Circumcision

Circumcision is of ancient origin, probably associated with some religious rite of passage. Though this certainly does not make it a healthy choice, it also does not mean it is necessarily an unhealthy one.

Circumcision is the removal of the foreskin, which is the skin that covers the tip of the penis. In the United States, it is often done before a new baby leaves the hospital. There are medical benefits and risks to circumcision. Possible benefits include a lower risk of urinary tract infections, penile cancer and sexually transmitted diseases. The risks include pain and a low risk of bleeding or infection.

The American Academy of Pediatrics (AAP) found that the medical benefits of circumcision outweigh the risks. They recommend that parents make this decision in consultation with their pediatrician. Parents need to decide what is best for their sons, based on their religious, cultural and personal preferences.

— nlm.nih.gov/medlineplus/circumcision.html

Below are some reasons given supporting circumcision:

• Decrease in physical problems involving a tight foreskin [Ohjimi et al., 1995].

• Lower incidence of inflammation of the head of the penis [Escala & Rickwood, 1989; Fakjian et al., 1990; Edwards, 1996].

• Reduced urinary tract infections.

• Fewer problems with erections, especially at puberty.

• Decrease in certain sexually transmitted infections (STIs) such as HIV, HPV, genital herpes, syphilis and other micro-organisms in men and their partner(s).

• Almost complete elimination of invasive penile cancer.

• Decrease in urological problems generally.

— circinfo.net/health-benefits-and-reviews.html

 Below are common reasons against circumcising infant boys.

1. Because there is no medical reason for “routine” circumcision of baby boys. No professional medical association in the United States or the rest of the world recommends routine neonatal circumcision. The American Medical Association calls it “non-therapeutic.” At no time in its 75 years has the American Academy of Pediatrics ever recommended infant circumcision.

2. Because the foreskin is not a birth defect. The foreskin is a normal, sensitive, functional part of the body. In infant boys, the foreskin is attached to the head of the penis (glans), protects it from urine, feces, and irritation, and keeps contaminants from entering the urinary tract. The foreskin also has an important role in sexual pleasure, due to its specialized, erogenous nerve endings and its natural gliding and lubricating functions.

3. Because you wouldn’t circumcise your baby girl. In the United States, girls of all ages are protected by federal and state laws from forced genital surgery, whether practiced in medical or non-medical settings, and regardless of the religious or cultural preferences of their parents. There is no ethical rationale for distinguishing between female and male genital alteration. If it is wrong to remove part of a baby girl’s healthy genitals, then it is wrong to do the same to those of a baby boy.

4. Because your baby does not want to be circumcised. Circumcision painfully and permanently alters a baby boy’s genitals, removing healthy, protective, functional tissue from the penis and exposing the child to unnecessary pain and medical risks –for no medical benefit. What do you think your baby boy would say if he could tell you?

5. Because removing part of a baby’s penis is painful, risky, and harmful. We know babies are sensitive to pain. Many circumcisions are performed with no analgesic, but even when pain control is employed, the pain is not eliminated. As with any surgery, complications can and do occur with circumcision. These include infection, abnormal bleeding, removal of too much skin, loss of all or part of the glans, urinary problems, and even death. All circumcisions result in the loss of the foreskin and its functions, and leave a penile scar.

6. Because times and attitudes have changed. The circumcision rate in the United States is now somewhere around 55% (and much lower in some parts of the country), down from 81% in 1981. This means that nearly half of all baby boys leave the hospital intact, as more and more parents are realizing that circumcision is unnecessary and harmful.

7. Because most medically advanced nations do not circumcise baby boys. People in Europe, Asia and Latin America are often appalled to hear that American doctors and hospitals remove part of a boy’s penis shortly after birth. Approximately 75% of the men in the world are not circumcised and remain intact throughout their lives.

8. Because caring for and cleaning the foreskin is easy. A natural, intact penis requires no special care, beyond gentle washing while bathing. Later, when the foreskin can be retracted (something that often does not occur until adolescence), a boy can be taught to pull back his foreskin to wash his penis. Forcible retraction of the foreskin results in pain and injury, and should not be done. Read our Foreskin Care flyer for more information.

9. Because circumcision does not prevent HIV or other diseases. Over the years, the claims that circumcision prevents various diseases have repeatedly been proven to be exaggerated or outright fabrications. Most men in the United States are circumcised, but our STD rates are as high as or higher than those in countries where circumcision is rare.

10. Because children should be protected from permanent bodily alteration inflicted on them without their consent in the name of culture, religion, profit, or parental preference. Under accepted bioethical principles, parents can consent to surgery on behalf of a child only if it is necessary to protect the child’s life or health. “Routine” circumcision fails this test because it painfully and permanently removes a normal and healthy part of a boy’s penis, does not protect the child’s life or health, and in fact creates new risks. Removing the foreskin is no more justified than removing a finger or any other healthy body part.

— intactamerica.org/resources/decision