Circumcision complications

Drs say complications are rare. NewsMedia says complications are rare. Families say complications are rare. Consent forms say complications are rare. Medical books and websites say complications are rare.
However, rare complications are pretty scary to the parents and children they affect.
Rare is not rare enough when it is your child.
Infant/child Circumcision is unnecessary surgery on a healthy child. The foreskin is not an issue, disease or defect.

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Circumcision gone wrong

💥💥💥graphic! Warning!! Tragic! Warning! Graphic

http://www.ulwaluko.co.za/Photos.html

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http://www.ulwaluko.co.za/Photos.html

You cannot unsee these so tread carefully

“These selected photographs were taken in various health institutions in Pondoland during 2012 and 2013. They illustrate the magnitude of the problems faced by health care practitioners during the initiation seasons. After viewing some of the pictures you will understand what is meant by ‘male genital mutilation’.

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http://www.thewholenetwork.org/14/post/2012/08/the-dangers-of-plastibell-circumcisions-graphic.html

Aquarium and pets and well a general update

So, I’ve added to my family and there have been some small pet deaths, so here is the new count

Me
Hubs
2 Boys
3 dogs
2 hermit crabs
3 aquatic dwarf frogs
3 danios (fish)
1 minnow
4 flame tetra
1 Betta (male)
2 gold mystery snails
3 black mystery snails
2 blue mystery snails (baby)
2 ivory mystery snails (baby)
3 Japanese trapdoor snails

The aquatic dwarf frogs are kept on a separate tank within The main tank.
The snails roam in both
The hermit crabs are in a desperate separate habitat all together.

One dog has had 2 ccl repair surgeries (torn ligaments in both rear knees) within 2 yrs.

One dog caught an infection from a tick but we caught it right away so no harm done. (Except the vet bill) 2 yrs ago

One dog had a toe infection from a wound between her toes (possibly a stick stab) either way antibiotics cleared that up. 6 months ago

So far none of the humans in the house have come Dow with anything besides colds and allergies.
We are also in our last school year in seminary! Yeah!!!!!!
Hopefully, we will be moving back to Florida next summer.

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Joseph4gi: codifying medical fraud

I somehow deleted my original posting of joseph4gi’s article

http://joseph4gi.blogspot.com/2013/08/who-codifying-medical-fraud.html?showComment=1377506561200&m=1

How do you justify the forced genital mutilation of minors?

Invent pathological conditions that make it indispensable.
Link anatomically correct male organs to the proliferation of disease.

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Perhaps the best example of this is none other than female circumcision; a federal law makes the forced cutting of girls of any kind, and at any age, a punishable offense, and there are no exemptions for “religious” female genital cutting, or cultures where female genital cutting is practiced.

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For over a century, circumcision “researchers” can be seen trying to link circumcision with the prevention of feared diseases; there is no shortage of “studies” that say that circumcision prevents this or that, all written by “researchers” who promote its universal adaption. They can also be seen trying to pathologize the presence of anatomically correct male genitalia, and the many stages of its development, setting arbitrary ages by which the foreskin should be “retractable for cleaning.”

While there will never be enough “research” to justify the forced circumcision of girls, it seems circumcision advocates have made the covert contract with themselves, that the forced circumcision of boys will one day be justified, even made compulsory, if only they could come up with the right amount of “studies” that say circumcision prevents disease. We see them trying very hard today, promoting “mass circumcision” in Africa, in the so-called name of AIDS prevention.

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WHO Codifies False Conditions Into Existence
The World Health Organization (WHO) has just released their new 2013 ICD-10 codes, which are scheduled to go into effect in October 2014. ICD, which stands for “International Classification of Diseases”, is the global system for reporting morbidity and mortality statistics, for billing, and for health care automated decision support.

The new codes for conditions of the foreskin include a prominent (first on the list) billable code, for a condition whoever wrote these codes want to call “adherent prepuce in the newborn.” If these codes go into effect, it means that doctors and hospitals will be able to claim “adherent prepuce” as a valid medical diagnosis in neonates (valid in the sense that a billable code exists in the WHO ICD system, not that it is an actual medical condition necessitating surgical correction), and be able to legally charge to “correct” it, thereby possibly justifying routine infant circumcision.

The new proposed codes under classification N47, “Disorders of the Prepuce,” can be seen here. (To view, click on the hyperlink for “9 codes” in the second bullet point to read the full list of nine, beginning with N47.0 – Adherent Prepuce, Newborn.)

Without medical or clinical indication, doctors have no business performing surgery on healthy, non-consenting newborns, let alone asking parents to make any kind of “decision.” However, if these codes, which the US Centers for Medicaid and Medicare use, go into effect, doctors will have a code available to justify routine infant circumcision, starting next year unless the new code is rescinded. A whole new ICD-11 code system is slated to be introduced for 2015.

click this link for the entire article

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Hands off!!!!

Just as there is zero justification in performing vaginal exams on infant and young girls, so also is there never justification to retract and examine the inside of a baby boy’s or child’s penis when there is nothing wrong. Doing so is not alright for girls, and it is not alright for boys. The only time a physician should be handling your child’s genitals (gently!) is if the penis or vulva in question has a visible abnormality that requires examination. If this is not the case, then hands off!

