A survey of adult men who underwent circumcision in childhood for pathological phimosis
Purpose: Pathological phimosis in childhood typically results in circumcision. Long-term follow-up data for men circumcised in childhood are lacking. This study sought long-term data regarding satisfaction with circumcision and voiding symptoms from men who had childhood circumcision between 198...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MRE Press
2021-04-01
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| Series: | Journal of Men's Health |
| Subjects: | |
| Online Access: | https://oss.jomh.org/jomh/article/20210409-229/pdf/43-48%20jomh292.pdf |
| _version_ | 1797327136265076736 |
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| author | Harriet Jane Corbett Kirsty Nweze Ewoma Ukeleghe Caroline Sanders |
| author_facet | Harriet Jane Corbett Kirsty Nweze Ewoma Ukeleghe Caroline Sanders |
| author_sort | Harriet Jane Corbett |
| collection | DOAJ |
| description | Purpose: Pathological phimosis in childhood typically results in
circumcision. Long-term follow-up data for men circumcised in childhood are
lacking. This study sought long-term data regarding satisfaction with
circumcision and voiding symptoms from men who had childhood circumcision between
1989 and 2010. Methods: Following ethical approval, a postal survey was
sent to males > 17 years who underwent circumcision at an age < 16 years for
pathological phimosis. Results: The survey was sent to 177 men, 23
completed surveys were returned [19 histology proven Lichen Sclerosus [LS, BXO],
4 chronic balanitis]. Mean age at circumcision was 9.7 years [range 3-15], at
survey 23.5 years [18-37]. Seven [all > 9 years] remembered the decision for
circumcision. Four warranted urologist review as adults, three required surgery
for voiding symptoms and one still performs structure therapy; all had LS. When
asked which treatment option[s] they would have considered; ten of them chose
circumcision, nine of them chose preputioplasty, eight of them chose topical
creams [two of them chose all three options, one man chose both foreskin
preserving options]. Eight agreed with the statement “Having a circumcision in
childhood or adolescence had an impact on my adult life”; this was positive in
two men but negative in five men-they wouldn’t have chosen circumcision.
Conclusions: The response rate to the survey was low, making it
difficult to draw firm conclusions. However, even in this limited sample, not all
men would choose childhood circumcision for pathological phimosis, data
supporting the need for larger studies of alternative treatment options. In
addition, some men circumcised for childhood LS had significant voiding
difficulties in adulthood. |
| first_indexed | 2024-03-08T06:34:06Z |
| format | Article |
| id | doaj.art-352b976800984933ac5d2a1bc750a080 |
| institution | Directory Open Access Journal |
| issn | 1875-6859 |
| language | English |
| last_indexed | 2024-03-08T06:34:06Z |
| publishDate | 2021-04-01 |
| publisher | MRE Press |
| record_format | Article |
| series | Journal of Men's Health |
| spelling | doaj.art-352b976800984933ac5d2a1bc750a0802024-02-03T10:53:26ZengMRE PressJournal of Men's Health1875-68592021-04-01172434810.31083/jomh.2021.001S1875-6867(21)00297-9A survey of adult men who underwent circumcision in childhood for pathological phimosisHarriet Jane Corbett0Kirsty Nweze1Ewoma Ukeleghe2Caroline Sanders3Department of Surgery, Alder Hey Children’s NHS Foundation Trust, Liverpool, UKUniversity of Liverpool School of Medicine, Liverpool, UKFounder & CEO at SKNDOCTOR, London, EnglandUniversity of Northern British Columbia, Prince George, BC, CanadaPurpose: Pathological phimosis in childhood typically results in circumcision. Long-term follow-up data for men circumcised in childhood are lacking. This study sought long-term data regarding satisfaction with circumcision and voiding symptoms from men who had childhood circumcision between 1989 and 2010. Methods: Following ethical approval, a postal survey was sent to males > 17 years who underwent circumcision at an age < 16 years for pathological phimosis. Results: The survey was sent to 177 men, 23 completed surveys were returned [19 histology proven Lichen Sclerosus [LS, BXO], 4 chronic balanitis]. Mean age at circumcision was 9.7 years [range 3-15], at survey 23.5 years [18-37]. Seven [all > 9 years] remembered the decision for circumcision. Four warranted urologist review as adults, three required surgery for voiding symptoms and one still performs structure therapy; all had LS. When asked which treatment option[s] they would have considered; ten of them chose circumcision, nine of them chose preputioplasty, eight of them chose topical creams [two of them chose all three options, one man chose both foreskin preserving options]. Eight agreed with the statement “Having a circumcision in childhood or adolescence had an impact on my adult life”; this was positive in two men but negative in five men-they wouldn’t have chosen circumcision. Conclusions: The response rate to the survey was low, making it difficult to draw firm conclusions. However, even in this limited sample, not all men would choose childhood circumcision for pathological phimosis, data supporting the need for larger studies of alternative treatment options. In addition, some men circumcised for childhood LS had significant voiding difficulties in adulthood.https://oss.jomh.org/jomh/article/20210409-229/pdf/43-48%20jomh292.pdfbalanitis xerotica obliteranschildcircumcisionlichen sclerosus et atrophicussurgical decision making |
| spellingShingle | Harriet Jane Corbett Kirsty Nweze Ewoma Ukeleghe Caroline Sanders A survey of adult men who underwent circumcision in childhood for pathological phimosis Journal of Men's Health balanitis xerotica obliterans child circumcision lichen sclerosus et atrophicus surgical decision making |
| title | A survey of adult men who underwent circumcision in childhood for pathological phimosis |
| title_full | A survey of adult men who underwent circumcision in childhood for pathological phimosis |
| title_fullStr | A survey of adult men who underwent circumcision in childhood for pathological phimosis |
| title_full_unstemmed | A survey of adult men who underwent circumcision in childhood for pathological phimosis |
| title_short | A survey of adult men who underwent circumcision in childhood for pathological phimosis |
| title_sort | survey of adult men who underwent circumcision in childhood for pathological phimosis |
| topic | balanitis xerotica obliterans child circumcision lichen sclerosus et atrophicus surgical decision making |
| url | https://oss.jomh.org/jomh/article/20210409-229/pdf/43-48%20jomh292.pdf |
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