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Microbiology of smegma: Prospective comparative control study
Jae Min Chung1,2, Chang Soo Park1, Sang Don Lee1,2
1Department of Urology, Pusan National University School of Medicine, Yangsan, Korea.
Investigative and Clinical Urology
|March 7, 2019
Summary
Smegma in asymptomatic boys frequently contains various bacteria, including multi-drug resistant strains. The presence of smegma influences the types of bacteria found on the glans.
Area of Science:
- Microbiology
- Pediatric Urology
Background:
- Smegma, a natural secretion, accumulates in the subpreputial space.
- Understanding the microbial composition of smegma is crucial for pediatric hygiene and health.
Purpose of the Study:
- To identify common bacteria in the smegma of asymptomatic boys.
- To compare bacterial presence in the subpreputial space with and without smegma.
Main Methods:
- Prospective study of 40 boys undergoing penoplasty.
- Aseptic swabs collected from glans and smegma.
- Microscopy, culture, and sensitivity testing performed on samples.
Main Results:
- Thirty-one bacterial species were isolated, with a near-equal distribution of gram-positive and gram-negative bacteria.
- Escherichia coli, Enterococcus faecalis, and Enterococcus avium were the most common isolates.
- A significant proportion (61.3%) of isolates were multi-drug resistant.
Conclusions:
- Subpreputial smegma in children is a reservoir for various uropathogens.
- Bacterial colonization patterns differ based on the presence or absence of smegma.
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