– Martin Winckler, M.D.

http://www.drmomma.org/2013/02/hands-off-my-foreskin-dr-martin.html?m=1

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Warning: there may be some anger/venting/venom and pictures below a reader may find offensive

(<– link)

‎”DEAR PRO-CUTTERS: Can you answer these questions?

Do you know who HJ Kellogg is?

What are the functions of the foreskin?

How did secular circumcision begin in America?

What did they believe it was going to prevent and why?

What are the statistical chances of a man needing it done later in life?

What year was it outlawed in America for baby girls?

How many nerve endings are in the foreskin compared to the female clitoris?

Do you know what Meissners corpuscles are? How about Langerhan cells? Ridged band?

What is smegma and what is it made up of? When does the foreskin usually retract?

Does circumcision reduce sensitivity in males? Who is Brian Morris?

What do they do with the foreskins after they cut it off?

What are all of the different methods of circumcision and how are they performed?

What are their complication rates?

What is in some cosmetics and facial creams? What problems can a man have from his circumcision statistically?

Until you can answer every single one of those questions DO NOT even try to fool us into thinking you know anything about circumcision. We WONT believe you!” ~Christine Martin

(maria)

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Are people really this stupid ignorant, uninformed?(taken from facebook pages motherhood:the truth and soggy mamas

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Circumcision complications

http://www.mtsamples.com/site/pages/sample.asp?Type=82-Urology&Sample=1330-Pubic%20Cellulitis

HISTORY OF PRESENT ILLNESS: A 16-month-old with history of penile swelling for 4 days. The patient was transferred for higher level of care. This 16-month-old had circumcision 1 week ago and this is the third circumcision this patient underwent. Apparently, the patient developed adhesions and the patient had surgery for 2 more occasions for removal of the adhesions. This time, the patient developed fevers 3 days after the surgery with edema and erythema around the circumcision and it has spread to the pubic area. The patient became febrile with 102 to 103 fever, treated with Tylenol with Codeine and topical antibiotics. The patient was transferred to Children’s Hospital for higher level of care.

http://www.ispub.com/journal/the-internet-journal-of-plastic-surgery/volume-5-number-2/stitch-granuloma-of-the-penis-a-very-rare-complication-after-male-circumcision.html#sthash.r81r2ZYK.dpbs

Complications Of Circumcision
All medical procedures, especially those involving surgery, can and do result in complications. Circumcision is certainly no exception.

It is difficult to accurately document the precise rates of circumcision complications because some difficulties are either never reported or are never attributed to circumcision.

Meatal Ulceration
Many infants and toddlers in diapers develop “urine burns” from contact with ammonia in urine-soaked diapers. The destruction of the foreskin creates an abnormal state in which the glans is exposed and in constant contact with outer clothing, and for the infant, with urine soaked diapers. Ammonia burns on the glans, especially around the meatus, can be a particularly troublesome problem for the circumcised male infant.

Meatal Stricture
Meatal stricture results from prolonged or repeated episodes of meatal ulceration. The repeatedly irritated meatus becomes narrowed. This results in pain and difficulty with urination. In extreme cases this can result in infections and kidney problems.The most common treatment for the condition is “meatotomy”-a snipping of the urinary meatus to enlarge the opening.

Hemorrhage
Hemorrhage is defined as excessive bleeding. It can result from any event that ruptures blood vessels, including any cut or surgical procedure. Hemorrhage is a fairly common complication of circumcision.

Infection
Infection of the fresh circumcision wound has been a fairly common complication. Infection has occasionally been accompanied with disastrous results, including death. Any open area of skin is a potential avenue for infection. Because the freshly circumcised infant penis is in constant contact with wet and/or soiled diapers, this area cannot be kept sterile.

Retention of Plastic Bell Ring
If a Plasti-bell device is used to circumcise a baby, the remaining foreskin should dry up and fall off with the ring within about 10 days after the operation. A complication peculiar to this device occurs when the ring fails to fall off and instead becomes buried under the skin along the shaft of the penis.

Concealed Penis
An unusual complication occurs when the penile shaft, following circumcision, retreats into the surrounding skin and fatty area and cannot be seen. This problem must be corrected by surgery, and often skin grafting, to produce a normal penis.

Urethral Fistula
A urethral fistula is a hole going from the side of the male urethra to the outside of the penis. Usually the fistula occurs on the underside. This can develop as a result of circumcision. It results either from accidental crushing of the urethra by the circumcision clamp, an abnormality in the urethra, or from a stitch placed in the underside of the penis to control excessive bleeding at the site of the frenulum.

Phimosis of Remaining Foreskin
Phimosis refers to any condition in which the foreskin cannot be retracted. This condition is normal in the intact infant, and is not true phimosis. Occasionally the older intact male may have a tight foreskin that is difficult to retract. This condition can usually be resolved by simple methods, and does not need to be corrected by circumcision. One of the purported arguments in favor of routine neonatal circumcision is that the operation will supposedly prevent phimosis. This is proven untrue, for occasionally the remaining piece of foreskin becomes tightly attached to the sides of the glans and the infant then must undergo a painful loosening procedure or possibly a second circumcision.

Urinary Retention
Occasionally a baby will not urinate for several hours following circumcision. Sometimes the cause is an overly tight bandage wrapped around the wound. In other instances the cause is less clear.

Glans Necrosis
Necrosis refers to the death of body tissue. This has happened to the glans following circumcision due to an overly tight bandage or a Plasti-bell ring that is too small.

