What is the most dangerous sexual position that caused the penile fracture? A systematic review and meta-analysis.

IF 3.1 3区医学 Q1 UROLOGY & NEPHROLOGY International Braz J Urol Pub Date : 2024-01-01 DOI:10.1590/S1677-5538.IBJU.2023.0419

Syarif Syarif, Abdul Azis, Ahmad Shafwan Natsir, Muhammad Zulharyahya Dandy Asmara Putra

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Abstract

Purpose: Penile fracture (PF) affects 1,14 to 10,48 men in every 100.000 men in East Asia, and the primary aetiology is sexual intercourse, but the knowledge regarding the most dangerous sexual position is not well explained. This study compares three sexual positions: man on top position (MTP), woman on top position (WTP), and doggy style position (DSP), leading to PF potential.

Materials and methods: A search of sexual position-related PF in Google Scholar, PubMed, Cochrane, and PMC Europe was performed. Criteria inclusion was the full text of relevant articles which describ the number of sexual positions. It was analyzed by odds ratio, random model effect, and the OR and 95%CI were calculated.

Results: 12 relevant papers involving 490 patients comprised 169 MTP, 120 WTP, 158 DSP, and 43 no intercourse cases. Meta-analysis of all sexual positions was a MTP P= 0,04, WTP P=0,49, and DSP P=0,0005.

Conclusion: The man-dominant positions (MTP and DSP) were significantly potential for PF, which speculated that when a man is dominant and very excited, intercourse may become highly vigorous and impact trauma. This study found that man's dominant position consists of DSP and the MTP significantly lead to PF.

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导致阴茎骨折的最危险性姿势是什么？系统回顾和荟萃分析。

目的：在东亚，每 10 万名男性中就有 1,14 至 10,48 名男性患有阴茎骨折（PF），其主要病因是性交，但有关最危险的性交姿势的知识却没有得到很好的解释。本研究比较了三种性交体位：男上位体位（MTP）、女上位体位（WTP）和狗爬式体位（DSP），这三种体位都有可能导致 PF：在 Google Scholar、PubMed、Cochrane 和 PMC Europe 中对与性体位相关的 PF 进行了搜索。纳入标准为描述性姿势数量的相关文章全文。结果显示，12 篇相关论文涉及 490 名患者，其中包括 490 名女性：12篇相关论文涉及490名患者，包括169例MTP、120例WTP、158例DSP和43例无性交。所有性交体位的 Meta 分析结果显示，MTP P=0.04，WTP P=0.49，DSP P=0.0005：男性主导体位（MTP 和 DSP）对 PF 有明显的潜在影响，这推测当男性处于主导地位且非常兴奋时，性交可能会变得非常激烈并造成创伤。本研究发现，由 DSP 和 MTP 组成的男性主导体位明显导致 PF。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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