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Препуций – ненужный рудимент или важный орган?
Препуций – ненужный рудимент или важный орган?
Кульчавеня Е.В. Препуций – ненужный рудимент или важный орган? Consilium Medicum. 2018; 20 (7): 56–60. DOI: 10.26442/2075-1753_2018.7.56-60
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Аннотация
Приведен обзор литературы, посвященной роли препуция. Препуций с античных времен вызывал противоречивые чувства; некоторые народности считали необходимым выполнить обрезание в младенчестве, другие, как, например, древние греки, гордились своей крайней плотью. Длинная крайняя плоть считалась красивой, а обнаженная головка, напротив, неприличной. Подверженность крайней плоти целому ряду инфекционно-воспалительных заболеваний привела к выполнению циркумцизии как в лечебных, так и в профилактических целях. Среди заболеваний препуция встречаются также псориаз, лихеноидный склероз или склероатрофический лишай, красный плоский лишай и себорейная экзема. Фимоз, осложненный фиссурами, является высокодостоверным предиктором сахарного диабета. Не нашли статистической значимости различий в сексуальной чувствительности мужчин, обрезанных в младенчестве, и живущих с крайней плотью.
Ключевые слова: препуций, баланопостит, туберкулез, инфекции, передающиеся половым путем, циркумцизия.
Ключевые слова: препуций, баланопостит, туберкулез, инфекции, передающиеся половым путем, циркумцизия.
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A literature review on preputium role is presented. From ancient times preputium caused contradictory feelings. In some ethnic groups circumcision was considered necessary in infancy, others, like ancient greeks were proud of their preputium. Long preputium was regarded as beautiful, a bare penis balanus, on the contrary, as indecent. Susceptibility of preputium to a variety of inflammatory infectious diseases resulted in circumcision performance in medicinal as well as in preventive purposes. Preputium diseases also include psoriasis, lichen sclerosus, lichen sclerosus et atrophicus, lichen ruber planus, and seborrheic eczema. Phymosis, complicated with fissurae, is a highly accurate diabetes mellitus predictor. Statistically significant differences of sexual sensitivity between circumcised in infancy men compared with men with preserved preputium were not found.
Key words: preputium, balanoposthitis, tuberculosis, sexually transmissible infections, circumcision.
Key words: preputium, balanoposthitis, tuberculosis, sexually transmissible infections, circumcision.
Полный текст
Список литературы
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29. Sarkarati M, Rossier AB, Fam BA. Experience in vibratory and electro-ejaculation techniques in spinal cord injury patients: A preliminary report. J Urol 1987; 138: 59–62.
30. Bleustein CB, Fogarty JD, Eckholdt H et al. Effect of neonatal circumcision on penile neurological sensation. Urology 2005; 65: 773–7.
31. Tian Y, Liu W, Wang JZ et al. Effects of circumcision on male sexual functions: A systematic review and meta-analysis. Asian J Androl 2013; 15: 662–6.
32. Morris BJ, Krieger JN. Does male circumcision affect sexual function, sensitivity, or satisfaction? – a systematic review. J Sex Med 2013; 10 (11): 2644–57. DOI: 10.1111/jsm.12293
33. Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States. Prevalence, prophyactic effects, and sexual practice. J Am Med Assoc 1997; 277: 1052–57.
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36. Shenoy SP, Marla PK, Sharma P et al. Frenulum Sparing Circumcision: Step-By-Step Approach of a Novel Technique. J Clin Diagn Res 2015; 9 (12): PC01–3. DOI: 10.7860/JCDR/2015/14972.6860
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1. Martín-Alguacil N, Cooper RS, Aardsma N et al. Terminal innervation of the male genitalia, cutaneous sensory receptors of the male foreskin. Clin Anat 2015; 28 (3): 385–91. DOI: 10.1002/ca.22501
2. Cox G, Krieger JN, Morris BJ. Histological Correlates of Penile Sexual Sensation: Does Circumcision Make a Difference? Sex Med 2015; 3 (2): 76–85. DOI: 10.1002/sm2.67
3. Guo D, Xu S-M, Jiang H-Y et al. Observation of Meissner’s corpuscle on fused phimosis. J Guangdong Med Coll 2007; 20: 15–6.
