器械輔助包皮環切術對成年男性性生活質量的影響：系統綜述

Impact of device-assisted circumcision on sexual quality of life in adult males: a systematic review

——《性醫學雜誌》第22卷第10期，2025年10月——

Volume 22, Issue 10, 2025

【摘要】引言：器械輔助包皮環切術已成為傳統外科手術的替代方法，其安全性、效率和美觀效果均有所提升。雖然其臨床益處已有文獻記載，但通過分析文獻，尚未發現器械輔助包皮環切術對成年男性性生活質量（包括勃起功能、射精控制和總體滿意度）影響的全面綜述。目的：綜述目前關於器械輔助包皮環切術對成年男性性生活質量影響的文獻。方法：本研究遵循系統綜述和薈萃分析的首選報告項目指南進行了系統綜述。系統檢索了PubMed、EMBASE、Google Scholar、SCOPUS、EBSCO HOST和Cochrane圖書館，檢索截止至2024年12月。納入標準包括前瞻性和回顧性臨床試驗、隊列研究、橫斷面研究或病例對照研究，納入≥18歲接受器械輔助包皮環切術的男性患者，不分種族、婚姻狀況和原籍國。採用紐卡斯爾-渥太華量表和有效公共衛生實踐項目質量評估工具進行偏倚風險評估。結果：文獻檢索共發現1643條記錄；8篇文章符合納入標準，其中965例患者可供分析。該隊列納入了965名使用包皮環切器械（PrePex [336]；ShangRing [297]；Alisklamp [267]；新型一次性包皮環切縫合器械 [51] 和成人包皮環切模板 [14]）進行包皮環切的受試者。受試者平均年齡在21.2歲至34.2歲之間。包皮環切器械對男性的性滿意度和性功能有積極影響或維持作用。此外，包皮環切手術對勃起功能的不良影響極小，有證據表明其可能在長期內有所改善。關於性滿意度和性交時間延長的研究結果相互矛盾，一些研究報告了滿意度的提高和性交時間的延長，而另一些研究則發現這些方面沒有顯著變化。結論：器械輔助包皮環切術對成年男性的性生活質量有積極影響或維持作用，可提高勃起質量、射精控制、性交持續時間和男性整體滿意度。研究結果支持其作為傳統方法安全有效的替代方案的可行性。

【關鍵詞】包皮環切術、包皮環切裝置、性滿意度、勃起、射精、性生活質量。

        [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 

論文原文：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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