Effect of circumcision on genital colonization of Malassezia spp. in a pediatric population

Serdar Iskit1, Macit Ilkit, Aygül Turç-Biçer

  • 1Department of Pediatric Surgery, Faculty of Medicine, University of Cukurova, Adana, Turkey.

Medical Mycology
|March 8, 2006
PubMed

Insights

Circumcision significantly impacts yeast colonization on the glans penis and prepuce in children. Uncircumcised children showed higher yeast prevalence, particularly Malassezia species, suggesting a protective effect of circumcision.

Area of Science:

  • Medical Mycology
  • Pediatric Dermatology
  • Microbiology

Background:

  • Yeast fungi are common commensals on human skin.
  • The glans penis and prepuce harbor a unique microbial environment.
  • Circumcision status may influence the penile mycobiome.

Purpose of the Study:

  • To determine the prevalence of yeast fungi on the glans penis and prepuce in circumcised and uncircumcised children.
  • To identify the yeast species colonizing these areas.
  • To assess the association between circumcision and yeast colonization.

Main Methods:

  • Impression preparations from the glans penis and prepuce.
  • Culturing on modified Dixon and Leeming-Notman agar without cycloheximide.
  • Identification of yeast isolates by morphological and physiological characteristics.

Main Results:

  • Yeasts were detected in 28.6% of 112 children.
  • Colonization was significantly higher in uncircumcised (43.5%) versus circumcised (18.2%) children.
  • Malassezia globosa was the most prevalent species (40.6%), followed by Malassezia furfur (31.3%).
  • Circumcision increased yeast colonization rates by 4.8 times (P < 0.01).

Conclusions:

  • Circumcision status is a significant factor influencing yeast colonization on the glans penis and prepuce in children.
  • Uncircumcised children exhibit a higher prevalence of yeast colonization, especially by lipophilic species like Malassezia.
  • Further research may explore the specific mechanisms by which circumcision affects the penile mycobiome.

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