儿科包茎病手术治疗的范式转变。实践是否符合当前的建议？

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Actas urologicas espanolas Pub Date : 2025-03-01 DOI:10.1016/j.acuro.2025.501710

S. Fuentes , N. Vicente-Sánchez , M.E. Martín-Castillo , E. Robert-Gil , A. Arranz-Martí , C. Grande-Moreillo

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引用次数: 0

摘要

提高医疗质量是医学的一个基本问题。对常规实践的分析及其对现有证据的充分性可以发现需要改进的地方。我们决定将这些原则应用于小儿年龄包茎的手术治疗。本研究的目的是分析我国18岁以下儿童包茎手术的情况及其是否符合目前的建议。材料和方法回顾性描述性观察性研究，包括2022年和2023年在18岁以下儿童和青少年中进行的包茎手术。数据与欧洲和英国儿科泌尿学协会的建议进行了比较。结果共纳入病历222份。所有手术均在门诊进行，采用局部区域麻醉。病理性包茎占11%。生理性包茎中47%无症状（70%在3 ~ 7岁之间）。根据目前欧洲的建议，包茎手术只适用于有症状的病理性或生理性包茎或尿路感染风险增加的病例。在我们环境下的儿科患者中，包茎手术的各个方面都是根据目前的建议进行的，但是在幼儿中无症状包茎手术的比例很高。基于自发消退的可能性，应回顾本组患者的适应证和最佳干预年龄。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Cambio de paradigma en el tratamiento quirúrgico de la fimosis en edad pediátrica. ¿Se ajusta la práctica a las recomendaciones actuales?

查看原文本刊更多论文

Cambio de paradigma en el tratamiento quirúrgico de la fimosis en edad pediátrica. ¿Se ajusta la práctica a las recomendaciones actuales?

Introduction

Improving the quality of care is a fundamental issue in medicine. The analysis of routine practice and its adequacy to the available evidence can detect areas for improvement. We have decided to apply these principles to the surgical treatment of phimosis in pediatric age. The aim of this study is to analyze the situation of phimosis surgery for children up to 18 years of age in our environment and its compliance with current recommendations.

Material and methods

Retrospective descriptive observational study including surgeries performed for phimosis in children and adolescents up to 18 years of age in 2022 and 2023. Data were compared with the recommendations of the European and British Pediatric Urology Associations.

Results

A total of 222 medical records were included. All surgeries were performed on an outpatient basis and with loco-regional anesthesia. The percentage of pathological phimosis was 11%. Among physiological phimosis, 47% were asymptomatic (70% between 3 and 7 years of age).

Discussion

According to current European recommendations, phimosis surgery is reserved for cases of symptomatic pathological or physiological phimosis or with increased risk of urinary tract infection. In pediatric patients in our environment, all aspects of phimosis surgery are performed according to current recommendations, but the percentage of asymptomatic phimosis operated on in young children is high. Based on the possibility of spontaneous resolution, the indication and optimal age of intervention in this group of patients should be reviewed.

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来源期刊

Actas urologicas espanolas UROLOGY & NEPHROLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

46 days

期刊介绍： Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.