Benefits of Urologic–Dermatologic Consultations for the Diagnosis of Cutaneous Penile Lesions: A Prospective Study

Fortier, E.; Cerruti, A.; Clec’h, C. Le; Azzouzi, Abdel-Rahmène; Bigot, Pierre

doi:10.1016/j.clgc.2017.09.013

Cited by 2 publications

(1 citation statement)

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“…In managing a patient holistically, boundaries between these specialisms can seem artificial; international experience suggests that best practice emanates from an interdisciplinary perspective. [1][2][3] The role of circumcision in partially protecting against some sexually transmitted infections (STIs) has been documented. 4,5 However, it may also play a prophylactic and therapeutic role in a significant amount of noninfectious dermatoses that almost exclusively affect uncircumcised men.…”

Section: Introductionmentioning

confidence: 99%

Creation of a pioneering interdisciplinary genital dermatology unit for Hispanic men: First 269 patients

et al. 2021

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The role of circumcision in partially protecting against sexually transmitted infections (STIs) and other dermatoses has been documented. Neonatal circumcision is not routinely practiced in South America. Although it is logical to assume that male genital dermatoses are more prevalent in Hispanic men, they are underrepresented in the existing literature. Objective: To describe the epidemiological characteristics from our male genital dermatology unit in Montevideo (Uruguay), the diagnoses, and correlate them with circumcision status and comorbidities. Methods: A retrospective observational cohort study was conducted. A dermatologist and urologist evaluated all patients using standard questionnaires. In 3 years and 8 months, 269 patients were seen. Median age was 41, prevalence of neonatal circumcision was 0.7%, HIV was 4.2%, STIs were 24.9%, non-STIs were 63.9%, and both (STI + non-STI) were 11.2%. Most frequent entities: eczema/balanoposthitis (27.1%), condyloma (24.9%), and lichen sclerosus (15.6%). Data correlating circumcision and other diagnoses did not reach statistical significance. HIV was positively associated with other STIs ( p < 0.05), and an association with balanoposthitis was seen; however, it did not reach statistical significance ( p < 0.1). Main limitation was small sample size. This is the first study of its kind based on Hispanic patients. Collaboration between specialties proved to be fundamental. Further studies are needed in this demographic to find an association between circumcision, comorbidities, and genital dermatoses.

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