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Old Dec 14th, 2007, 10:15 AM   11
Samantha675
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Coming from the US all the men I had relationships with had been circumcised, so I never thought much a bout it. But my husband is from the UK, where it is not common at all. He has already decided that if we have a boy it will NOT be done, and since I don't have a penis I have to agree with him. It is becoming more popular not to circumcise, especially in the are I live in.


Here ya go:

Circumcision -- Medical Pros and Cons
Here the potential medical advantages and disadvantages of circumcision are set forth. The surgical procedure itself is discussed elsewhere.

What has been the medical view of circumcision?

In 1975 the American Academy of Pediatrics (AAP) stated in no uncertain terms that "there is no absolute medical indication for routine circumcision of the newborn." And in 1983 the AAP and the American College of Obstetricians and Gynecologists (ACOG) restated this position.

What is the anatomy of the penis?

The penis is a cylindrical shaft with a rounded tip. The rounded tip is called the glans. There is a groove (termed the coronal sulcus) between the shaft and the glans of the penis. The fold of skin that covers the glans is the foreskin (the prepuce).

What is a retractable foreskin?

A retractable foreskin is one that can be pulled back behind the groove of the coronal sulcus to expose the glans.

What is newborn circumcision?

Newborn circumcision consists of removal of the foreskin -- the foreskin is resected to near the coronal sulcus -- in the newborn period (before the age of 2 months).

Incidentally, the Latin "circum-" means around (or about). Circumcision is a cutting around.

What is the status of the foreskin at birth?

Only about 1 in every 20 boys is born with a retractable foreskin. This reflects the fact that the histologic (tissue) development of the foreskin is usually not complete at birth.

The foreskin is thus not fully separable from the glans in about 96% of newborn boys. By 1 year of age, the foreskin can be retracted in 50% of boys and by 3 years, the foreskin can be retracted in 80% to 90% of uncircumcised boys.

What does this have to do with circumcision?

It means that the inability to retract the foreskin at birth and in infancy is normal and does not constitute a medical reason for a circumcision.

What is phimosis?

Phimosis is a medical indication for circumcision. It is defined as "stenosis of the preputial ring with resultant inability to retract a fully differentiated foreskin." In other words, phimosis is present if the foreskin cannot be retracted at an age when it should normally be retractable.

How is phimosis treated?

Phimosis can be treated by circumcision or by surgical enlargement of the phimotic ring, the ring of tissue causing the phimosis.

What is paraphimosis?

Paraphimosis occurs when the foreskin once retracted cannot return to its original location. The foreskin is trapped behind the groove of the coronal sulcus. Paraphimosis causes blood to pool in the veins behind the entrapment which induces swelling. The swelling leads to severe pain in the penis and makes it impossible to return the foreskin manually to its original location.

How is paraphimosis treated?

The foreskin, after lubrication, can sometimes be reduced. However, this works only if the paraphimosis is discovered very early. Because of the pain, the child has to have a short-acting general anesthetic or heavy sedation. Paraphimosis may be treated by circumcision.

What is balanoposthitis?

Balanitis is inflammation of the glans while posthitis is inflammation of the foreskin. Balanitis and posthitis generally occur together as balanoposthitis: inflammation of both the glans and foreskin.

What if an uncircumcised boy has phimosis, paraphimosis, or balanoposthitis?

Boys who are not circumcised as newborns may later have circumcision for the treatment of phimosis, paraphimosis, or balanoposthitis. When done after the newborn period, circumcision is considerably more complicated.

What is meatitis?

Meatitis is inflammation of the opening (the meatus) of the penis. This opening is formally called the external urethral meatus.

What is the relationship between circumcision and meatitis?

Meatitis is more common in boys who have been circumcised. This stands to reason since, in circumcised boys the urethral meatus is more exposed and likely to be chaffed than in boys that were not circumcised. There is no evidence that meatitis leads to narrowing (stenosis) of the urethral meatus or to other serious problems.

Is it easier to care for the penis circumcised or uncircumsised?

The circumsised penis is generally easier to keep clean. An uncircumcised boy should be taught to clean his penis with care. Cleaning of the penis is done by gently, not forcibly, retracting the foreskin. The foreskin should be retracted only to the point where resistance is met. Full retraction of the foreskin may not be possible until the age of 3 or more.

What is the relationship between circumcision and urinary tract infections?

The incidence of urinary tract infections in male infants appears to be lower when circumcision is done in the newborn period. It was first reported in 1982 that males predominate among infants with urinary tract infections (whereas females predominate later in life) and that about 95% of the infected infant boys had not been circumcised. Studies in US Army hospitals involving more than 200,000 infant boys confirmed greater than a tenfold increase in urinary tract infections in uncircumcised male infants compared to those who had been circumcised.

What might this relationship between circumcision and urinary tract infections mean?

Circumcision prevents the growth of bacteria under the foreskin and this, in turn, protects male infants against urinary tract infection. The high incidence of urinary tract infections in uncircumcised boys has also been found to be accompanied by an increased incidence of other significant infections such as bacteremia (bacterial infection of the bloodstream) and meningitis (infection of the covering of the brain). The protective effect of circumcision may thus extend to a number of infectious diseases.

What is the relationship between circumcision and sexually transmitted diseases?