Injury and Loss of Glans
Occasionally the glans can be injured or entirely cut off during circumcision. Usually a permanent deformity results.

Excessive Skin Loss
Excessive skin loss can result from the operator severing too much foreskin, from infection of the wound resulting in tissue death, or from a burn caused by an electrocautery device. Sometimes the entire penile shaft becomes denuded and skin grafting is necessary. Other times the results are less drastic and the wound heals, but as the individual grows older his penile skin becomes too tight, causing discomfort on erection.

Skin Bridge
“Skin bridge” can result from circumcision. It is a complication in healing of the wound, by which a piece of skin from the shaft of the penis has become attached to the glans, or another point along the shaft, forming a “bridge” that must be surgically corrected.

Sewing of Penile Skin to the Glans
Stitches are not normally required following neonatal circumcision, so presumably this bizarre complication has resulted from circumcision performed on older individuals.

Laceration of Penile or Scrotal Skin
Undetected Hypospadias
Hypospadias is a congenital deformity in which a fistula naturally occurs in the underside of the penis. This is corrected by plastic surgery. The foreskin provides an easily available piece of tissue for use in skin grafting. (Thereafter, the individual is essentially circumcised, but at least the foreskin has provided a correction for the defect.) If an infant with hypospadias is routinely circumcised, this potentially useful piece of skin has been destroyed and the operator must resort to more complicated types of skin grafts to reconstruct the penis.

Preputial Cysts
Occasionally cysts develop along the remaining edge of foreskin at the site where the skin was severed.

Tuberculosis and other Diseases from Mezizah
Mezizah is the third step of the Jewish ritual circumcision ceremony, in which the mohel applies his mouth to the fresh circumcision wound. Diseases have been spread due to this practice. Today, few ritual circumcisors practice it.

Keloid Formation
A keloid is an abnormal development consisting of a raised, firm, thickened, red piece of scar tissue. Such a formation at the site of circumcision creates a grotesque deformation of the organ, with obstruction of its function.

Lymphedema or Elephantiasis of Skin
These terms refer to the swelling or obstruction of the lymph vessels. This can result from circumcision

Cosmetic Problems
Removal of only a tiny bit of foreskin can cause dissatisfaction on the part of parents who are conditioned to believe that the denuded state is preferable. Sometimes such parents will take their babies back to the doctor to have more foreskin cut off because they believe that his penis does not look circumcised enough.

Complications of Anesthesia
Complications can ensue from use of any type of anesthesia for any medical procedure, including circumcision.

Critics of infant circumcision frequently express outrage that newborn infants are usually given no anesthesia for an operation considered painful enough to warrant anesthesia for an older child or an adult. However, administration of such drugs to newborn infants is riskier than anesthetizing an older individual. Certainly if all newborn infants undergoing circumcision were being given general anesthesia for the operation we would see many more cases of death or difficulty from the anesthetic.

Loss of Penis
There have been cases in which the penis has been lost due to circumcision, caused by mishandling of the operation, as a result of an infection, or by a burn from electrocautery technique. In some cases enough penile shaft remained so that after extensive operations a functional penis could be reconstructed.

Rare complications of sutures
Some of the problems associated with sutures have been:

Granulomas (suture granulomas) – This is a reaction to the stitches not dissolving as intended. It appears as bumps under the skin around the wound as your skin creates a tiny wall of scar tissue around the suture to separate it from the body.

Spitting Sutures – This occurs weeks to months after surgery if your body rejects the suture (again, from the stitches not absorbing as intended) and attempts to remove them by pushing the stitches out to the surface of the skin. Sutures that migrate in this way have been known to be the source of additional problems.

Suture Abscess (commonly known as a stitch abscess) – This is caused when the suture inhibits healthy tissue growth. This results in the appearance of miniature “mole tunnels” at or about the incision site where the sutures were used.

Elevated Rate of Infection – This occurs when bacteria enter the area around the suture and cause a small scale infection. This usually manifest as tenderness, redness of the skin, and pus around the suture. If left untreated, the infection may spread through the skin. Sutures have been documented to remain in the body causing infections well beyond the one (1) to two and half (2.5) years.

What are the contraindications to circumcision (the reasons against doing it)?

Unstable or sick infant: Circumcision is contraindicated if the baby is unstable or sick. Circumcision is elective surgery and, as with other medically elective procedures, it should be delayed until the baby is well. Signs of stability include normal feeding, waste elimination, and maintenance of normal body temperature without an incubator or radiant warmer. A period of observation after the infant’s birth may allow for recognition of abnormalities or illnesses (for example, serious jaundice, infection, or manifest bleeding disorder) that should be addressed before this elective surgery.

Prematurity: It is usually best to wait until a premature infant meets the criteria for discharge from the hospital before performing circumcision.

Genital anomalies: Infants born with genital anomalies (including one called hypospadias) should not be circumcised. The foreskin may be needed for the surgical correction of the anomalies.

Bleeding problems: Whenever there is a family history of bleeding disorders, appropriate laboratory studies should be performed to make certain the baby himself has not inherited the bleeding disorder.

Recent trend
Some authors present a technique during circumcision, using the carbon dioxide laser to excise the prepuce and weld the cut edges together, thus providing a completely bloodless operation. Suturing is optional as the laser can also be used to unite the cut edges. The technique allows exact proportions of skin and mucous membrane to be removed. In one study,this method was used in a total of 1,154 patients ranging in age from infancy to 10 years 9 . A detailed analysis of postooperative recovery and follow-up indicated that minor complications occurred in only 4 patients, none of whom required hospital admission.

