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‘An insight into circumcised men seeking foreskin reconstruction: a prospective cohort study’
International Journal of Impotence Research ( IF 2.6 ) Pub Date : 2020-01-02 , DOI: 10.1038/s41443-019-0223-y
M Özer 1, 2, 3 , Floyd W Timmermans 1, 2, 4
Affiliation  

The aim of this study was to present a cohort of men seeking assistance with foreskin reconstruction, with the objective to broaden the general understanding for this specific request. All men between January 2015 and May 2019 seeking assistance with foreskin reconstruction were included. We prospectively collected data on patient demographics and outcomes such as their motivations, treatment trajectory, and experiences. A total of 11 patients were identified and included (age range 20–62). The majority were circumcised during adulthood for medical reasons. Among the most prominent motivations to pursue reconstruction were experiencing impairment of body integrity, feeling mutilated, increasing glans sensitivity and having issues with an imposed cultural or religious identity. Most patients stated that they experienced little support from healthcare professionals and that the Internet was their main source of information. Furthermore, almost all patients practiced penile tissue stretching to reconstruct the foreskin with unregistered devices. Foreskin reconstruction is a scarcely reported topic and is sought out for different reasons. Although rare, these patients experience a heavy burden and will go to great lengths to reconstruct their foreskin, more often so without the involvement of healthcare professions. In contrary to the surgical treatment options, the nonsurgical methods seem promising, but these rely heavily on lay-sources found online.



中文翻译:

“对寻求包皮重建的割包皮男性的洞察:一项前瞻性队列研究”

本研究的目的是展示一组寻求包皮重建帮助的男性,目的是扩大对这一特定要求的一般理解。包括 2015 年 1 月至 2019 年 5 月期间寻求包皮重建帮助的所有男性。我们前瞻性地收集了有关患者人口统计和结果的数据,例如他们的动机、治疗轨迹和经验。共确定并纳入 11 名患者(年龄范围 20-62 岁)。由于医疗原因,大多数人在成年期接受了割礼。寻求重建的最突出动机之一是身体完整性受损、感觉被肢解、龟头敏感性增加以及强加的文化或宗教身份存在问题。大多数患者表示,他们很少得到医疗保健专业人员的支持,而互联网是他们的主要信息来源。此外,几乎所有患者都使用未注册的装置进行阴茎组织拉伸以重建包皮。包皮重建是一个鲜有报道的话题,并且出于不同的原因而被寻求。虽然很少见,但这些患者承受着沉重的负担,并且会不遗余力地重建包皮,更常见的是在没有医疗保健专业人士参与的情况下。与手术治疗方案相反,非手术方法似乎很有希望,但这些方法严重依赖于网上找到的非专业资源。几乎所有患者都使用未注册的装置进行阴茎组织拉伸以重建包皮。包皮重建是一个鲜有报道的话题,并且出于不同的原因而被寻求。虽然很少见,但这些患者承受着沉重的负担,并且会不遗余力地重建包皮,更常见的是在没有医疗保健专业人士参与的情况下。与手术治疗方案相反,非手术方法似乎很有希望,但这些方法严重依赖于网上找到的非专业资源。几乎所有患者都使用未注册的装置进行阴茎组织拉伸以重建包皮。包皮重建是一个鲜有报道的话题,并且出于不同的原因而被寻求。虽然很少见,但这些患者承受着沉重的负担,并且会不遗余力地重建包皮,更常见的是在没有医疗保健专业人士参与的情况下。与手术治疗方案相反,非手术方法似乎很有希望,但这些方法严重依赖于网上找到的非专业资源。

更新日期:2020-01-02
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