Creation of a pioneering interdisciplinary genital dermatology unit for Hispanic men: First 269 patients.

Autor: Navarrete J; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, Hospital Padre Hurtado, Santiago, Chile., Hernández JM; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Urology, Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., Cristi J; Department of Dermatology, Hospital Padre Hurtado, Santiago, Chile., Eltit I; Department of Dermatology, Hospital Padre Hurtado, Santiago, Chile., Kutscher P; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., Guillones A; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., Oberti V; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., Arrillaga A; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Parasitology and Micology, Instituto de Higiene, Montevideo, Uruguay., Della Santa R; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., Echenagusía P; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., Sosa T; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., Fernández C; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., Martínez L; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Urology, Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., De Cunto A; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., Bunker C; Department of Dermatology, University College London Hospitals, London, UK., Vola M; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay., Agorio C; Male Genital Dermatology (Urodermatology) Unit, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.; Department of Dermatology, 226552Hospital de Clínicas 'Dr Manuel Quintela', Montevideo, Uruguay.
Jazyk: angličtina
Zdroj: International journal of STD & AIDS [Int J STD AIDS] 2021 Sep; Vol. 32 (10), pp. 957-962. Date of Electronic Publication: 2021 Apr 29.
DOI: 10.1177/09564624211010056
Abstrakt: The role of circumcision in partially protecting against sexually transmitted infections (STIs) and other dermatoses has been documented. Neonatal circumcision is not routinely practiced in South America. Although it is logical to assume that male genital dermatoses are more prevalent in Hispanic men, they are underrepresented in the existing literature. Objective: To describe the epidemiological characteristics from our male genital dermatology unit in Montevideo (Uruguay), the diagnoses, and correlate them with circumcision status and comorbidities. Methods: A retrospective observational cohort study was conducted. A dermatologist and urologist evaluated all patients using standard questionnaires. In 3 years and 8 months, 269 patients were seen. Median age was 41, prevalence of neonatal circumcision was 0.7%, HIV was 4.2%, STIs were 24.9%, non-STIs were 63.9%, and both (STI + non-STI) were 11.2%. Most frequent entities: eczema/balanoposthitis (27.1%), condyloma (24.9%), and lichen sclerosus (15.6%). Data correlating circumcision and other diagnoses did not reach statistical significance. HIV was positively associated with other STIs ( p < 0.05), and an association with balanoposthitis was seen; however, it did not reach statistical significance ( p < 0.1). Main limitation was small sample size. This is the first study of its kind based on Hispanic patients. Collaboration between specialties proved to be fundamental. Further studies are needed in this demographic to find an association between circumcision, comorbidities, and genital dermatoses.
Databáze: MEDLINE
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