– See more at: http://www.ispub.com/journal/the-internet-journal-of-plastic-surgery/volume-5-number-2/stitch-granuloma-of-the-penis-a-very-rare-complication-after-male-circumcision.html#sthash.r81r2ZYK.dpuf

http://www.gulfdermajournal.com/pdf/2010-04/7.pdf

A death
http://www.kilburntimes.co.uk/news/queen_s_park_baby_bled_to_death_two_days_after_being_circumcised_1_1419367

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Added: April 14, 2013

Another baby hemorrhaging… Lucky to be alive and yet supposedly the risks are worth it? How is almost dying worth it? How is almost dying because of a medically unnecessary surgery being performed on a healthy infant worth it?

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Guggie Daily- on circumcision and its harms

AMEN AMEN AMEN! This was a Facebook status update she posted today.

Facebook post from Guggie Daily:

Do you know of a page, blog, website or other resource against circumcision started by a MAN? Feel free to link it here.

Men DO complain.
They DO acknowledge their loss.
They DO want forced circumcisions to stop.

They DO want their sons to be healthy and whole.It’s not about feeling insecure, inferior or broken.It’s about acknowledging what others have done, and taking a stand to stop the cycle.

It’s not about focusing on the hurt others had in their hearts or what they passed onto the next generation.

It’s about learning to unconditionally love your partner/yourself, to the point that you can look at the facts and still feel completely loved and accepted.

Someone forcefully circumcised you and you’re fine with it? *shrugs* That’s…FINE. It really is. Lucky you, that you don’t have a scar, or discoloration, or nerve damage, or keratinization, or a bridge on the glans, or hair pulled up onto the shaft, or ejaculation issues, or painful/dry/banging sex, or a crooked penis, or meatal stenosis. Lucky you that you weren’t one of the babies who bled to death, or choked on vomit, or had a heart attack, or got an infection after surgery and died.

You’re FINE. That’s good. You don’t have to feel bad about your body or what others did to you.

If you’re FINE, then it shouldn’t bother you to 100% oppose forcing it onto anyone else. If you don’t have bad feelings or unresolved hang ups, then freely jump up to STOP forcing it onto others.

His body, his penis, his health, his life, his sexual partner, HIS CHOICE.

Her website:
http://guggiedaly.blogspot.com/?m=1

Her Facebook page:
https://www.facebook.com/guggiedaily?ref=stream
———–

To avoid criticism, do nothing, say nothing, be nothing.ELBERT HUBBARD

Plastibell complications

Plastibell complications:

http://www.thewholenetwork.org/14/post/2012/08/the-dangers-of-plastibell-circumcisions-graphic.html

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http://medind.nic.in/jan/t12/i2/jant12i2p87.htm
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Possible complications for all 3 main methods of circumcision
http://emedicine.medscape.com/article/2069034-overview#a17
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http://www.bubhub.com.au/community/forums/archive/index.php/t-69138.html

Has some web address In the op post

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Circumcision mishaps in Nigerian children
O. D. Osifo, I. A. Oriaifo
http://www.bioline.org.br/pdf?am09056

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Last picture taken from parents uncensored on Facebook. It is not a plastibell procedure but all circumcision do required cutting.

Protecting your intact son

Mothering article

http://www.mothering.com/community/a/protect-your-uncircumcised-son-expert-medical-advice-for-parents

Increasing numbers of American parents today are protecting their sons from routine circumcision at birth, but as their boys grow up, they often find themselves at odds with doctors who cling to old-fashioned opinions and hospital routines.

I often receive calls from distraught parents who say that a doctor insists that their little boy needs to be circumcised because there is something wrong. When they bring their son into my office, I almost always find that there’s nothing wrong with the child’s penis. Occasionally there’s a slight infection, but that can be quickly cleared up with an antibiotic cream. In all my years of practice, I’ve never had a patient who had to be circumcised for medical reasons.

When a doctor advises that your son be circumcised, it’s usually because he or she is unfamiliar with the intact penis, misinformed about the true indications for surgical amputation of the foreskin, unaware of the functions of the foreskin, and uncomfortable with the movement away from routine circumcision.

Doctors can be psychologically challenged by the sight of an intact boy. They may see problems with the penis that do not really exist. They may try to convince you that the natural penis is somehow difficult to care for. They may cite “studies” and “statistics” that appear to support circumcision.

Probably, the only problem you will encounter with the foreskin of your intact boy is that someone will think that he has a problem. The foreskin is a perfectly normal part of the human body, and it has very definite purposes, as do all body parts, even if we do not readily recognize them. There’s no need to worry about your son’s intact penis.

Excellent article. Click the link to read the rest.

