Article information
La circuncisión es una de las intervenciones quirúrgicas que con más frecuencia se practica a los niños. Con la intensificación del fenómeno social de la inmigración en nuestro entorno, los profesionales de la salud han de saber interpretar las nuevas demandas sanitarias. Entre ellas, destaca la circuncisión ritual. Además, en los últimos años se han publicado algunas evidencias científicas que demuestran sus potenciales beneficios médicos. El objetivo de este artículo es identificar cuáles son las indicaciones terapéuticas de la circuncisión, aclarar los orígenes de los motivos religiosos y culturales y, por último, conocer la evidencia existente hasta el momento sobre los posibles beneficios de la circuncisión.
Palabras clave:
Circuncisión
Fimosis
Niños
Circumcision is one of the most frequent surgical procedures in children. Because of greater immigration to Spain, health professionals need to know how to interpret new health demands. One of the most important of these is ritual circumcision. Moreover, in the last few years scientific data showing the potential health benefits of circumcision have been published. The aim of this study was to identify the therapeutic indications of this procedure, to clarify the origins of its cultural and religious bases and, finally, to review the scientific evidence to date on its possible benefits.
Key words:
Circumcision
Phimosis
Children
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Bibliografía
[1.]
Z. Farshi, K.R. Atkinson, R. Squire.
A study of clinical opinion and practice regarding circumcision.
Arch Dis Child, 83 (2000), pp. 393-396
[2.]
F. Cots, X. Castells, C. Ollé, R. Manzanera, J. Varela, O. Vall.
Perfil de la casuística hospitalaria de la población inmigrante de Barcelona.
Gac Sanit, 16 (2002), pp. 376-384
[3.]
Circumcision Information and Resources Pages. 1999. http://www.cirp.org.
[4.]
R. González.
Anomalías del pene y la uretra.
Nelson Tratado de Pediatría, pp. 1927
[5.]
M. Cruz.
Tratado de Pediatría.
pp. 1605
[6.]
L. Kapila.
Urinary tract and testes.
Essential Paediatrics, pp. 193
[7.]
N. Madden.
Genitalia.
Illustrated Textbook of Paediatrics, pp. 211-212
[8.]
A.M.K. Rickwood, J. Walker.
Is phimosis over-diagnosed in boys and are too many circumcisions performed in consequence?.
Ann R Coll Surg Engl, 71 (1989), pp. 275-277
[9.]
American Academy of Pediatrics.
Newborns: Care of the circumcised penis. Guidelines for parents.
AAP, (1990),
[10.]
A. Kaplan.
De Senegambia a Cataluña: Procesos de aculturación e integración social.
Fundación “La Caixa”, (1998),
[11.]
M.C. Álvarez.
Sobre la mutilación genital femenina y otros demonios.
[12.]
T.E. Wiswell, F.R. Smith, J.W. Bass.
Decreased incidence of urinary tract infections in circumcised male infants.
Pediatrics, 75 (1985), pp. 901-903
[13.]
T.A. Schlager, J.O. Hendley, S.M. Dudley, G.F. Hayden, J.A. Lohr.
Explanation for false-positive urine cultures obtained by bag technique.
Arch Pediatr Adolesc Med, 149 (1995), pp. 170-173
[14.]
T.E. Wiswell, G.M. Miller, H.M. Gelston.
Effect of circumcision status on periurethral bacterial flora during the first year of life.
J Pediatr, 113 (1988), pp. 442-446
[15.]
R. Bachur, G.L. Caputo.
Bacteremia and meningitis among infants with urinary tract infections.
Pediatr Emerg Care, 17 (1993), pp. 280-284
[16.]
C.M. Ginsburg, G.H. McCracken.
Urinary tract infection in young infants.
Pediatrics, 49 (1982), pp. 409-412
[17.]
T.E. Wiswell, W.E. Hachey.
Urinary tract infections and the uncircumcised state: An update.
Clin Pediatr, 32 (1993), pp. 130-134
[18.]
T. To, M. Agha, P.T. Dick, W. Feldman.
Cohort study on circumcision of newborn boys and subsequent risk of urinary tract infection.
Lancet, 352 (1998), pp. 1813-1816
[19.]
B. Wehergren, J. Jedal, G. Jannason.
Epidemiology of bacteruria during the first year of life.
Acta Paediatr Scand, 74 (1988), pp. 978-983
[20.]
