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Circumcision should be a decision of the parents. This decision
may be based on religion, culture, ethnicity, medical considerations,
or individual choice.
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The religions of Islam and Judaism require
circumcision. For the special needs of the Jewish circumcision
please see the web site pertaining to Brit
Millah.
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As for the cultural, ethnic or individual
choice for circumcision, these issues should be left to the parents.
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Medical considerations are numerous:
a. Cancer of the Penis. This disease, which can be fatal, is non-existent
in circumcised males.
b. Urinary Tract Infections. Urinary tract infections are significantly
reduced in the first year of life in circumcised males.
c. Sexually Transmitted Diseases (STD). The transmission of STDs
is significantly reduced when the male partner is circumcised.
This includes HIV (AIDS). In the 7th Conference on Retroviruses
and Opportunistic Infections, held in Vancouver, beginning January
30, 2000, a study by Calvin Cohen, MD was reported. This study
was entitled, Ongoing Transmission: Causes, Cases, and Correlate
- Viral Load and Risk of Heterosexual HIV Transmission. In this
study, the following was reported: '''Of note, they reported that
the risk of male-to-female transmission was the same as female-to-male,
both showing about a 12% risk per year. A higher risk was noted
in uncircumcised males, with a rate of 16.7%, while there were
no seroconversions observed in the circumcised men (probability
less than .0001).
d. Medically Necessary Circumcisions. Approximately 10% of uncircumcised
males will require circumcision, later in life, for medical reasons.
This will incur greater cost and morbidity than infant circumcision.
There are many absolute medical indications for circumcision:-
phimosis, paraphimosis, repeated episodes of balanitis and balanoposthitis,
hygienic care considerations, painful intercourse due to foreskin
problems. Men who become quadriplegic or senile often have problems
with urination. These men will require the use of an external
aid in order to drain their bladders. Urologists agree that placement
of such an external aid or appliance can only be done on a circumcised
penis thereby requiring surgery at this late stage in life. Even
the uncircumcised senile nursing home resident, who does not need
an appliance, still requires the indignities of having a health
care aide administer his daily penile hygiene. Late circumcision
exposes the patient to risk of morbidity and mortality far greater
than in the neonatal period. Obviously, the psychic damage in
the young child or man is avoidable when infant circumcision has
already been accomplished.
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Further information may be found by
visiting the Medicirc.org
website.
The Jesin Circumcision Clinic
Dr. Aaron Jesin, Family Physician & Mohel
Ritual & Non Ritual Circumcision
4256 Bathurst Street, #203
North York, ON M3H 5Y8
Phone 416-635-5012
Email aaron@drjesin.com
Web www.drjesin.com
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