SciELO - Scientific Electronic Library Online

vol.10 issue3Quality of health and medication information on Brazilian websitesAssessment of nursing perceptions of three insulin protocols for blood glucose control in critically ill patients author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Einstein (São Paulo)

Print version ISSN 1679-4508


KORKES, Fernando; SILVA II, Jarques Lucio  and  POMPEO, Antonio Carlos Lima. Circumcisions for medical reasons in the Brazilian public health system: epidemiology and trends. Einstein (São Paulo) [online]. 2012, vol.10, n.3, pp.342-346. ISSN 1679-4508.

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±standard deviation of 47.8±13.4 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.

Keywords : Circumcision, male; Phimosis; Unified Health System; Prevalence; Child; Adult; Brazil.

        · abstract in Portuguese     · text in English | Portuguese     · English ( pdf epdf ) | Portuguese ( pdf epdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License