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February 8, 2012
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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.
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Circumcision

Topic Overview

What is circumcision?

Male circumcision is a surgery to remove the foreskin, a fold of skin that covers and protects the rounded tip of the penis. The foreskin provides sensation and lubrication for the penis. In most cases, circumcision is elective surgery, which means there isn't a medical reason for it. If it is done, circumcision is usually done soon after birth.

On average in the United States, about 60 out of 100 boys are circumcised, and about 40 out of 100 are not.5 Worldwide, the rate of circumcision is much lower.

See a picture of the penis before and after circumcision.

There are some cases where circumcision is done for medical reasons. Circumcision may be done in older boys and men to treat problems with the foreskin of the penis (such as phimosis or paraphimosis) or for swelling of the tip of the penis (balanitis).

This topic focuses on the circumcision of newborns.

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Read What Your Physician is Reading on Medscape

Circumcision »

Circumcision of males involves removing the fold of skin that normally covers the glans penis.

Read More on Medscape Reference »

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