There is a higher risk of gonorrhea and inflammation of the urethra (the tube that carries the urine from the bladder outside) in uncircumcised men. It has also been reported that other sexually transmitted diseases (such as chancroid, syphilis, human papillomavirus, and herpes simplex virus type 2 infection) are more frequent in uncircumcised men.

What might this connection between circumcision and sexually transmitted diseases mean?

Circumcision prevents the growth under the foreskin of the agents that cause sexually transmitted diseases. Removal of the foreskin may provide some measure of protection from these diseases to males and their mates.

What is the correlation between sexually transmitted diseases and cancer of the cervix?

There is a strong connection between sexually transmitted diseases and cancer of the cervix. Human papillomavirus types 16 and 18 are strongly associated with cancer of the cervix. Herpes simplex virus type 2 has also been associated with cervical cancer.

The strongest predisposing factors in cervical cancer are a history of intercourse at an early age and multiple sexual partners. Cervical cancer is virtually unknown in nuns and virgins.

What might this relationship between lack of circumcision and cervical cancer mean?

Circumcision protects the mate from cancer of the cervix by removing the foreskin which harbors sexually transmitted viruses that promote this common form of female cancer.

What is the relationship between circumcision and cancer of the penis?

The predicted lifetime risk of cancer of the penis in an uncircumcised man is 1 in 600 in the US. Cancer of the penis carries a mortality rate as high as 25%. This cancer occurs almost exclusively in uncircumcised men. In five major research studies, no man who had been circumcised as a newborn developed cancer of the penis. Human papillomavirus types 16 and 18, which are sexually transmitted, are involved in cancer of the penis.

Circumcision -- Medical Pros and Cons At A Glance
Inability to retract the foreskin fully at birth is not a medical reason for a circumcision.
Circumcision prevents phimosis (the inability to retract the foreskin at an age when it should normally be retractable), paraphimosis (the painful inability to return the foreskin to its original location) and balanoposthitis (inflammation of the glans and foreskin).
Circumcision increases the chance of meatitis (inflammation of the opening of the penis).
Circumcision may result in a decreased incidence of urinary tract infections.
Circumcision may result in a lower incidence of sexually transmitted diseases.
Circumcision may lower the risk for cancer of the cervix in sexual partners.
Circumcision may decrease the risk for cancer of the penis.
There is no absolute medical indication for routine circumcision of the newborn



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Old Dec 14th, 2007, 10:27 AM   12
Mango
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NikkyBaby it is the same where i live as well. Most men are very embarrassed when they have not had it done! Interesting to see how it differs in the UK

Many Thanks for the info Sam!!



 
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Old Dec 14th, 2007, 13:20 PM   13
goldlion
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It's quite the same here-- almost rare NOT to have it done. I've yet to see one that hasn't been circumcised (not that I've seen THAT many )

I've brought this topic up with my husband a few times and he most definitely wants it done to our baby if it's a boy. I am unsure at this point.

I watched a documentary on this subject a few years back and many men were upset that their mothers did it to them because it took away a bit of their "manhood".

I feel if I were to choose to have it done to my LO, it would be for hygiene reasons (cleaning it properly and whatnot) and I think DH feels the same.



 
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Old Dec 14th, 2007, 13:36 PM   14
Jenny
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I've noticed that aswell that the ones that I have seen have all been circumcised. I decided to not get my son circumcised, mainly because I didn't want to see my baby in pain. Hopefully he doesn't hate me later for it . My hubby had no problem with not getting it done, he felt the same about seeing Drake in pain.



 
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Old Dec 14th, 2007, 13:39 PM   15
Vickie
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I've always told my husband that if we have a boy he can decide whether or not to circumcise. I figure that he should know more about it than me



 
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Old Dec 14th, 2007, 14:28 PM   16
ablaze
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i did not get it done, i found it very unnecessary



 
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Old Dec 14th, 2007, 16:59 PM   17
Tilly
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I wouldn't personally, I think we should leave those bits alone. ~(just my opinion though).



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Old Dec 14th, 2007, 20:57 PM   18
VanWest
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I plan to not have it done. My husband is as are his two boys, and I just dont feel it is needed. Here in Florida if you are on Medicaid they will not pay for it. My husbands brother had a boy a few years ago, and since he was on Medicaid he wasnt able to have it done( I thought BIG DEAL) not them they fount a doctor to say it was medically ness and had it done to him around 6-7 months old, that poor baby was in so much pain, screamed everytime he went pee. I dont know if it was because he was older or what. Im def not doing it. Not to be gross but being with someone who is circumcised and someone who is not. I think the sex is better when they are not. Dont tell my hubby! shhh! lmao



 
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Old Dec 14th, 2007, 23:53 PM   19
AquaDementia
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if we have a boy we will absolultely NOT do it.
there really is no need.



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Old Dec 15th, 2007, 00:38 AM   20
Madwolf3
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I've left it up to my husband if we have a boy, and he wants it done. Hubby is circumsized and prefers it. His grandfather wasn't circumsized and ended up with a massive infection later on in life and had to have it done then- MUCH worse to have it done when they're older. Hubby knows more than one guy this has happened to. I feel that if it doesn't cause problems to have it done, but may very well prevent other problems then we might as well have it done for him. And yeah- I've never been with an uncircumsized man either. In the USA it's pretty much routine. And I don't see anything wrong with doing it or not doing it. But we will. Just my opinion!



 
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