| Abstrakt: |
Introduction: Despite the fact that almost 1/6 of the total male population of the world is circumcised it has been a long time since it has been forgotten the origin of this intervention. The procedure was practiced for religious beliefs, cultural or medical, the latter being fashionable in modern surgery in the last century. Material and method: The trial was conducted in the Clinic of Pediatric and Orthopaedic Surgery of "St. Andrew" Emergency County Hospital of Constantza, between 2011 and 2015. During this period we verified the cases of phimosis and separated them in two age groups. We looked at those who were circumcised and those who had conservative surgery of the foreskin. Results: During those five years, we had 1,196 cases of phimosis. Some of them were circumcised, and at others the foreskin was kept. For circumcision, there were different aspects: * Biological circumcision has been practiced for different pathologies that needed this type of intervention; * Psychological: presence or absence of the foreskin perceived like a state of well-being; * Social: in terms of cultural, religious or social or when an individual wishes to be circumcised. Conclusions: Surgery of the foreskin, unless required by medical reasons, should not be performed in the first 4 years of life, taking into account the development of the glansforeskin system during this period. Western trends about the integrity of the human body have their justification in the light of new investigations conducted (microscopic anatomy, immunology, etc). For circumcision it must be considered a multitude of factors that are not only medical, but also social, cultural, religious, etc. Regarding statistics in our country and especially in Dobrogea, there isn't an accuracy because of the inconsistent practice of the intervention in hospital. Rural population and the urban one of both Muslim origin, turn to alternative services for circumcision, which does not include statistical views. [ABSTRACT FROM AUTHOR] |
