Circumcision – To Snip or Not to Snip

January 10, 2008 at 8:14 PM Health Watch
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Circumcision – To Snip or Not to Snip
David was a thirteen year old who lived in the early part of the twentieth century. He played ‘nocturnal games’ that most boys his age indulged in. One day as he was going about his nightly ritual, he was chanced upon by a prying relative who spread the word around. It was unanimously decided that he be saved from ‘sinning’ further- that he be circumcised.

Circumcision is the excision of a part, or all, of the foreskin of the penis, to prevent its smooth gliding over the penile head or glans.

Circumcision jokes are aplenty, and one such joke doing the round says that males go through circumcision because females would grab anything that is 20% off. In reality, it began as an effort to control masturbation.

Ancient world had an unrealistic view of sex. It was earlier thought that masturbation was the root cause of various illnesses and was, therefore, worthy of punishment.

Efforts were on to dampen the zeal associated with indulging in masturbation and other forms of non-reproductive sex. Several techniques were adopted such as the spiked chastity belts, genital cages, bruising genital parts or suturing or sewing the foreskin. Circumcision arrived as a sequel to these ‘byproducts of barbarism’.

The pain of the procedure, along with reduced sensitivity, deterred even the most- determined.

History

Circumcision dates back to six thousand years as was evidenced by the ancient wall carvings of Egypt. The Egyptians were snake worshippers, who implicitly believed that when the snake sloughed off its skin to glow anew, it was, in reality, undergoing rebirth. What prompted them to equate snakeskin with foreskin is anyone’s guess!

‘No pain, no gain’- the saying goes and, in a bid to circumvent mortality, ‘the peelings’ began.

From the Egyptians, circumcision spread to people of the Semitic faith, such as the Jews and the Arabs, who faithfully adopted it as a tenet of their own doctrines. Male circumcision, for religious reasons, is a common practice among Jews, Muslims and also among a few Christian sects.

With time, the popularity of the custom transgressed geographical boundaries. It enjoyed a revival during the Victorian times, when purity of the body and of the mind was the most pursued goal. The penis became a ‘soft target’ for penalty, because of its ‘popular’ function, as circumcision seeped through the various layers of the societal stratum. The procedure was accepted for medical, moral, religious or hygienic reasons.

The practice of social circumcision is uniquely North American where it became rampant in the 1940s, after World War II.

Today, circumcision is one of the most common surgeries and is carried out on millions of babies the world over. It may, however, surprise many to know that there is very little understood about this global phenomenon.

The AIDS controversy

A spate of studies carried out recently in Kenya, Uganda and South Africa has evoked wide interest. It has been discovered that the risk of contracting HIV infection in circumcised men, through heterosexual sex, was reduced by 50-60 percent, compared to uncircumcised men. The National Institute of Health (NIH) published this fact in The Lancet. These studies led the WHO and UNAIDS, in 2007, to acknowledge male circumcision as a preventive measure against AIDS.

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guest

04/02/2008

I just want to know if most men from macedonia practice circumcision.



guest

03/16/2008

I WAS TALKED INTO BEING CIRCUMCISED FOR A MINOR FORESKIN PROBLEM...THE CURE WAS WORSE THAN THE PROBLEM...BUT NOW I KNOW THAT CIRCUMCISION FOR MOST MALES IS NOT NECESSARY...MY SON BENEFITED FROM MY CIRCUMCISION...HE IS INTACT..WHEN ASKED IF HE WAS SORRY THAT I HAD LEFT HIM INTACT...HIS ONLY REPLY WAS THE LADIES SEEMED TO LIKE IT....END OF DISCUSION.



guest

01/11/2008

Your article is commendably balanced, compared to many being published on the subject.

Still, some of the claims you quote in support of circumcision need more context. Penile cancer is very rare - rarer even than breast cancer in men. Urinary tract infections afflict about one in 100 boys (more girls), so if the 10-fold reduction is correct (and it may not be), 991 circumcisions in every 1000 are wasted. It would take 20 circumcisions to prevent one minor sexually transmitted disease. And so on. The modern claims for circumcision are not so different from the old, discredited ones. And just because a treatment (partially) works, doesn't necessarily mean it must be applied in every case, regardless of the wishes of the person most concerned.



guest

01/11/2008

This study by eminent researchers found that post-sex washing and bathing -- independent of circumcision -- is what prevents HIV infections.


JAIDS Journal of Acquired Immune Deficiency Syndromes:Volume 43(1)September 2006pp 117-118
Independent Association of Hygiene, Socioeconomic Status, and Circumcision With Reduced Risk of HIV Infection Among Kenyan Men
[Epidemiology and Social Science]
Meier, Amalia S. PhD*∥; Bukusi, Elizabeth A. MBChB, M Med(ObGyn), MPH†§Âķ; Cohen, Craig R. MD, MPH#; Holmes, King K. MD, PhD‡§

From the Departments of *Laboratory Medicine, †Gynecology, and ‡Medicine, and the §Center for AIDS and STD, University of Washington, Seattle; the ∥Program in Biostatistics, Fred Hutchinson Cancer Research Center, Seattle; the ÂķCenter for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya; and the #Department of Obstetrics, Gynecology, and Reproductive Science, University of California, San Francisco.

Received for publication November 23, 2005; accepted April 18, 2006.

Supported by the University of Washington Center for AIDS Research (AI 27757), STI-Topical Microbicide Cooperative Research Center (AI 31448), and AIDS International Research & Training Program (NIH FIC D43 TW00007).

Reprints: King K. Holmes, MD, PhD, Harborview Medical Center, Box 359931, 325 9th Ave, Seattle, WA 98104




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