Review Article

The Strong Protective Effect of Circumcision against Cancer of the Penis

Table 2

Association between phimosis and penile cancer.

Study [ref.] 𝑛 / 𝑁 OR (95% CI)Type

Brinton et al. (1991) [99]44/11137.2 (11.9–116)IPC
Tsen et al. (2001) [16]50/1501.7 (0.32–7.8)CIS
Tsen et al. (2001) [16]50/15016 (4.5–57)IPC
Daling et al. (2005) [36]33/3083.8 (1.4–10.1)CIS
Daling et al. (2005) [36]38/31311.4 (5.0–25.9)IPC
Velazquez et al. (2003) [98]23/23814.5 (5.5–38.4)Not stated
Harish & Ravi (1995) [100]503/10066.97 (4.3–11.3)Not stated
Hellberg et al. (1987) [101]217/41464.6 (30.9–135)Not stated

Meta-analysis (random effects): OR = 12.1 (95% CI = 5.57–26.2)

*Total cases/total participants; Adjusted odds ratio presented in original study.
IPC, invasive penile carcinoma; CIS, carcinoma in situ.