A team of Australian researchers have shown that the much talked about circumcision could be effective for African males, but not perhaps elsewhere.
Setting out to "assess the safety and efficacy of nontherapeutic
male circumcision," the researchers with the Royal Australasian College of Surgeons searched The York Centre for Reviews
and Disseminations, Cochrane Library, PubMed, and EMBASE databases
for randomized controlled trials published between January 1997
and August 2008.
Studies reporting on circumcision in an operative
setting in males of any age with no contraindications to or
medical indications for circumcision were eligible for inclusion.
The main comparator was intact genitalia. From 73 retrieved
studies, 8 randomized controlled trials were ultimately included
Results showed, "Severe complications were uncommon. Analgesia/anesthesia
during circumcision was promoted. The prevalence of self-reported
genital ulcers was significantly lower in circumcised men than
uncircumcised men. Circumcised
sub-Saharan African men were at significantly lower risk of
acquiring human immunodeficiency virus/acquired immune deficiency
syndrome than were uncircumcised men. The evidence suggests
that adult circumcision does not affect sexual satisfaction
and function. "
At the same, the researchers reported in the Annals of Family Medicine, "Strong evidence suggests circumcision can prevent
human immunodeficiency virus/acquired immune deficiency syndrome
acquisition in sub-Saharan African men. These findings remain
uncertain in men residing in other countries. The role of adult
nontherapeutic male circumcision in preventing sexually transmitted
infections, urinary tract infections, and penile cancer remains
unclear. Current evidence fails to recommend widespread neonatal
circumcision for these purposes."
The research was led by Caryn L Perera of the Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S), a program of the Royal Australasian College of Surgeons.
Some critics dispute the claim that adult circumcision does not affect sexual satisfaction. Many have reported otherwise, they say and suggest further research on the issue.