4. Porter WM, Bunker CB. The dysfunctional foreskin. International J STD AIDS. 2001; 12: 216–220.
5. Thompson RS, Hess DL, Binkerd PE et al. The effects of prenatal diethylstilbestrol on the genitalia of pubertal. Macaca mulatta. J Reprod Med 1981; 26: 309–16.
6. Cox G, Morris BJ. Why circumcision: From pre-history to the twenty-first century. In: Bolnick DA, Koyle MA, Yosha A, ed. Surgical guide to circumcision. London: Springer, 2012; p. 243–259.
7. Hodges FM. The Ideal Prepuce in Ancient Greece and Rome: Male Genital Aesthetics and Their Relation to Lipodermos, Circumcision, Foreskin Restoration, and the Kynodesme. Bull Hist Med 2001; 75 (3): 375–405.
8. Prodger JL, Kaul R. The biology of how circumcision reduces HIV susceptibility: broader implications for the prevention field. AIDS Res Ther 2017; 14 (1): 49. DOI: 10.1186/s12981-017-0167-6
9. Fang J, Zhang H, Jin S. Epigenetics and cervical cancer: from pathogenesis to therapy. Tumour Biol 2014; 35 (6): 5083–93. DOI: 10.1007/s13277-014-1737-z
10. Irkilata L, Aydin HR, Aydin M et al. Preputial bacterial colonisation in uncircumcised male children: Is it related to phimosis? J Pak Med Assoc 2016; 66 (3): 312–5.
11. Kul'chavenia E.V., Cherednichenko A.G., Neimark A.I., Shevchenko S.Iu. Chastota vstrechaemosti uropatogenov i dinamika ikh chuvstvitel'nosti. Urologiia. 2015; 2: 13–6. [in Russian]
12. Kantere D, Alvergren G, Gillstedt M et al. Clinical Features, Complications and Autoimmunity in Male Lichen Sclerosus. Acta Derm Venereol 2017; 97 (3): 365–9. DOI: 10.2340/00015555-2537.
13. Shevchenko S.Ju. Kul'chavenja E.V., Zulin Ja.V. Infekcii mochevyvodjashhih putej v strukture poliklinicheskogo priema urologa. Medicina i obrazovanie v Sibiri: jel. resurs. 2013; 5. http://www.ngmu.ru/cozo/mos/article/text_full.php?id=1140 [in Russian]
14. Zabirov K.I., Derevjanko I.I., Marchuk N.V. Sovremennye aspekty problemy balanopostita. Consilium Medicum. 2004; 3 (6): 215–8. [in Russian]
15. Vershinin A.E., Shmeleva E.A. Mikrobiologicheskie aspekty infekcionnogo balanopostita. Urologija. 2015; 1: 90–3. [in Russian]
16. Edwards SK, Bunker CB, Ziller F, van der Meijden WI. 2013 European guideline for the management of balanoposthitis. Int J STD AIDS 2014; 25 (9): 615–26.
17. Brito MO, Khosla S, Pananookooln S et al. Sexual Pleasure and Function, Coital Trauma, and Sex Behaviors After Voluntary Medical Male Circumcision Among Men in the Dominican Republic. J Sex Med 2017; 14 (4): 526–34. doi: 10.1016/j.jsxm.2017.01.020.
18. Lemos MP, Lama JR, Karuna ST et al. The inner foreskin of healthy males at risk of HIV infection harbors epithelial CD4+ CCR5+ cells and has features of an inflamed epidermal barrier. PLoS One 2014; 9 (9): e108954. DOI: 10.1371/journal.pone.0108954. eCollection 2014.
19. Dinh MH, Fahrbach KM, Hope TJ. The role of the foreskin in male circumcision: an evidence-based review. Am J Reprod Immunol 2011; 65 (3): 279–83. DOI: 10.1111/j.1600-0897.2010.00934.x
20. Mukudu H, Otwombe K, Laher F et al. A Cross Sectional Study of the Prevalence of Preputial and Penile Scrotal Abnormalities among Clients Undergoing Voluntary Medical Male Circumcision in Soweto, South Africa. PLoS One 2016; 11 (6): e0156265. DOI: 10.1371/journal.pone.0156265. eCollection 2016.