Intact America press conference against circumcision

Men do complain!!!
A video of men and women protesting outside the AAP conference in New Orleans in Oct 2012. Men giving speeches about how circumcision harmed them.

http://www.youtube.com/watch?v=7NF0oTsNp9Q&sns=em

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Should newborns be circumcised- poll

I excluded the word boy from the title…..
Should any newborn/child be circumcised when not medically needed? (boy or girl)

http://mobile.nola.com/advnola/pm_29232/contentdetail.htm?contentguid=0VTL7mCh
Link to poll

Reader James Loewen, responding to the article, said: “Genital cutting of any child is a needless wounding and trauma. Circumcision of children is not healthy, it’s not medicine, its medical fraud. Forced circumcision has a long and sordid history. The harm caused by this unwarranted surgery has caused much needless suffering. It is long overdue to protect children from this assault on their bodies. Bodily integrity is an issue of human rights. The AAP needs to rescind its recent statement on circumcision, just as they did two years ago when they tried to reintroduce genital cutting of girls (ritual nicking.) Its time to start protecting children!”

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To use common sense when considering circumcision.

http://www.letsnotcut.ms11.net/index.html

To cut or not to cut? For some soon-to-be parents of boys, no question is more agonizing than this one. If they look to the medical literature for guidance, they find conflicting opinions and “dueling studies” that reach conflicting conclusions. Frequently disputed points include the incidence of urinary tract infections in circumcised and uncircumcised babies, the rate of complications of circumcision, and the incidence of sexually transmitted diseases in circumcised and uncircumcised men.

And yet, despite all this point-counterpoint in the learned journals, there are some aspects of circumcision that desperately need the light of plain common sense shined upon them. Advocate and foe alike overlook some issues that are matters of common sense, and debate others without making some commonsense observations that would provide clear guidance. This article discusses four such aspects: circumcision’s effect on the experience of sex, the question of whether there is a right to circumcise, keeping clean, and circumcision’s potential effect on the parent-child relationship.
© 2003 by Charles Phelps

Click link above for full article! Very articulate and well written.

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Ethics and science shouldn’t be mutually exclusive.

Please click on the provided link to read the whole article on Moralogous.com….

http://www.moralogous.com/2012/09/18/science-like-blogging-is-useless-without-ethics/

Very nice:

I would argue that being so involved in science, making your living off of interpreting studies, would make you less objective because you have chosen to focus on science as a way of knowing, which normalizes and privileges that epistemology over all else. My major disagreement is that you seem to be treating the whole topic of routine infant circumcision as an intellectual exercise, which is immoral, because we are talking about real people who are being harmed. I know that the point of your blog is that you think there are objective scientific judgments to be made on parenting hot topics, but that, in itself, is a choice to judge science as a better arbiter of parenting practices than emotions or ethics. You laid out all the science you liked, claimed the other studies were useless, drew a conclusion, then claimed that your conclusion on your chosen science was more valid because you have more authority on the topic. Logical flaws abounded and I could not resist pointing them out.

Science is not a valid way to answer the question of whether babies should be circumcised for non-therapeutic reasons. Apparently you also think it is not ethical, but this only came out after you got attacked for awhile in the comments, and then you wondered why so many people were so angry. As a scientist, you should be aware of all of the times science failed us, and how science cannot exist without ethics, nor can it ever be severed from its cultural underlay.

Science is useful and can answer a lot of questions with great precision and accuracy, but it is not the only epistemology available to us, and not the best, either. It always must be accompanied by ethical concern and a holistic understanding of the phenomenology of the issue being studied.

damn straight!!!! Preach it! See, written way better than I could!

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Pubmed circumcision complications, severe complications and more

as you may have noticed I do a lot of cut and paste from other sources. Maybe I’m not original or maybe I’m lazy, but I figure if someone can get the point across better and more articulately than me, I might as well let them say it. I do a lot of copy/paste so that I can tag and label it so that maybe just maybe it will pop up easier in the Internet search engines…. And in case you were wondering I am totally against circumcising babies and children without immediate medical need. I have no problem with an adult choosing genital modification surgeries

http://www.ncbi.nlm.nih.gov/m/pubmed/11150473/

CONCLUSIONS: Genitourinary trauma in the newborn is rare but often necessitates significant surgical intervention. Circumcision often is the causative event. There has been only 1 prior report of a perineal injury similar to case 7, with a fatal outcome.

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Infant pain measured during circumcision

http://lib.bioinfo.pl/paper:9925869

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Some statistics of complications for on study group…
http://www.biomedcentral.com/1471-2490/6/21/

Results
Our circumcision rate was 87%. Neonatal circumcision had been performed in 270 (83.9%) of the children. Two hundred and fifty nine (80.7%) were performed in hospitals. The operation was done by nurses in 180 (55.9%), doctors in 113 (35.1%) and by the traditional circumcisionist in 29 (9%) of the children. Complications of circumcision occurred in 65 [20.2%] of the children. Of those who sustained these complications, 35 (53.8%) had redundant foreskin, 16 (24.6%) sustained excessive loss of foreskin, 11 (16.9%) had skin bridges, 2 (3.1%) sustained amputation of the glans penis and 1 (1.5%) had a buried penis. One of the two children who had amputation of the glans also had severe hemorrhage and was transfused. Even though the complications tended to be more likely with nurses than with doctors or traditional circumcisionists, this did not reach statistical significance (p = 0.051).

Conclusion
We have a very high rate of complications of circumcision of 20.2%. We suggest that training workshops should be organized to adequately retrain all practitioners of circumcision on the safe methods available.

