Research Article
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Sünnet Yaşı Boy Uzamasını Etkiliyor Mu?

Year 2015, Volume: 12 Issue: 3, 338 - 341, 30.12.2015

Abstract

Amaç: Sünnet erkek çocuklarda uygulanan en sık cerrahi işlem olmakla birlikte, en uygun sünnet yaşı
hakkında birçok farklı fikir bulunmaktadır. Özellikle halk arasında sünnet yaşının ilerlemesini, boy
kısalığına sebep olduğuna dair de bir inanış bulunmaktadır. Bizim bu çalışmadaki amacımız sünnet yaşının
kişinin boy uzaması üzerine etkisini değerlendirmektir.
Materyal-Metod: Üroloji polikliğine başvuran yaşları 18-50 arası olan sağlıklı erkeklere sünnet oldukları
yaş, boyları ve kiloları soruldu. Vücut kitle indeksleri hesaplandı. Konjenital anomalisi olanlar,
çocukluğunda vezikoüreteral reflü veya posterior üretral valv teşhisi alanlar, yenidoğandan itibaren ergenlik
bitimine kadar herhangi bir cerrahi geçirenler çalışma dışı bırakıldı. Kişiler sünnet yaşlarına göre yenidoğan
0-2 yaş (grup 1), okul öncesi 2-6 yaş (grup 2) ve 7 ve üzeri yaş okul çağı diye (grup 3) gruplandırıldı. Veriler
pearson korelasyon ve One Way Anova analizleriyle çözümlendi.
Bulgular: Çalışmaya 657 erkek dahil edildi. Sünnet yaşı ilerledikçe boyun daha uzun olduğu korrelasyon
testleriyle gösterildi (r:0,087 p:0,026). Bunun yanında gruplar arasında sünnet yaşı boy uzunluğu açısından
anlamlı fark saptanmazken(p: 0,274), yenidoğan döneminde sünnet olanların diğer gruplardan anlamlı
olarak boy farklarının olmadığı da gözlendi (p:0,051). Sünnet yaşı ile vücut kitle indeksi (VKİ) arasında
istatistiksel olarak anlamlı bir korelasyon saptanmadı (r:0,026, p:0,522).
Sonuç: Çalışmamızda erken sünnet yaşının kişinin boy uzunluğunu etkilemediği, aksine sünnet yaşı
ilerledikçe boyun daha da uzadığı gösterilmiştir. 

