Cirkumcizija ali obrezovanje moških : diplomsko delo

Bukovec, Petra (author), Mivšek, Ana Polona (mentor)

Uvod: Cirkumcizija ali obrezovanje moških je eden najstarejših in najpogosteje izvedenih kirurških posegov po celem svetu. Gre za odstranitev kožne gube - prepucija, ki prekriva glavo penisa. Dileme in nasprotujoča mnenja raziskovalcev posega, se pojavljajo tako po svetu kot tudi v slovenskem prostoru. Namen: Namen diplomskega dela je preučiti in raziskati tematiko cirkumcizije moških ter izvedeti kateri so najpogostejši vzroki za izvedbo posega. Ugotoviti želimo, kakšne so polemike o posegu ter raziskati ali ima cirkumcizija dokazane pozitivne učinke na preprečevanje okužbe s HIV (humani imunodeficientni virus ali virus humane imunske pomanjkljivosti) in na izboljšanje spolnega zadovoljstva. V nadaljevanju, smo s spletnim vprašalnikom pridobili mnenja in stališča slovenske populacije o dotični temi. Metode: Raziskovanje je temeljilo na deskriptivni ali opisni metodi dela; kombiniran je bil pregled strokovne in znanstvene literature, v kombinaciji s kvantitativno metodo raziskovanja v obliki spletne ankete. Literatura je bila omejena na angleški in slovenski jezik iskana je bila s pomočjo različnih spletnih iskalnikov. Raziskovalni instrument, je bil dostopen več kot dva meseca, na 1KA in je vseboval pretežno zaprti tip vprašanj. Rezultati: S spletnimi vprašalniki smo potrdili hipotezi, da se Slovenci z zakonom, ki določa, da cirkumcizija brez medicinskega razloga ni več dovoljena, večinsko strinjajo (70 %). Prav tako se jim zdita najbolj sprejemljiva razloga za obrezovanje medicinska indikacija (92 %) in samostojna odločitev fanta za poseg ob določeni starosti (86 %). Ob pregledu literature smo ugotovili, da večina avtorjev navaja pozitiven vpliv cirkumcizije fantov na zmanjševanje prenosa spolno prenosljivih bolezni, predvsem prenos virusa HIV. Medtem pa obrezovanje nima znatnega vpliva na užitek moških med spolnim odnosom. Razprava in zaključek: Ne glede na razlog za izvedbo cirkumcizije je potrebno posameznika najprej o posegu informirati. V spletni anketi so anketiranci izrazili željo po nepristrani pomoči zdravstvenih delavcev glede svetovanja o posegu. Smiselno bi bilo nadaljnje raziskovanje o poznavanju tematike med zdravstvenimi delavci.

• Language: Slovenian
• Keywords: družbeni vidiki posega, obrezovanje moških
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2018
• PID: 20.500.12556/RUL-100320
• COBISS.SI-ID: 5407339
• Publication date in RUL: 22.03.2018

Secondary language

• Language: English
• Title: Male circumcision : diploma thesis

Abstract

Introduction: Male circumcision is one of the oldest and most commonly performed surgical procedures around the world. It's about removing the skin wrinkle - prepuce that covers the head of the penis. Dilemmas and conflicting opinions of researchers about the intervention, appears around the world as well as in Slovenia. Purpose: The purpose of the work is to examine and explore the topic of men's circumcision and to find out which are the most common causes for the intervention. We want to find out what the controversy about the procedure is and explore whether circumcision has proven positive effects on preventing HIV infection and improving sexual satisfaction. In the continuation, we want to obtain opinions and views of the Slovenian population on the topic, through online questionnaires. Methods: The research, was based on a descriptive method with a review of professional and scientific literature, in combination with a quantitative method of research, in the form of online questionnaire. Literature was limited to English and Slovene language and was searched with various search engines. Research instrument, was available for more than two months, on 1KA, mostly contained a closed type of questions. Results: With online questionnaires, we confirmed the research hypothesis that Slovenians mostly agree with the law that stipulates that the circumcision without a medical reason is no longer allowed (70 %). They also find the most acceptable reasons for pruning the medical indication (92 %) and the boy's independent decision to interact at a certain age (86 %). When reviewing the literature, we found that most authors mentioned the positive impact of boy’s circumcision on reducing transmission of sexually transmitted diseases, in particular the transmission of HIV. In the meantime, pruning does not have a significant effect on the pleasure of men during sexual intercourse. Discussion and conclusion: Regardless of the reason for the implementation of the circumcision, it is necessary to inform the individual first about the procedure. In the online survey, the respondents expressed a desire for impartial help from healthcare professionals regarding counseling on the procedure. Further research on knowledge of the topic among medical professionals could be considered as a rationale.

• Keywords: social aspects of interventions, pruning man