着年龄增长，3岁以上的儿童包皮可退缩。未行包皮环切术的儿童菌尿发生率为11.4%，而行包皮环切术和尿道下裂的儿童则无菌尿发生。在8例菌尿患儿中，其包皮退缩长度低于25%。其中，5例尿液中培养出大肠杆菌的患儿有肾脏影像学异常，并伴有高热提示全身感染。然而，另外3例尿液中感染奇异变形杆菌的患儿仅主诉阴茎局部症状。
