Circumcision should be a decision of the parents.
This decision may be based on religion, culture, ethnicity,
medical considerations, or individual choice.
The religions of Islam
and Judaism require circumcision. For the special
needs of the Jewish circumcision please see the
web site pertaining to Brit
As for the cultural, ethnic
or individual choice for circumcision, these issues
should be left to the parents.
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.
Further information may
be found by visiting the Medicirc.org
The Jesin Circumcision Clinic
Dr. Aaron Jesin, Family Physician &
Ritual & Non Ritual Circumcision
4256 Bathurst Street, #203
North York, ON M3H 5Y8
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