21. Malkoc E, Ates F, Tekeli H et al. Free nerve ending density on skin extracted by circumcision and its relation to premature ejaculation. J Androl 2012; 33: 1263–7.
22. Hosseini SR, Khazaeli MH, Atharikia D. Role of postcircumcision mucosal cuff length in lifelong premature ejaculation: A pilot study. J Sex Med 2008; 5: 206–9.
23. Bodakçi MN, Bozkurt Y, Söylemez H et al. Relationship between premature ejaculation and postcircumcisional mucosal cuff length. Scand J Urol 2014; 47: 399–403.
24. Halata Z, Munger BL. The neuroanatomical basis for the protopathic sensibility of the human glans penis. Brain Res 1986; 37: 205–30.
25. Winkelmann RK. The cutaneous innervation of human newborn prepuce. J Invest Dermatol 1956; 26: 53–67.
26. Szabo R, Short RV. How does male circumcision protect against HIV infection? BMJ 2000; 320: 1592–4.
27. Masters WH, Johnson VE. Human Sexual Response. Boston: Little Brown, 1966.
28. Szasz G, Carpenter C. Clinical observations in vibratory stimulation of the penis of men with spinal cord injury. Arch Sex Behav 1989; 18: 461–74.
29. Sarkarati M, Rossier AB, Fam BA. Experience in vibratory and electro-ejaculation techniques in spinal cord injury patients: A preliminary report. J Urol 1987; 138: 59–62.
30. Bleustein CB, Fogarty JD, Eckholdt H et al. Effect of neonatal circumcision on penile neurological sensation. Urology 2005; 65: 773–7.
31. Tian Y, Liu W, Wang JZ et al. Effects of circumcision on male sexual functions: A systematic review and meta-analysis. Asian J Androl 2013; 15: 662–6.
32. Morris BJ, Krieger JN. Does male circumcision affect sexual function, sensitivity, or satisfaction? – a systematic review. J Sex Med 2013; 10 (11): 2644–57. DOI: 10.1111/jsm.12293
33. Laumann EO, Masi CM, Zuckerman EW. Circumcision in the United States. Prevalence, prophyactic effects, and sexual practice. J Am Med Assoc 1997; 277: 1052–57.
34. Richters J, Smith AM, de Visser RO et al. Circumcision in Australia: Prevalence and effects on sexual health. Int J STD AIDS 2006; 17: 547–54.
35. Nordstrom MP, Westercamp N, Jaoko W et al. Medical Male Circumcision Is Associated With Improvements in Pain During Intercourse and Sexual Satisfaction in Kenya. J Sex Med 2017; 14 (4): 601–12. DOI: 10.1016/j.jsxm.2017.02.014
36. Shenoy SP, Marla PK, Sharma P et al. Frenulum Sparing Circumcision: Step-By-Step Approach of a Novel Technique. J Clin Diagn Res 2015; 9 (12): PC01–3. DOI: 10.7860/JCDR/2015/14972.6860
37. Zavras N, Tsamoudaki S, Ntomi V et al. Predictive Factors of Postoperative Pain and Postoperative Anxiety in Children Undergoing Elective Circumcision: A Prospective Cohort Study. Korean J Pain 2015; 28 (4): 244–53. DOI: 10.3344/kjp.2015.28.4.244
38. Bhat GS. Preputial Calculi: a Case Report and Review of Literature. Indian J Surg 2017; 79 (1): 70–2. DOI: 10.1007/s12262-016-1452-7
39. O'Neill P, Brown R. Penile Ulceration Secondary to Nicorandil Use. Urol Case Rep 2016; 10: 57–9. eCollection 2017 Jan.
40. Huang YC, Huang YK, Chen CS et al. Phimosis with Preputial Fissures as a Predictor of Undiagnosed Type 2 Diabetes in Adults. Acta Derm Venereol 2016; 96 (3): 377–80. DOI: 10.2340/00015555-2244
41. Kul'chavenja E.V., Homjakov V.T. Tuberkulez vnelegochnoj lokalizacii v Zapadnoj Sibiri. Problemy tuberkuleza i boleznej legkih. 2003; 80 (4): 13–5. [in Russian]
42. Kul'chavenja E.V. Kontrol' vnelegochnogo tuberkuleza v Sibiri i na Dal'nem Vostoke. Problemy tuberkuleza i boleznej legkih. 2008; 85 (9): 16–9. [in Russian]
43. Lysov A.V., Okhlopkov V.A., Mordyk A.V. i dr. Khronicheskoe techenie dlitel'no ne vyiavliaemogo mochepolovogo tuberkuleza. Urologiia. 2017; 5: 34–8. DOI: https://dx.doi.org/10.18565/urology.2017.5.91-94 [in Russian]
44. Rotaru M, Tăban S, Ţăroi M et al. An immunocompetent young patient with tuberculosis of the penis: a challenging case. Rom J Morphol Embryol 2015; 56 (2): 569–74.
