Circumcision - Criticism upon the routine.

Citation
T. Stehr et al., Circumcision - Criticism upon the routine., KLIN PADIAT, 213(2), 2001, pp. 50-55
Citations number
32
Categorie Soggetti
Pediatrics
Journal title
KLINISCHE PADIATRIE
ISSN journal
03008630 → ACNP
Volume
213
Issue
2
Year of publication
2001
Pages
50 - 55
Database
ISI
SICI code
0300-8630(200103/04)213:2<50:C-CUTR>2.0.ZU;2-B
Abstract
Circumcision is one of the most frequent operative procedures done in males . About 120 circumcisions are performed every 5 minutes over the world [14] . Three different reasons lead to circumcision: 1) Medical reasons in present of a pathologic phimosis. 2) Circumcisions done due to religious', social or cultural rea-reasons. 3) Finally in many countries circumcisions performed as "routine-circumcisi on" in the newborn period. While in the United States the number of routine -circumcisiones decreases (about 60% of all male newborns) South-Korea has a rate near to 100%. Even with no religious or cultural background in Germany circumcision often is performed without scrutinizing medical indication. Circumcision is rega rded as an procedure with no complications and no disadvantage for the pati ent. In general circumcision has no medical benefit neither in decreasing the in cidence of urinary tract infections nor of sexual transmitted deseases nor of neoplasias. Medical indication for circumcision is given in present of p athologic phimosis in 4% of all males. Postoperative complications range up to 2% and "circumcision is the amputation of the prepuce from the rest of the penis, resulting in permanent alteration of the anatomy, histology and function of the penis...". There are many reports about having dyscomfort a nd disadvantages after circumcision as well to the males as to the sexual p artners. This challenge the legality of neonatal involontary circumcision b ecause legality is based on saving the children's best interests.