%0 Journal Article
%T Circuncis£¿o por motivos m¨¦dicos no sistema p¨²blico de sa¨²de do Brasil: epidemiologia e tend¨ºncias
%A Korkes
%A Fernando
%A Silva II
%A Jarques Lucio
%A Pompeo
%A Antonio Carlos Lima
%J Einstein (S£¿o Paulo)
%D 2012
%I Instituto Israelita de Ensino e Pesquisa Albert Einstein
%R 10.1590/S1679-45082012000300015
%X objective: to evaluate the epidemiological factors associated to medical circumcision, based on data from the brazilian public health system. methods: using the unified health system public database between 1984 and 2010, hospital admissions associated with surgical treatment of phimosis were searched. a total of 668,818 men admitted to public hospitals who underwent circumcision were identified and included in the present study. results: a mean¡Àstandard deviation of 47.8¡À13.4 circumcisions/100,000 men/year was performed through the unified health system for medical reasons. during the 27-year period evaluated, 1.3% of the male population required circumcision for medical reasons. total number of circumcisions and circumcision rate increased in childhood, declined progressively after 5 years of age and rose again progressively after the sixth decade of life. in the regions of the country with better access to healthcare, 5.8% of boys aged 1 to 9 years old required circumcisions. from 1992 to 2010 there were 63 deaths associated with circumcisions (mortality rate of 0.013%). conclusion: in conclusion, yearly circumcision rates could be estimated in brazil, and a very low mortality rate was associated with this procedures. circumcision is mostly performed in children in the first decade of life and a second peak of incidence of penile foreskin diseases occurs after the sixth decade of life, when circumcision is progressively performed again.
%K circumcision
%K male
%K phimosis
%K unified health system
%K prevalence
%K child
%K adult
%K brazil.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1679-45082012000300015&lng=en&nrm=iso&tlng=en