Doctors Say Benefits of Circumcision Outweigh Risks

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    Aug 27, 2012 10:34 AM GMT
    http://www.webmd.com/parenting/news/20120827/new-policy-supports-choice-male-circumcision

    New Policy Supports Choice for Male Circumcision

    Doctors Say New Studies Show Benefits of the Procedure Outweigh Risks

    Aug. 27, 2012 -- The nation’s pediatricians are changing their stance on male circumcision, again.

    This time, the American Academy of Pediatrics (AAP) says they want parents to know that the benefits of the procedure outweigh its small risks. But they stop short of recommending the surgery, which removes the foreskin of the penis, for every newborn boy.

    Instead, the updated policy statement advises parents to weigh the medical information along with ethical, cultural, and religious beliefs when making the decision. The statement is published in the journal Pediatrics.

    “I think it’s a step in the right direction,” says Arleen A. Leibowitz, PhD, a research associate at the University of California, Los Angeles, who studies the public health impacts of circumcision. She was not involved in drafting the new policy.

    “This is obviously a personal decision that families make. This is an important step that the academy clarifies where the scientific evidence is and that they do evaluate that the benefits are much stronger than we had previously realized,” Leibowitz says.

    The American College of Obstetricians and Gynecologists, made up of the doctors most likely to discuss the option of circumcision with parents, are also endorsing this policy.

    New Science Supports Shift to Older Position

    The new guidelines are something of a course correction for the AAP. Their previous policy, published in 1999, questioned the medical necessity of male circumcision.

    “The guidelines at that time suggested that there were few, if any, health benefits associated with circumcision,” says Michael Brady, MD, chairman of the department of pediatrics at Nationwide Children’s Hospital in Columbus, Ohio.

    States looking to slash their Medicaid spending used that policy to deny coverage for the procedure. The result was a steady drop in circumcisions in the U.S. According to the CDC, 63% of newborn boys were circumcised in 1999 compared to 55% in 2010.

    “This is a shift in position,” says Brady, who was on the task force that updated the guidelines.

    The new policy sounds a lot like the AAP's 1989 statement, which for the first time found that male circumcision offered some advantages, particularly protection against urinary tract infections.

    “Since that time, there have been some significant additions to the information related to the health benefits of circumcision,” Brady says.

    Circumcision Cuts Infections, STDs

    Studies from Africa and Europe show that circumcision cuts the rate of transmission of sexually transmitted diseases, including HIV, herpes simplex, and human papillomavirus (HPV). Evidence also shows that circumcision reduces the rate of urinary tract infections, especially in the first year of life; reduces the risk of penile cancer; and reduces the risk of cervical cancer in sexual partners.

    What’s more, a study published last week in the Archives of Pediatrics & Adolescent Medicine estimated that if circumcisions continue to decline to levels seen in Europe, the U.S. could see:
    A 12% increase in men infected with HIV
    A 29% increase in men infected with HPV
    A 19% increase in men infected with herpes simplex
    A 211% increase in urinary tract infections in infants


    The new policy statement also says the benefits of circumcision warrant coverage by third-party payers like Medicaid and insurance companies.

    “This is very good news,” says Aaron Tobian, MD, PhD, an assistant professor of medicine, pathology, and epidemiology at the Johns Hopkins School of Public Health in Baltimore, Md. Tobian is one of the researchers who estimated the economic consequences of continuing declines in circumcision. He was not involved in drafting the new policy.

    “It is important that we remove all barriers to the procedure. This will allow parents to discuss the risks and benefits of the procedure with their physician, and make an informed decision,” Tobian says in an email to WebMD.

    The risks of circumcision include bleeding and infection. “There are potential health benefits,” Brady says. “In situations where parents believe it’s in the best interests of their child to be circumcised, we would hope that they aren’t denied that opportunity because they can’t afford it.”
  • Posted by a hidden member.
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    Aug 27, 2012 10:57 AM GMT
    Is this some sort of Southbeach lure? You are missing him, aren't you?
  • Posted by a hidden member.
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    Aug 27, 2012 11:13 AM GMT
    Obviously if people are dumb enough not to protect themself when needed all STD will increase, cut or uncut....
  • Posted by a hidden member.
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    Aug 27, 2012 11:37 AM GMT
    So retarded. I have seen this bad science , evolution- made- a- huge mistake bullshit before. Most notably when "science" declared human milk unsuitable for infant health. The real reason is religious, political or someone wanting to make a buck.
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    Aug 27, 2012 11:58 AM GMT
    This is very stupid.
  • Posted by a hidden member.
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    Aug 27, 2012 12:24 PM GMT
    Ex_Mil8 saidIs this some sort of Southbeach lure? You are missing him, aren't you?


    I'm busted!
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    Aug 27, 2012 12:27 PM GMT
    Interesting statistics though - whichever way you look at it.

    I'd personally like to see young men and boys immunised with a HPV vaccine to see if there is a reduction in the instance of Penile cancers as well as HPV transmission / cervical cancers.
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    Aug 27, 2012 12:37 PM GMT
    Alpha13 saidSo retarded. I have seen this bad science , evolution- made- a- huge mistake bullshit before. Most notably when "science" declared human milk unsuitable for infant health. The real reason is religious, political or someone wanting to make a buck.


    Religion and politics have nothing to do with these studies.