E.R. Mueller, G. Steinhardt, S. Naseer.
The incidence of genitourinary abnormalities in circumcised and uncircumcised boys presenting with an initial urinary tract infection by 6 month of age.
Pediatrics, 100 (1997), pp. 580
[21.]
A.J. Fink.
A possible explanation for heterosexual male infection with HIV.
N Engl J Med, 315 (1986), pp. 1167
[22.]
S. Moses, R.C. Bailey, A.R. Donald.
Male circumcision: Assessment of health benefits and risks.
Sex Transm Infect, 74 (1998), pp. 368-373
[23.]
M.R. Storms.
AAFP Fact Sheet on neonatal circumcision: A need for updating.
Am Fam Physician, 54 (1996), pp. 1216-1217
[24.]
C. Hooykaas, F.W. Van der Velde, M.M. Van der Linden.
The importance of ethnicity as a risk factor for STDs and sexual behaviour among heterosexuals.
Genitourin Med, 67 (1991), pp. 378-383
[25.]
E.O. Laumann, C.M. Masi, E.W. Zuckerman.
Circumcision in the United States: Prevalence, prophylactic effects and sexual practice.
JAMA, 277 (1997), pp. 1052-1057
[26.]
H.D. Birley, M.M. Walker, G.A. Luzzi, R. Bell, D. Taylor-Robinson, M. Byrne, et al.
Clinical features and management of recurrent balanitis; association with atopy and genital washing.
Genitourin Med, 69 (1993), pp. 400-403
[27.]
S. Moses, F.A. Plummer, J.E. Bradley.
The association between lack of male circumcision and risk for HIV infection: A review of the epidemiological data.
Sex Transm Dis, 21 (1994), pp. 201-210
[28.]
L.E. Soto-Ramírez, B. Renjifo, M. McLane, R. Marlink, C. O' Hara, R. Sutthent, et al.
HIV-1 Langerhans' cell tropism with heterosexual transmission of HIV.
Science, 271 (1996), pp. 1291-1293
[29.]
World Health Organization.
The current global situation of the HIV/AIDS pandemic. World Health Organization.
Genève:, (3 Julio, 1995),
[30.]
G. Gresenguet, J.K. Kreiss, M.K. Chapko.
HIV infection and vaginal douching in central Africa.
AIDS, 11 (1997), pp. 101-106
[31.]
J. Pepin, M. Quigley, J. Todd, I. Gaye, M. Janneh, E. Van Dyck, et al.
Association between HIV-2 infection and genital ulcer diseases among male sexually transmitted disease patients in The Gambia.
AIDS, 6 (1992), pp. 489-493
[32.]
Protocol: Male circumcision for prevention of heterosexual acquisition of HIV in men.
The Cochrane Library Volume, (2002),
[34.]
X. Castellsagué, F.X. Bosch, N. Muñoz, C.J. Meijer, K.V. Shah, Sanjosé De, et al.
Male circumcision, penile human papillomavirus infection, and cervical cancer in female partners.
N Engl J Med, 346 (2002), pp. 1105-1112
[36.]
R. Barrasso, J. De Brux, O. Croissant.
High prevalence of papillomavirus associated penile intraepithelial neoplasia in sexual partners of women with cervical intraepithelial neoplasia.
N Engl J Med, 317 (1987), pp. 916-923
[37.]
D. Cadman, A. Gafni, J. McNamee.
Newborn circumcision: An economic perspective.
Can Med Assoc J, 131 (1984), pp. 1353-1355
[38.]
Circumcision: An American health falacy.
[39.]
D. Hellberg, J. Valentin, T. Eklund, S. Nilsson.
Penile cancer: Is there an epidemiological role for smoking and sexual behaviour?.
BMJ, 295 (1987), pp. 1306-1308
[40.]
Task Force on Circumcision.
Circumcision policy statement. American Academy of Pediatrics.
Pediatrics, 103 (1999), pp. 686-693
[41.]
Fetus and Newborn Committee.
Neonatal Circumcision Revisited. Canadian Paediatric Society.
Can Med Assoc J, 154 (1996), pp. 769-780
[42.]
Neonatal circumcision. Guidelines and Statements. University of Manitoba. Disponible en: http://www.umanitoba.ca/cgi-bin/colleges/cps/college.cgi/914.html.
[43.]
Y. Hofvander.
New law on male circumcision in Sweden.
Lancet, 359 (2002), pp. 630
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