Circuncisão: da antiguidade ao século XXI – indicações, benefícios e controvérsias

  • Hayara Cataneo
  • Dafne Neiva Nunes
  • Marina Garcia Guerreiro
  • Haysam Youssef Magalhães
  • Raffaela Floriano Tofano
  • Augusto Cazal Tristão
  • Caroline Monteiro Garcia
  • Gabriela Coelho Giaqueto
  • Júlia de nadai Silva
  • Larissa Matos Fernandes
  • Matheus Peres Veloso
  • Victor Augusto Miziara Amigo
  • Victor De Souza Bueno Urban
  • Wilson Elias de Oliveira Júnior
  • Wesley Magnabosco
Palavras-chave: circuncisão masculina, revisão, história, indicações terapêuticas, controversas

Resumo

INTRODUÇÃO/OBJETIVO: A circuncisão é um procedimento cirúrgico realizado há séculos, relatado por vários povos em diferentes continentes. Com o objetivo de compreender melhor tal prática desde a antiguidade até os dias atuais, esta revisão visa analisar este procedimento cirúrgico.

METODOS: Foi realizada uma revisão narrativa sobre a circuncisão, através de pesquisa bibliográfica sobre o tema em diversas bases de dados.

RESULTADOS: A cobertura retrátil da glande do pênis, denominada prepúcio, possui uma variedade de funções, e sua ressecção cirúrgica é denominada postectomia ou circuncisão. Embora o procedimento também seja realizado por complicações relacionadas ao prepúcio, como fimose e parafimose, em alguns países a religião é referida como motivação, especialmente naqueles de predominância muçulmana. A circuncisão, independente de ser utilizado por indicações médicas, religiosas ou culturais, é um procedimento relativamente seguro, possui uma baixa incidência de complicações, e também pode ser realizada com o intuito de prevenção do contágio e disseminação de infecções sexualmente transmissíveis, principalmente do HIV, conforme demonstrado por diversas metanálises. Contudo, diversas polêmicas permeiam a postectomia. Uma das mais controversas relaciona alterações de sensibilidade peniana e função sexual como consequência do procedimento, além de toda uma discussão atual relacionando a circuncisão, quando realizado em neonatos sem indicação terapêutica, à mutilação.

CONCLUSÃO: A circuncisão, talvez um dos mais antigos procedimentos cirúrgicos da história da humanidade, ainda é um dos mais realizados no mundo atualmente, com diversas particularidades. Desta forma é fundamental seu entendimento global, para obter-se melhores resultados e minimizar suas complicações.

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Publicado
2020-12-30
Seção
Ciências da Saúde