    Evolution did not make a mistake; it cannot keep up with advances in science. Back in the day, man's average life expectancy was lower, diets were much healthier, and there was little to no transcontinental travel, which meant fewer chances to spread disease.
  • Rowing_Ant

    Posts: 1504

    Aug 27, 2012 12:56 PM GMT
    This research from a generally Pro-Circumcision country seems to contradict that from Europe and Scandinavia which is generally Anti.


    Discuss.
  • jayatl56

    Posts: 463

    Aug 27, 2012 1:02 PM GMT
    Years ago a European friend told me that the reason why the AMA and AAP continue to support circumcision is because the majority of its member Doctors are Jewish. Now, I'm not a racist nor am I anti Semitic, but could this have some validity? I mean, this is such a ridiculous study that I can't think of any logical reason why it gets support.
  • Rowing_Ant

    Posts: 1504

    Aug 27, 2012 1:05 PM GMT
    I think there is a lot of cultural bias - no one can ever be objective, not even scientists - so somewhere where it is culturally normative for circumcision then the argument will be more or less pro. If that makes sense.
  • rnch

    Posts: 11524

    Aug 27, 2012 1:13 PM GMT
    MOTS (More Of The Same) dogma that the AMA has been espousing for the last....50...years...


    icon_rolleyes.gif
  • thadjock

    Posts: 2183

    Aug 27, 2012 1:40 PM GMT
    I'm moving to finland (or germany), where it's illegal and sane people are free.

    The US is rapidly degrading into a cesspool of intellectually deficient morons. the jews just wont rest until they make us all like them in their fetishistic crusade to rid the world of the evil forskin.

    i hope this study produces a tidal wave of pushback, the only problem is i'm pretty sure even the teabaggers who want less gov't would vote for circumcision to be gov't mandated, and criminally prosecute parents who refuse.

    here's a statistic:

    In the US the majority of rapists are circumcised, strongly suggesting that circumcising your baby boy puts him at much higher risk of becoming a felony sex criminal.

    is circumcising africans going to stop the serial rape that is the actual casue of the spread of disease there? NO
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    Aug 27, 2012 1:56 PM GMT
    credo saidThe new policy statement also says the benefits of circumcision warrant coverage by third-party payers like Medicaid and insurance companies.


    There you go! Long article, short explanation: it's about the money.

    (On the other hand, I lived in Europe. The bans on circumcision there seem to be clearly motivated by bias against Muslims.)
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    Aug 27, 2012 2:03 PM GMT
    One benefit not mentioned is circumcision is profitable to doctors.
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    Aug 27, 2012 2:31 PM GMT
    jayatl56 saidYears ago a European friend told me that the reason why the AMA and AAP continue to support circumcision is because the majority of its member Doctors are Jewish. Now, I'm not a racist nor am I anti Semitic, but could this have some validity? I mean, this is such a ridiculous study that I can't think of any logical reason why it gets support.


    A majority of doctors are Jewish? What was your European friend's name? Hitler?
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    Aug 27, 2012 2:45 PM GMT
    Rowing_Ant saidThis research from a generally Pro-Circumcision country seems to contradict that from Europe and Scandinavia which is generally Anti.


    Discuss.


    You and Alpha13 have hit the nail on the head. A state in Australia is considering a ban on circumcision with exception of religious grounds and the practice in this country has been in steady decline since the 1970s. The rest of the developed world is backing away from circumcision, and the majority of men who are intact are fine and dandy. Stop mutilating your children, America.
  • wellwell

    Posts: 2265

    Aug 27, 2012 2:46 PM GMT
    Alpha13 saidSo retarded. I have seen this bad science , evolution- made- a- huge mistake bullshit before. Most notably when "science" declared human milk unsuitable for infant health. The real reason is religious, political or someone wanting to make a buck.



    ^^THIS^^
    THE REST IS PURE BS.
  • wellwell

    Posts: 2265

    Aug 27, 2012 2:49 PM GMT
    ...Fully as lame as the UN's idiot-plan to cure Africa of HIV by cutting the Males' there. EVERYTHING the UN touches results in bloodshed !
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    Aug 27, 2012 2:50 PM GMT
    it's all about the money? i thought they only took tips
  • wellwell

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    Aug 27, 2012 2:57 PM GMT
    Billy24 saidThis is very stupid.


    ...Oh ya, ^^this too^^.

    Billy, you nailed it !
  • Posted by a hidden member.
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    Aug 27, 2012 2:59 PM GMT
    I'm uncut and I'd never want it any other way. But if you're considering getting circumcised, make sure to pick your surgeon wisely. A lawyer I knew told me he was representing an 18 year old man who was mutilated by an inept doctor. He said after the doctor finished with him you couldn't tell in the photos that you were even looking at a penis.
  • Rowing_Ant

    Posts: 1504

    Aug 27, 2012 3:20 PM GMT
    So true.

    The doctor who did mine was struck off. He took off far far too much skin resulting in incredibly painful erections requiring further surgery - a skin graft - to correct.
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    Aug 27, 2012 3:43 PM GMT
    Justim saidit's all about the money? i thought they only took tips


    icon_lol.gif

    25668406.jpg
  • Posted by a hidden member.
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    Aug 27, 2012 3:46 PM GMT
    Stop talking about penis! Freakin thread is useless... no pics... make a grown man cry... icon_cry.gif