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The scientific world journal
http://www.tswj.com/2011/373829/

ABSTRACT

In the United States, circumcision is a commonly performed procedure. It is a relatively safe procedure with a low overall complication rate. Most complications are minor and can be managed easily. Though uncommon, complications of circumcision do represent a significant percentage of cases seen by pediatric urologists. Often they require surgical correction that results in a significant cost to the health care system. Severe complications are quite rare, but death has been reported as a result in some cases. A thorough and complete preoperative evaluation, focusing on bleeding history and birth history, is imperative. Proper selection of patients based on age and anatomic considerations as well as proper sterile surgical technique are critical to prevent future circumcision-related adverse events.

…..

The rate of adverse events varies widely across reports, depending on the definition chosen for a postoperative complication. In a large meta-analysis of prospective and retrospective series, Weiss et al. reported a frequency of adverse events of and for serious adverse events [14]. This can represent a significant cost in terms of utilization resources and healthcare dollars. During a five-year period at the Massachusetts General Hospital, 7.4% of all visits to a pediatric urologist were for circumcision complications. This translated to an average total cost per patient for redo procedures of $1,617 and an estimated annual cost of $137,122 to the institution [15].

For ease of discussion, adverse events following circumcision can be categorized as either early or late complications. Early complications such as: bleeding, pain, inadequate skin removal, and surgical site infection tend to be minor and quite treatable. However, postcircumcision bleeding in patients with coagulation disorders can be significant and sometimes even fatal. Other serious early complications include chordee, iatrogenic hypospadias, glanular necrosis, and glanular amputation. The latter, of course, requires prompt surgical intervention. Late complications include epidermal inclusion cysts, suture sinus tracts, chordee, inadequate skin removal resulting in redundant foreskin, penile adhesions, phimosis, buried penis, urethrocutaneous fistulae, meatitis, and meatal stenosis. These are commonly treated in an outpatient setting. Most of the aforementioned conditions are avoidable giving attention to detail and proper technique. Mayer et al. found that some subtle anatomic variations are significantly associated with late circumcision complications, including penoscrotal webbing, suprapubic fat pads, and prematurity [16].

4.1. Death

Fortunately, death from neonatal circumcision is fortunately an extremely rare occurrence. King reported a period when 500,000 consecutive circumcisions were performed in New York city without a single fatality [17]. However, a case of a misplaced Plastibell ring which caused complete meatal obstruction resulted in acute venous stasis and subsequent death from sepsis reported by the Ontario Pediatric Death Review Committee in 2007. In this situation, prompt recognition of the obstruction is critical and primary management should be immediate removal of the Plastibell ring and catheter placement [18]. There are other reports in the international literature that describe mortalities from tetanus as a result of circumcisions performed under nonsterile conditions. Bennett et al. reported that topical antibiotics could decrease this risk of neonatal tetanus 4-fold [19].

…..

Necrosis of the glans can occur as a result of cautery injury during a Gomco circumcision or from distal migration of an incorrectly sized Plastibell ring [9, 20]. Management of glans necrosis depends on its severity

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I know the examiner is a dubious source…..

http://www.examiner.com/article/circumcision-s-complications-what-could-go-wrong

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http://www.sch.edu.au/health/factsheets/joint/?circumj.htm

Some research in North America has shown that boys, who were circumcised as small babies, have less chance of developing urinary tract infections in the first year of life than those who are uncircumcised (there is no difference in older boys). However, the numbers of uncircumcised boys who will get urinary infections is small. If 1000 well boys are circumcised, 8 infections will be prevented, but 20 will have a complication related to the circumcision. So the risks of circumcision surgery outweigh the benefits. In those boys with an underlying urinary tract problem, circumcision has been shown to reduce the risk of recurrent urinary tract infections, particularly if still in nappies.

…..

Even with the most skilled and careful hands there are small incidence of risks from both the operation and the general anaesthesia. There is a risk of bleeding and infection following the operation. The risk of death or serious disability due to general anaesthesia is 1:80 000. Very rarely the penis may be permanently damaged. After circumcision, irritation of the exposed penis tip can cause narrowing of the urine opening (meatal stenosis) that may require further surgery. About 5% of children who have been circumcised require further surgery to correct problems it causes.

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http://www.jpurol.com/article/S1477-5131(06)00053-2/abstract
http://www.jpurol.com/article/S1477-5131(06)00053-2/abstract

The most commonly observed complication was preputio-glandular fusion, seen in 25 cases (52%). The other complications were: meatal stenosis in 11 (23%), urethral fistula in five (10.4%), partial glandular amputation in four (8%) and opening distal urethra in three (6%). Adhesion freeing and revision were performed in all cases of preputio-glandular fusion, patients with meatal stenosis underwent meatotomy, urethral fistulae were repaired by simple closure, partial glans amputations were patched with buccal mucosa, and patients with complete open distal urethra were repaired by Mathieu (one patient) and tubularized incised plate urethroplasty techniques.

Conclusion
Circumcision may be associated with many serious complications. To prevent these complications, the operation should be performed by educated and experienced personnel.

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http://www.aafp.org/online/en/home/clinical/clinicalrecs/children/circumcision.html

Obtaining informed consent for medical procedures is an important practice. In emergent cases when a parent or legal guardian is not available to give consent, a procedure will often be performed if it is judged to be life-sustaining and in the best interest of the patient. When a person having a procedure is unable to give consent and a guardian is present, the guardian’s consent is acceptable. This occurs for routine medical procedures of clear benefit to children such as immunizations. A physician performing a procedure for other than medical reasons on a nonconsenting patient raises ethical concerns.

