PERAN SIRKUMSISI DALAM INFEKSI MENULAR SEKSUAL

Fitria Fitria

Abstract


Abstrak. Prevalensi infeksi menular seksual (IMS) di dunia terus meningkat. Banyak upaya telah dilakukan untuk mencegah meluasnya penyebaran IMS tersebut namun belum memberikan hasil yang memuaskan. Beberapa ahli mulai merekomendasikan sirkumsisi sebagai salah satu upaya pencegahan penularan IMS akan tetapi hal ini masih bersifat kontroversial karena hasil dari beberapa penelitian memberikan kesimpulan yang saling bertentangan. Sirkumsisi pada laki-laki dilakukan dengan menghilangkan sebagian atau seluruh kulit penutup depan penis atau prepusium yang bertujuan untuk membersihkan penis dari kotoran penyebab penyakit yang mungkin melekat pada ujung penis yang masih ada preputiumnya. Sirkumsisi pada perempuan dilakukan dengan cara bervariasiseperti melukai atau memotong klitoris namun dilaporkan secara medis tidak ada manfaatnya. 

Abstract. The prevalence of sexually transmitted infections (STI) in the world continues to increase. Many efforts have been done to prevent the spread of STIs, but has not given satisfactory results. Some experts began recommending circumcision as a prevention of the transmission of STIs but it is still controversial because the results of some studies provide conflicting conclusions. Male circumcision is done by removing part or all of the penis foreskin or prepuce of the penis that aims to rid of impurities that may cause illness attached to the tip of the penis is still there preputiumnya. Female circumcision is done by varying such injure or cut the clitoris but reported no medical benefit. 


Keywords


Sirkumsisi; infeksi menular seksual; Circumcission; sexual transmitted infection

References


Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan, Departemen Kesehatan Republik Indonesia. Penatalaksanaan Kasus IMS Secara Paripurna dalam Daili Sf dkk. Pedoman Penatalaksanaan Infeksi Menular Seksual, Jakarta, 2006; 70-79

Dallabetta and Neilsen. Effort to control sexually transmitted infections as a means to limit HIV transmission: What is the evidence?.Current Infectious Disease Reports. 2005; 7: 79-84.

Subdirektorat Pencegahan dan Pemberantasan IMS/AIDS dan Frambusia Direktorat Jenderal PPM & PLP, Departemen Kesehatan RI. Kebijaksanaan Program Pencegahan dan Pemberantasan IMS Termasuk AIDS di Indonesia dalam Daili SF dkk. Infeksi Menular Seksual, Edisi ke-3. FK UI. Jakarta. 2007; 265-271.

McGough LJ. Historical Perspectives on Sexually Transmitted diseases: Challenges for Prevention and Control dalam Holmes KK et al. Sexually Transmitted Diseases. Edisi ke-4. Mc Graw-Hill Book Co, New York, 2008; 3-11.

Gray et al. Male circumcision and prevention of HIV and sexually transmitted infections. Current Infectious Disease Reports. 2008; 10: 121-127.

El-hout and Khauli. The case for routine circumcision. Jmhg. 2007; 4: 300-305.

Buve Anne et al. Delivery of male circumcision services: “Festina lente”*. Reproductive Health Matters. 2007; 15: 57-61

Kimberly K. An evidence-based approach to male circumcision: what do we know?.Journal of midwifery & women’s health. 2001; 46: 415-422.

Richters et al. Circumcision in Australia: prevalence and effects on sexual health. International Journal of STD & AIDS. 2006; 17: 547-554.

Michael B. Between prophylaxis and child abuse: The ethics of neonatal male circumcision. The American Journal of Bioethics. 2003; 3: 35-48.

Gray P.B. HIV and Islam: is HIV prevalence lower among Muslims?.Social Science & Medicine. 2004; 58: 1751-1756.

Ngalande R.C et al. Acceptability of male circumcision for prevention of HIV infection in Malawi. AIDS Behav. 2006; 10: 377-385.