References

  • 1.Moses S, Bailey RC, Ronald AR. Male circumcision: Asessment of health benefits and risks. Sex Transm Infect. 1998;74(5):368-73.
  • 2.Lerman SE, Liao JC. Neonatal circumcision. Pediatr Clin North Am 2001;48(6):1539-57.
  • 3.Koçak İ, Özkök S, Dündar M ve ark. Bir toplu sünnet uygulaması ve sonuçlarının medikolegal yönden değerlendirilmesi. Türk Üroloji Dergisi 2001;27(1): 65- 9.
  • 4.Dunsmuir WD, Gordon EM. The history of circumcision. BJU Int 1999;83(Suppl 1):1-12.
  • 5.Sirin A, Emre S, Alpay H, et al. Etiology of chronic renal failure in Turkish children. Pediatr Nephrol 1995;9(5):549-52.
  • 6.Chang SL, Shortliffe LD. Pediatric urinary tract infections. Pediatr Clin N Am 2006;53(3):379-400.
  • 7.Ma JF, Shortliffe LM. Urinary tract infection in children: etiology and epidemiology. Urol Clin North Am 2004;31(3):517-26.
  • 8.Hansson S, Martinell J, Stokland E, Jodal U. The natural history of bacteriuria in childhood. Infect Dis Clin North Am 1997;11(3):499-512.
  • 9.Wingen AM, Koskimies O, Olbing H, Seppanen J, Tamminen-Mobius T. Growth and weight gain in children with vesicoureteralreflux receiving medical versus surgical treatment: 10-yearresults of a prospective, randomized study. Acta Paediatr 1999;88(1):56-61.
  • 10.Wiswell TE, Smith FR, Bass JW. Decreased incidence of urinary tract infections in circumcised male infants. Pediatrics 1985;75(5):901-3.
  • 11.Wiswell TE, Enzenauer RW, Holton ME, Cornish JD, Hankins CT. Declining frequency of circumcision: implications for changes in the absolute incidence and male to female sex ratio of urinary tract infection in early infancy. Pediatrics 1987;79(3):338-42.
  • 12.To T, Agha M, Dick PT, Feldman W. Cohort study on circumcision of newborn boys and subsequent risk of urinary tract infection. Lancet 1998;352(9143):1813-6.
  • 13.Hiraoka M, Tsukahara H, Ohshima Y, Mayumi M. Meatus tightly covered by the prepuce is associated with urinary infection. Pediatr Int 2002;44(6):658-62.
  • 14.Singh-Grewal D, Macdessi J, Craig J. Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies. Arch Dis Child 2005;90(8):853-8.
  • 15.Schoen EJ, Oehrli M, Colby CJ, Machin G. The highly protective effect of newborn circumcision against invasive penile cancer. Pediatrics 2000;105(3):36
  • 16.Cook LS, Koutsky LA, Holmes KK. Circumcision and sexually transmitted diseases. Am J Public Health 1994;84(2):197-201.
  • 17.Singh-Grewal D, Macdessi J, Craig J. Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies. Arch Dis Child 2005;90(8):853-8.
  • 18.Kim D, Pang MG. The effect of male circumcision on sexuality. BJU Int 2007;99(3):619-22.
  • 19.Cüceloğlu A, Hoşrik ME, Ak M, Bozkurt A. Sünnet Yaşının Erken Boşalma Üzerindeki Etkisi. Türk Psikiyatri Dergisi 2012;23(2):99-107
  • 20.Polito C, La Manna A, Capaccione A, Pullano F, Iovene A,Del Gado R. Height and weight in children with vesicoureteric reflux and renal scarring. Pediatr Nephrol 1996;10(5):564-7.
  • 21.Ladenhauf HN, Ardelean MA, Schimke C, Yankovic F, Schimpl G. Reduced bacterial colonisation of the glans penis after male circumcision in children - A prospective study. J Pediatr Urol. 2013;9(6 Pt B):1137-44.
  • 22.Tokgoz H, Polat F, Tan MO, Sipahi B, Sultan N, Bozkirli I. Preputial bacterial colonisation in preschool and primaryschool children. Int Urol Nephrol 2005;37(1):101- 5.
  • 23.Simforoosh N, Tabibi A, Khalili SA, Soltani MH, Afjehi A,Aalami F, et al. Neonatal circumcision reduces the incidence of asymptomatic urinary tract infection: a large prospective study with long-term follow up using plastibell. J Pediatr Urol 2012;8(3):320-3.
  • 24.Cascio S, Colhoun E, Puri P. Bacterial colonization of the prepuce in boys with vesicoureteral reflux who receive antibiotic prophylaxis.J Pediatr 2001;139(1):160-2.
  • 25.Özdemir N, Alpay H, Bıyıklı N, Gökçe İ, Ahmet Topuzoğlu A. Çocuklarda sünnetin idrar yolu enfeksiyonu sıklığı üzerine etkisi. Türk Ped Arşivi 2010;45:137-40
  • 26.American Academy of Pediatrics, Task Force on Circumcision. Circumcision policy statement. Pediatrics 1999;103(3):686-93.

Does The Age Of Circumcision Affects The Height Growth?

Year 2015, Volume: 12 Issue: 3, 338 - 341, 30.12.2015

Abstract

Aim: Circumcision is the most common surgical procedure that performed at the boys, however there many
different ideas about the optimal circumcision age. In particular, there is a belief among the people that bigger age of circumsicion causes decrease of the height growth. The aim of this study was to evaluate the effect of
the age of circumcision on a person\'s height growth.
Material-Methods: Healthy men age of between 18-50 years admitted to urology outpatient clinic were
asked about their age of circumcision, height and weight. Body mass index calculated. Those with congenital
anomalies, childhood vesicoureteral reflux (VUR) or posterior urethral valves (PUV), any surgery history
from neonates to the end of puberty were excluded from the study. They were grouped as neonatal
circumcision by age 0-2 years (group 1), pre-school 2-6 years (group 2) and 7 and older school age (group 3).
Results: 657 men included the study. Correlation tests was indicated that circumcision age is older, the height
is longer than (r:0,087 p:0,026). In addition, age at circumcision between groups were no significant
differences in terms of height (p:0,274), which the height of circumcision in the neonatal period group were
not significantly different than the other groups (p:0,051)
Conclusion: In our study, early age of circumcision does not affect a person\'s height, unlike older
circumcision has been shown to further extend the height.