While routine circumcision is widely practiced, the small medical benefits of circumcision lead many to consider routine circumcision to be a cosmetic procedure. This leads to questions regarding medical ethics and whether and how to present to a parent a balanced discussion of the relative benefits and harms of the procedure. Key to the ethical discussion is respect of the parent’s religious, ethnic, or other cultural beliefs for which circumcision is practiced.

ECONOMIC ANALYSIS
One cost-effectiveness analysis estimated that the lifetime cost difference for men who were circumcised was $25, with a benefit of 10 additional days of life. (30) Another analysis estimated that routine circumcision cost $102 per person, resulting in 14 hours of extended life. (31) These findings suggest that cost factors should be removed from the decision of circumcision. (4)

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http://www.springerlink.com/content/9w834626551u8087/

Results
A total of 8,967 children were operated during the study period, of which 424 (4.7%) were for complications resulting from previous neonatal circumcision. Penile adhesions, skin bridges, meatal stenosis, redundant foreskin (incomplete circumcision with uncircumcised appearance), recurrent phimosis, buried penis and penile rotation were the most frequent complications. At the outpatient clinic of the Section of Pediatric Urology, 127 boys with concerns following newborn circumcision were evaluated, representing 7.4% of the total volume of cases seen in this clinic.
Conclusions
Our results indicate the need to undertake a collaborative study to define the incidence of complications following newborn circumcisions, which should be performed by practitioners with adequate training in the technique of their choice and its post-operative care.

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http://www.avvo.com/legal-guides/ugc/botched-circumcision—what-to-do-when-your-sons-circumcision-goes-wrong

Medical malpractice attorney:

6
Why Was I Not Warned About the Risks?
It is an unfortunate fact that doctors often do not fully discuss the risks and disadvantages of circumcision with parents or their patients before obtaining consent for the operation. Too often circumcision is viewed as a minor surgery. [Of course, the definition of minor surgery is that which is done on another, while major surgery is that which is done on oneself!] The fact is that in most states the parents of a baby boy or the man about to undergo a circumcision are entitled to be fully informed about the risks and disadvantages. If such is not done, circumcision is performed, and a reasonable person would not have consented if told about the risks and disadvantages, then a suit may be brought for “lack of informed consent.”

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below is a link to pictures of a circumcision…. Look at it and realize this torture is happening to a child
http://assets4.pinimg.com/upload/295971006731352403_q5BmioSt.jpg

….a personal family decision?

http://ufvcascade.ca/2012/09/14/child-abuse-is-a-personal-family-decision/

Excerpt:

You’re restrained. Held down. Cut. Your screams are ignored. You aren’t told why it’s happening or if it will ever stop. Long after you’ve given up hope that you’ll ever be held and comforted again, you are assured that, no, this wasn’t a violation. It was for your own good.

Would that make it okay? Would it be okay if you didn’t remember the experience several years into the future? These are the serious considerations that must be taken into account when we discuss the subject of infant genital cutting – while few actively remember it, the trauma that many children are forced to go through is very real.

Now, consider what your position would be if a medical organization declared that we should tie down our baby girls and cut off some of the most densely innervated genital tissue on their body. What if they said that the risks of performing the operation weren’t that great if performed by trained physicians? In fact, the American Academy of Pediatrics (AAP) made a statement similar to this in 2010, when they argued that female genital cutting should be made legal in America, so that physicians could “prick” or “incise” the “clitoral skin to satisfy cultural requirements.” They hoped to appease religious groups that believe in the practice. It was a position they quickly retracted when human rights activists condemned the policy, suggesting it violated the child’s right to bodily integrity – a human right that all people are born with and guaranteed under the law.

Would we tolerate female genital cutting if the same group came out and said that the practice had some minor health benefits? Perhaps fewer urinary tract infections for baby girls in the first year of life? What if cutting off a girl’s clitoral hood and her inner labia might reduce her chance of acquiring HIV if she slept with an infected partner without a condom on?

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Copy: Children’s Health & Human Rights Partnership condemns new AAP policy statement

Children’s Health & Human Rights Partnership condemns new AAP policy statement

Correspondence
← Intact America Condemns Anticipated Circumcision Statement from American Academy of Pediatrics
Children’s Health & Human Rights Partnership condemns new AAP policy statement
Posted on August 27, 2012 by admin
27 August 2012 – For immediate release
Contact: Christopher Guest, M.D.
info@chhrp.org

AAP CIRCUMCISION POLICY ‘SERIOUSLY FLAWED’, CONDEMNED BY CANADIAN CHILDREN’S RIGHTS GROUP

CHHRP co-founder Christopher Guest, M.D. said the new policy makes claims that international paediatric associations reject and he encouraged the Canadian Paediatric Society (CPS) to maintain its policy of deterrence with regard to circumcising otherwise normal, healthy boys.

Citing a continued failure of the AAP to recognize the unique sensory functions of the male foreskin, Guest asserted that “A growing number of medical associations now recognize that an intact penis with a foreskin enhances sexual pleasure for the male and his partner.” According to Guest, in 2010 the Royal Dutch Medical Association concluded “the foreskin is a complex erotogenic structure that plays an important role in the mechanical function of the penis during sexual acts.”

“Circumcision alters the structure of the penis, which inevitably alters function. Long term harm to men from infant circumcision has never been studied” Guest said. He referred to a growing body of anecdotal evidence collected by the Canadian-based Global Survey of Circumcision Harm. Guest said that in the past 12 months over 900 men have answered the online survey to document their harm.