45. Holt L. E. Tuberculosis acquired through ritual circumcision. J Am Medl Assoc 1913; 61 (2): 99–102. DOI: 10.1001/jama.1913.04350020025011
46. Denisova V.M., Vasil'ev M.M. Erozivno-iazvennyi balanopostit v sochetanii s gonoreinoi infektsiei. Vestn. dermatologii i venerologii. 2009; 5: 125–8. [in Russian]
47. Sokolova T.V., Maliarchuk A.P. Kandidoznyi balanopostit – akual'naia problema poverkhnostnykh mikozov kozhi. Klin. dermatologiia i venerologiia. 2017; 16 (2): 22–43. [in Russian]
48. Iakovlev A.B. Kandidoznyi balanopostit: etiologiia, klinicheskaia kartina, diagnostika, lechenie. Terra Medica. 2015; 1 (79): 18–24. [in Russian]
2. Cox G, Krieger JN, Morris BJ. Histological Correlates of Penile Sexual Sensation: Does Circumcision Make a Difference? Sex Med 2015; 3 (2): 76–85. DOI: 10.1002/sm2.67
3. Guo D, Xu S-M, Jiang H-Y et al. Observation of Meissner’s corpuscle on fused phimosis. J Guangdong Med Coll 2007; 20: 15–6.
4. Porter WM, Bunker CB. The dysfunctional foreskin. International J STD AIDS. 2001; 12: 216–220.
5. Thompson RS, Hess DL, Binkerd PE et al. The effects of prenatal diethylstilbestrol on the genitalia of pubertal. Macaca mulatta. J Reprod Med 1981; 26: 309–16.
6. Cox G, Morris BJ. Why circumcision: From pre-history to the twenty-first century. In: Bolnick DA, Koyle MA, Yosha A, ed. Surgical guide to circumcision. London: Springer, 2012; p. 243–259.
7. Hodges FM. The Ideal Prepuce in Ancient Greece and Rome: Male Genital Aesthetics and Their Relation to Lipodermos, Circumcision, Foreskin Restoration, and the Kynodesme. Bull Hist Med 2001; 75 (3): 375–405.
8. Prodger JL, Kaul R. The biology of how circumcision reduces HIV susceptibility: broader implications for the prevention field. AIDS Res Ther 2017; 14 (1): 49. DOI: 10.1186/s12981-017-0167-6
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Авторы
Е.В.Кульчавеня
ФГБУ «Новосибирский научно-исследовательский институт туберкулеза» Минздрава России. 630040, Россия, Новосибирск, ул. Охотская, д. 81а;
ФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России. 630091, Россия, Новосибирск, Красный пр-т, д. 52
urotub@yandex.ru
urotub@yandex.ru
ФГБУ «Новосибирский научно-исследовательский институт туберкулеза» Минздрава России. 630040, Россия, Новосибирск, ул. Охотская, д. 81а;
ФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России. 630091, Россия, Новосибирск, Красный пр-т, д. 52
urotub@yandex.ru
________________________________________________
E.V.Kulchavenya
Novosibirsk Research Institute of Tuberculosis of the Ministry of Health of the Russian Federation. 630040, Russian Federation, Novosibirsk, ul. Okhotskaia, d. 81a;
Novosibirsk State Medical University of the Ministry of Health of the Russian Federation. 630091, Russian Federation, Novosibirsk, Krasnyi pr-t, d. 52Novosibirsk Research Institute of Tuberculosis of the Ministry of Health of the Russian Federation. 630040, Russian Federation, Novosibirsk, ul. Okhotskaia, d. 81a;
urotub@yandex.ru
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