Weiss H.A et al. Circumcision among adolescent boys in rural northwestern Tanzania. Tropical Medicine and International Health. 2008; 13: 1054-1061.

Harowitz and Jackson. Female “circumcision”. JGIM. 1997; 12: 491-498.

Turner D. Female genital cutting. Nursing for women’s health. 2007; 11: 369-372.

Morris B.J. Why circumcision is a biomedical imperative for the 21st century. BioEssay. 2007; 29: 1147-1158.

Milos MF, Macris D. Anatomy and functions of the male foreskin. In Human Sexuality: An Encyclopedia, Garland Publishing, Inc, New York, 2007; 119-121.

Chung KW. Perineum and pelvis. In Gross Anatomy: Board Review Series, Edisi ke-5. Lippincott Williams & Wilkins Publishing, Philadelphia, 2005; 270-293.

Cold CJ, McGrath KA. Anatomy and histology of the penile and clitoral prepuce in primates. In Male and Female Circumcision, Denniston GC, Hodges FM, Milos MF (eds.) Kluwer Academic/Plenum Publishers, New York, 2007.

O’Connell HE et al. Anatomy of the clitoris. The Journal of Urology. 2005; 1189-1195.

Lavreys L et al. Effect of circumcision on incidence of HIV-1 and other STD: A prospective cohort study of trucking company employees in Kenya. JID. 1999; 180: 330-335

Van Howe R.S. Genital ulcerative disease and sexually transmitted urethritis and circumcision: a meta-analysis. International Journal of STD & AIDS. 2007; 18: 799-809.

Bailey R.C et al. Male circumcision for HIV prevention in young men in Kisumu, Kenya: Randomised controlled trial. The Lancet. 2007; 369: 643-655.

Van Howe R.S. Human papillomavirus and circumcision: A meta-analysis. Journal of Infection. 2007; 54: 490-496.

Schoen E.J et al. New policy on circumcision-cause for concern. Pediatrics. 2000; 105: 620-624.

Hovatta, O et al. A culture system using human foreskin fibroblasts as feeder cells allows production of human embryonic stem cells. Human Reproduction. 2003;18: 1404–1409.

Elmusharaf et al. Case-control study on the association between female genital mutilation and sexually transmitted infection in Sudan. BJOG. 2006; 113: 469-474.

Muula A.S. Male circumcision to prevent HIV transmission and acquisition: what else do we need to know?.AIDS Behav. 2007; 11: 357-363.

Johnson K.E. and Quinn T.C. Update on male circumcision: prevention success and challenges ahead. Current Infectious Disease Reports. 2008; 10: 243-251.

Byakika J-Tuslime. Circumcision and HIV infection: Assessment of causality. AIDS Behav. 2008; 12: 835-841.

Rain-Taljaard R.C et al. Potential for an intervention based on male circumcision in a South African town with high levels of HIV infection. AIDS Care. 2003; 15: 315-327.

Siegfrid N et al. HIV and male circumcision- a systematic review with assessment of the quality of studies. 2005; 5: 165-173.

Lie R.K et al. Circumcsion and HIV prevention research: an ethical analysis. Lancet. 2006; 368: 522-525.

Bailey R.C. et al. Male circumcision and HIV prevention: current knowledge and future research directions. Lancet Infectious Diseases. 2001; 1: 223-31.

Reynolds S.J. et al. Male circumcision and risk of HIV-1 and other sexually transmitted infections in India. The Lancet. 2004; 363: 1039-1040.

Morison L et al. The long-term reproductive health consequencesoffemale genital cutting in rural gambia: a community-based survey. Tropical Medicine and International Health. 2001; 6: 643-653.

Castellsaque Xavier et a.Male circumcision, penile human papillomavirus infection, and cervical cancer in female partners. The New England Journal of Medicine. 2002; 346: 1105-1112.


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