器械辅助包皮环切术对成年男性性生活质量的影响：系统综述
器械辅助包皮环切术对成年男性性生活质量的影响：系统综述
Impact of device-assisted circumcision on sexual quality of life in adult males: a systematic review
——《性医学杂志》第22卷第10期，2025年10月——
【摘要】引言：器械辅助包皮环切术已成为传统外科手术的替代方法，其安全性、效率和美观效果均有所提升。虽然其临床益处已有文献记载，但通过分析文献，尚未发现器械辅助包皮环切术对成年男性性生活质量（包括勃起功能、射精控制和总体满意度）影响的全面综述。目的：综述目前关于器械辅助包皮环切术对成年男性性生活质量影响的文献。方法：本研究遵循系统综述和荟萃分析的首选报告项目指南进行了系统综述。系统检索了PubMed、EMBASE、Google Scholar、SCOPUS、EBSCO HOST和Cochrane图书馆，检索截止至2024年12月。纳入标准包括前瞻性和回顾性临床试验、队列研究、横断面研究或病例对照研究，纳入≥18岁接受器械辅助包皮环切术的男性患者，不分种族、婚姻状况和原籍国。采用纽卡斯尔-渥太华量表和有效公共卫生实践项目质量评估工具进行偏倚风险评估。结果：文献检索共发现1643条记录；8篇文章符合纳入标准，其中965例患者可供分析。该队列纳入了965名使用包皮环切器械（PrePex [336]；ShangRing [297]；Alisklamp [267]；新型一次性包皮环切缝合器械 [51] 和成人包皮环切模板 [14]）进行包皮环切的受试者。受试者平均年龄在21.2岁至34.2岁之间。包皮环切器械对男性的性满意度和性功能有积极影响或维持作用。此外，包皮环切手术对勃起功能的不良影响极小，有证据表明其可能在长期内有所改善。关于性满意度和性交时间延长的研究结果相互矛盾，一些研究报告了满意度的提高和性交时间的延长，而另一些研究则发现这些方面没有显著变化。结论：器械辅助包皮环切术对成年男性的性生活质量有积极影响或维持作用，可提高勃起质量、射精控制、性交持续时间和男性整体满意度。研究结果支持其作为传统方法安全有效的替代方案的可行性。
【关键词】包皮环切术、包皮环切装置、性满意度、勃起、射精、性生活质量。
[Abstract] Introduction: Device-assisted circumcision has emerged as an alternative to traditional surgical methods, offering improved safety, efficiency, and cosmetic outcomes. While its clinical benefits are documented, on analyzing the literature, no comprehensive synthesis of the impact of device-assisted circumcision on sexual quality of life in adult men, including erectile function, ejaculation control, and overall satisfaction, has been found. Objectives: To synthesize the present literature regarding the effects of device-assisted circumcision on sexual quality of life among adult male populations. Methods: A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines was conducted. A systematic search of PubMed, EMBASE, Google Scholar, SCOPUS, EBSCO HOST, and the Cochrane Library was performed up to December 2024. The inclusion criteria encompassed prospective and retrospective clinical trials, cohort, cross-sectional, or case control, enrolling male patients ≥ 18 years old, regardless of ethnicity, marital status, and country of origin, who underwent device-assisted circumcision. The Newcastle–Ottawa Scale and Effective Public Health Practice Project Quality Assessment Tool were utilized for risk of bias assessment. Results: Literature searches identified 1643 records; 8 articles met the inclusion criteria, including 965 patients available for analysis. This cohort included 965 individuals circumcised using circumcision devices (PrePex [336]; ShangRing [297]; Alisklamp [267]; a novel disposable circumcision stitching instrument [51], and the adult circumcision template [14]). The mean age of participants ranged between 21.2 and 34.2 years. The circumcision devices either positively influence or maintain sexual satisfaction and functioning in males. Furthermore, the circumcision procedure has minimal adverse effects on erectile function, with some evidence suggesting potential improvement in the long term. Conflicting results were observed regarding sexual satisfaction and prolonged intercourse, with some studies reporting increased satisfaction and extended intercourse duration, while others found no significant changes in these aspects. Conclusion: The device-assisted circumcision demonstrates a positive influence on or maintains sexual quality of life in adult males, resulting in enhancements in erection quality, ejaculation control, duration of intercourse, and overall male satisfaction. The findings support its viability as a safe and efficacious alternative to traditional methods.
【Key words】 circumcision, circumcision device, sexual satisfaction, erection, ejaculation, sexual quality of life
论文原文：Michalina Grudzińska, Jakub Gondek, Mateusz Czajkowski, Marcin Matuszewski (2025). Impact of device-assisted circumcision on sexual quality of life in adult males: a systematic review. The Journal of Sexual Medicine, Volume 22, Issue 10, Pages 1871–1879. October 2025.
https://doi.org/10.1093/jsxmed/qdaf191
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