Circumcision
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Circumcision Overview
Circumcision is the surgical removal of the foreskin of the penis. The foreskin is a fold of skin that covers the tip of the penis (called the glans). Circumcision of infants has been practiced for centuries. Historically, circumcisions have been done for religious or social reasons.
- Recently, controversy has emerged about circumcision.
- Advocates recommending circumcision argue that circumcised males can practice better hygiene and display lower risk of developing cancer of the penis or urinary tract infections. Circumcision may also decrease risk of developing foreskin problems, such as phimosis (inability to retract the foreskin) or paraphimosis (retracted foreskin that cannot be put back into place).
Those opposed to circumcision argue that it is cruel, that few medical benefits are proven, that circumcised males will have decreased sexual feeling due to removing the sensitive foreskin, that it unnecessarily exposes male infants to potential surgical complications, and that children have rights to autonomy over their own bodies.
Currently in the United States, about 50% of male infants are circumcised, lower than the rate of 80% circumcised during the 1980s.
- Newborn circumcision is performed in the hospital's nursery or the doctor's office. Usually, a numbing cream is placed on the penis about 40 minutes before the penis is further numbed with a long-acting, local anesthetic. The surgery involves one of various ring-like clamps that are tightened over the foreskin. The foreskin is then removed with a scalpel or scissors. Alternately, a particular clamp may be left on and will fall off on its own in five to eight days.
- Advocates recommending circumcision argue that circumcised males can practice better hygiene and display lower risk of developing cancer of the penis or urinary tract infections. Circumcision may also decrease risk of developing foreskin problems, such as phimosis (inability to retract the foreskin) or paraphimosis (retracted foreskin that cannot be put back into place).
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Circumcision
Foreskin Problems Overview
Two conditions commonly occur with the foreskin of the penis of an uncircumcised or improperly circumcised boy or man.
- Phimosis: One condition happens when the foreskin cannot be retracted (pulled back) behind the head (glans) of the penis. This is called phimosis. It is usually a condition found in children.
- Paraphimosis: The other condition, paraphimosis, is somewhat the opposite—the foreskin, after being pulled back, becomes trapped and then swollen behind the head (glans) of the penis.
- The swelling is caused by the blockage of blood flow, which can lead to death of the glans.
- This condition is considered a true medical emergency. Circumcision at birth or revision of a prior circumcision can prevent this condition.
Foreskin Problems Causes
- Causes for phimosis include infection, poor ...
Read What Your Physician is Reading on eMedicine
Circumcision »
Circumcision of males involves removing the fold of skin that normally covers the glans penis.
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