Guest also faults the AAP for relying on methodologically weak African trials claiming HIV is lower in circumcised men. He says the studies also contradict global HIV trends, citing the United States, with a high circumcision rate, yet a significantly higher rate of HIV infection than Sweden and Japan where circumcision is rare. “Even if the African trials are scientifically valid, they cannot be used to justify infant circumcision in North America where the incidence of heterosexual HIV transmission is low.”

Guest cautioned that infant circumcision could never be justified based on the ethical principle of proportionality, because there are more effective and less destructive methods to improve hygiene and prevent or treat disease that don’t involve removing healthy genital tissue. “Soap and water and safer sex practices, including condoms, can prevent disease. New vaccines against penile and cervical cancer can prevent human papillomavirus (HPV) infection.”

Guest harshly criticized the AAP’s failure to note the conflict between contemporary medical ethics and infant circumcision, which he says violates the fundamental ethical principles of autonomy, beneficence and primum non nocere (First, Do No Harm). According to Guest “Medical associations in the Netherlands, Finland, Sweden, Norway, Denmark, Germany and other countries confirm there’s no justification for circumcising infants in the absence of medical urgency. Those medical associations are urging an end to the practice due to ethical and human rights concerns.”

He notes that the College of Physicians and Surgeons of British Columbia stated in 2009 that “…routine removal of normal tissue in a healthy infant, is not recommended…[P]roxy consent by parents is now being questioned. …Under the Canadian Charter of Rights and Freedoms and the United Nations Universal Declaration of Human Rights, an infant has rights that include security of person, life, freedom and bodily integrity. Routine male circumcision is an unnecessary and irreversible procedure. Therefore many consider it to be ‘unwarranted mutilating surgery’.”

According to Guest, the AAP has exercised poor judgment in the past. In 1989, the AAP Task Force on Circumcision declared circumcision was “necessary”, but in 1999 reversed its position to declare “There is no valid medical indication for circumcision.” In 2010, the AAP released a statement defending female genital nicking for cultural reasons, only to retract it under pressure from children’s rights groups opposed to circumcision of girls and boys.

“Preservation of bodily integrity is a basic and universal human right that the AAP doesn’t seem to value when it comes to male children” he said. “In spite of the new U.S. policy, we Canadians, as well as our institutions and government, have an obligation to preserve that right for all of our citizens, regardless of gender or age.”

The Children’s Health & Human Rights Partnership was established in 2012 as a partnership of professionals in the fields of medicine, ethics and law, and concerned citizens, to further public education and social advocacy to end non-therapeutic genital surgery on Canadian children.

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Debunk the African HIV circumcision trials.

http://blog.practicalethics.ox.ac.uk/2012/05/when-bad-science-kills-or-how-to-spread-aids/

A fatal irony: Why the “circumcision solution” to the AIDS epidemic in Africa will increase transmission of HIV

a must must must read. Debunks the African trials

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http://sync.democraticunderground.com/10021171713

Studies showing “benefits of circumcision” highly flawed

When bad science kills, or how to spread AIDS
Published May 22, 2012 | By Brian D. Earp
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http://www.zimeye.org/wp-content/live_images/2012/01/44-419-1-PB.pdf

Abstract
The World Health Organization and UNAIDS have supported circumcision as a preventive for HIV infections in regions with high rates of heterosexually transmitted HIV; however, the circumcision solution has several fundamental flaws that undermine its potential for success. This article explores, in detail, the data on which this recommendation is based, the diffi- culty in translating results from high risk adults in a research setting to the general pub- lic, the impact of risk compensation, and how circumcision compares to existing alterna- tives. Based on our analysis it is concluded that the circumcision solution is a wasteful distraction that takes resources away from more effective, less expensive, less invasive alternatives. By diverting attention away from more effective interventions, circumcision programs will likely increase the number of HIV infections.

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http://blog.practicalethics.ox.ac.uk/2011/08/circumcision-is-immoral-should-be-banned/

My argument against circumcision of children and infants is no more and no less than that it’s a human rights issue. All people, male as well as female, are entitled to bodily integrity, and nobody — for any reason — has the right to cut off part of another person’s body when that person is too young to understand and to consent.

Under bioethical principles, parental consent for medical treatment is permitted only if the treatment being considered will save the life or health of the child. Circumcision is not medically necessary, and so it violates those principles, as well as that child’s entitlement to a complete body, his own personal freedom and autonomy.

… Circumcision is a so-called cure that’s in search of a disease. The vast majority of men in the world are intact, and they are not suffering from illness or infection. There is no justification for cutting off a body part for a hypothetical future disease, especially ones like STDs that can be prevented in ways that don’t involve mutilation. It’s crazy that we don’t think it’s crazy.

………

But let’s set this disturbing episode aside for the moment, and just suppose that circumcision really does cut down on STD receptivity as a general matter of fact. OK then, why not pass this information on to males of our species when they’re actually starting to have sex, and see how many choose, at that time, to sign themselves up for your treatment? Show them your studies. Lay the evidence before them. Cajole, coax, convince—just don’t coerce. Let them decide about their own bodies when they have the mental capacity to process what you’re selling. Little babies simply aren’t the at-risk population when it comes to sex-related diseases.

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