[Chinese parents' attitudes toward and their satisfaction with circumcision for 6-14 years old children]

Zhonghua Nan Ke Xue. 2017 Apr;23(4):319-322.
[Article in Chinese]

Abstract

Objective: To investigate the attitudes of the parents toward circumcision for 6-14 years old children and their satisfaction with the results.

Methods: We performed circumcision in the Department of Urology of Zhongda Hospital for 220 children aged 6-14 years from 220 families between January 2010 and August 2016, including 70 cases of traditional and 150 cases of Shang Ring circumcision. We conducted telephone follow-ups among the parents of the patients concerning the decision-maker, reasons and regret for circumcision, acceptance of a second operation, source of information, satisfaction with surgical results, and reasons for dissatisfaction.

Results: Most decisions for circumcision were made by the father, chiefly for health and hygiene. Their main sources of information on circumcision were Internet and friends. The parents of 29 patients were dissatisfied for long recovery or peri- and post-operative pain, including 19 cases (27.1%, 19/70) of traditional and 10 cases (6.7%, 10/150) of Shang Ring circumcision, with statistically significant differences between the two groups (P <0.05).

Conclusions: Most parents were satisfied with circumcision, and the main reasons for dissatisfaction were long recovery and pain. The rate of satisfaction with Shang Ring circumcision was higher than that with traditional circumcision. Shang Ring circumcision is recommended for children aged 6-14 years old.

目的: 调查中国父母对6~14岁儿童进行包皮环切术的态度及满意度。方法: 调查2010年1月至2016年8月于泌尿外科行包皮环切术的6~14岁儿童家庭共220例,采用传统术式的儿童70例,商环术式150例。术后行电话随访,随访内容包含行包皮环切术的决策者、原因、是否后悔、是否接受第二次包皮环切术、信息来源、父母对手术的满意程度及不满的原因。 结果: 6~14岁儿童行包皮环切术多由父亲决定。父母选择为儿童手术的主要原因是健康卫生。手术的信息来源主要是网络媒体及朋友。29例父母对手术不满,主要原因是术后恢复时间长、术中及术后疼痛。其中,对传统术式不满的19例(27.1%, 19/70),对商环术式不满的10例(6.7%, 10/150),两者相比具有统计学差异(P<0.05)。结论: 大部分父母对手术表示满意,对手术不满意的主要原因是术后恢复时间长及疼痛。患者父母更对商环术式更满意,因此,推荐对6~14岁儿童行商环包皮环切术。.

Keywords: attitude; children; circumcision; parents; satisfaction.

MeSH terms

  • Adolescent
  • Asian People
  • Attitude*
  • Child
  • China
  • Circumcision, Male / methods
  • Circumcision, Male / psychology*
  • Convalescence / psychology
  • Fathers
  • Humans
  • Male
  • Pain, Postoperative / psychology
  • Parents / psychology*
  • Personal Satisfaction*
  • Phimosis
  • Time Factors