References

  • 1.Moses S, Bailey RC, Ronald AR. Male circumcision: Asessment of health benefits and risks. Sex Transm Infect. 1998;74(5):368-73.
  • 2.Lerman SE, Liao JC. Neonatal circumcision. Pediatr Clin North Am 2001;48(6):1539-57.
  • 3.Koçak İ, Özkök S, Dündar M ve ark. Bir toplu sünnet uygulaması ve sonuçlarının medikolegal yönden değerlendirilmesi. Türk Üroloji Dergisi 2001;27(1): 65- 9.
  • 4.Dunsmuir WD, Gordon EM. The history of circumcision. BJU Int 1999;83(Suppl 1):1-12.
  • 5.Sirin A, Emre S, Alpay H, et al. Etiology of chronic renal failure in Turkish children. Pediatr Nephrol 1995;9(5):549-52.
  • 6.Chang SL, Shortliffe LD. Pediatric urinary tract infections. Pediatr Clin N Am 2006;53(3):379-400.
  • 7.Ma JF, Shortliffe LM. Urinary tract infection in children: etiology and epidemiology. Urol Clin North Am 2004;31(3):517-26.
  • 8.Hansson S, Martinell J, Stokland E, Jodal U. The natural history of bacteriuria in childhood. Infect Dis Clin North Am 1997;11(3):499-512.
  • 9.Wingen AM, Koskimies O, Olbing H, Seppanen J, Tamminen-Mobius T. Growth and weight gain in children with vesicoureteralreflux receiving medical versus surgical treatment: 10-yearresults of a prospective, randomized study. Acta Paediatr 1999;88(1):56-61.
  • 10.Wiswell TE, Smith FR, Bass JW. Decreased incidence of urinary tract infections in circumcised male infants. Pediatrics 1985;75(5):901-3.
  • 11.Wiswell TE, Enzenauer RW, Holton ME, Cornish JD, Hankins CT. Declining frequency of circumcision: implications for changes in the absolute incidence and male to female sex ratio of urinary tract infection in early infancy. Pediatrics 1987;79(3):338-42.
  • 12.To T, Agha M, Dick PT, Feldman W. Cohort study on circumcision of newborn boys and subsequent risk of urinary tract infection. Lancet 1998;352(9143):1813-6.
  • 13.Hiraoka M, Tsukahara H, Ohshima Y, Mayumi M. Meatus tightly covered by the prepuce is associated with urinary infection. Pediatr Int 2002;44(6):658-62.
  • 14.Singh-Grewal D, Macdessi J, Craig J. Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies. Arch Dis Child 2005;90(8):853-8.
  • 15.Schoen EJ, Oehrli M, Colby CJ, Machin G. The highly protective effect of newborn circumcision against invasive penile cancer. Pediatrics 2000;105(3):36
  • 16.Cook LS, Koutsky LA, Holmes KK. Circumcision and sexually transmitted diseases. Am J Public Health 1994;84(2):197-201.
  • 17.Singh-Grewal D, Macdessi J, Craig J. Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies. Arch Dis Child 2005;90(8):853-8.
  • 18.Kim D, Pang MG. The effect of male circumcision on sexuality. BJU Int 2007;99(3):619-22.
  • 19.Cüceloğlu A, Hoşrik ME, Ak M, Bozkurt A. Sünnet Yaşının Erken Boşalma Üzerindeki Etkisi. Türk Psikiyatri Dergisi 2012;23(2):99-107
  • 20.Polito C, La Manna A, Capaccione A, Pullano F, Iovene A,Del Gado R. Height and weight in children with vesicoureteric reflux and renal scarring. Pediatr Nephrol 1996;10(5):564-7.
  • 21.Ladenhauf HN, Ardelean MA, Schimke C, Yankovic F, Schimpl G. Reduced bacterial colonisation of the glans penis after male circumcision in children - A prospective study. J Pediatr Urol. 2013;9(6 Pt B):1137-44.
  • 22.Tokgoz H, Polat F, Tan MO, Sipahi B, Sultan N, Bozkirli I. Preputial bacterial colonisation in preschool and primaryschool children. Int Urol Nephrol 2005;37(1):101- 5.
  • 23.Simforoosh N, Tabibi A, Khalili SA, Soltani MH, Afjehi A,Aalami F, et al. Neonatal circumcision reduces the incidence of asymptomatic urinary tract infection: a large prospective study with long-term follow up using plastibell. J Pediatr Urol 2012;8(3):320-3.
  • 24.Cascio S, Colhoun E, Puri P. Bacterial colonization of the prepuce in boys with vesicoureteral reflux who receive antibiotic prophylaxis.J Pediatr 2001;139(1):160-2.
  • 25.Özdemir N, Alpay H, Bıyıklı N, Gökçe İ, Ahmet Topuzoğlu A. Çocuklarda sünnetin idrar yolu enfeksiyonu sıklığı üzerine etkisi. Türk Ped Arşivi 2010;45:137-40
  • 26.American Academy of Pediatrics, Task Force on Circumcision. Circumcision policy statement. Pediatrics 1999;103(3):686-93.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Mehmet Erol Yıldırım

Mehmet Kaynar

Ekrem Özyuvalı This is me

Erkan Efe

Hüseyin Badem This is me

Ersin Çimentepe This is me

Publication Date December 30, 2015
Submission Date May 26, 2015
Acceptance Date July 29, 2015
Published in Issue Year 2015 Volume: 12 Issue: 3

Cite

Vancouver Yıldırım ME, Kaynar M, Özyuvalı E, Efe E, Badem H, Çimentepe E. Sünnet Yaşı Boy Uzamasını Etkiliyor Mu?. Harran Üniversitesi Tıp Fakültesi Dergisi. 2015;12(3):338-41.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty