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CIRCUMCISION
What is circumcision?
Circumcision is a procedure that involves the urologist removing the foreskin, which is the protective covering over the tip of the penis. Typically, infants undergo circumcision shortly after being born. Initially, circumcision was performed as a religious ritual, but nowadays, it is done for religious, medical, and cultural reasons.
Circumcision is commonly performed on newborn boys, often within the first week of their lives. While it is less frequent, adults can also choose to undergo circumcision. The foreskin is a retractable fold of skin that envelops the glans of the penis. It is initially connected to the penis at birth but gradually separates as time passes. It can be retracted, but sometimes it remains tight, a condition known as phimosis, which often requires intervention or circumcision.
When is circumcision indicated?
The majority of circumcisions are typically conducted shortly after birth, usually within a day or two, and often take place in the hospital. This early timing is preferred because performing the procedure soon after birth tends to be less complicated and carries fewer risks. As newborns have not developed significant mobility or strength, the procedure can be done more safely and efficiently. Within the Jewish faith, circumcision, also known as a bris, is traditionally performed when a baby reaches 8 days old.
It's crucial to acknowledge that in certain cultures or communities, circumcision may be performed at a later stage, often during childhood or adolescence. The precise timing can differ based on cultural norms, personal choices, religious practices, or medical factors. Nevertheless, it is crucial to recognise that as the child grows older, the procedure becomes more intricate and poses additional risks. Therefore, early circumcision, ideally during infancy, is generally advised to prioritise the individual's safety and welfare.
How is circumcision performed?
Circumcision procedures vary depending on the age of the individual. For newborns, circumcision is typically performed within the first ten days of birth in a hospital setting. The process involves cleaning the groin area, administering anaesthesia, attaching a clamp or plastic ring to the penis, and removing the excess foreskin. In older boys and adults, circumcision involves freeing the foreskin of the penis and removing the excess skin, usually under general anaesthesia. After the procedure, the penis is covered with gauze, an antibacterial ointment is applied, and proper care instructions are given. Healing generally takes around 5-7 days but may be longer for older individuals.
FAQ
Is male circumcision medically necessary?
Medically speaking, male circumcision is not considered necessary. According to medical organisations like the American Academy of Pediatrics, the perceived benefits of circumcision are not deemed significant enough to recommend it as a routine procedure for all newborn males. However, individual circumstances and cultural or religious beliefs may influence the decision to perform circumcision.
Does male circumcision have any health benefits?
Male circumcision has been associated with several health benefits, although the magnitude of these benefits can vary. Research suggests that circumcision may reduce the risk of urinary tract infections, sexually transmitted infections (including HIV), and certain penile problems such as phimosis or balanitis. However, it is important to note that these benefits are generally modest and can be mitigated through other means, such as proper hygiene and safe sexual practices.
Are there any risks or complications associated with male circumcision?
Like any surgical procedure, male circumcision carries some risks and potential complications. These can include bleeding, infection, adverse reactions to anaesthesia, and rare instances of surgical mishaps. However, serious complications are relatively rare, and the procedure is generally considered safe when performed by trained healthcare professionals.
