The Blue Elephant
Well-Known Member
It is not only me, European pediatricians disagree too.
Preventive procedures on healthy people should follow "more and stricter justification" than medically necessary procedures, and even stricter justification should be required for children, "who cannot weigh the evidence themselves and cannot legally consent to the procedure."
- While the AAP says circumcision prevents urinary tract infections (UTIs), the European doctors counter that only one percent of boys will get these in their first years of life, and there are no randomly-controlled clinical trials proving that circumcision prevents them.
- The AAP says circumcision can stave off penile cancer, but the European docs counter that "the evidence is not strong; the disease is rare and has a good survival rate; there are less intrusive ways of preventing the disease; and there is no compelling reason to deny boys their legitimate right to make their own informed decision when they are old enough."
- The AAP says circumcision can offer protection against genital herpes and genital warts. The Europeans say that conclusion was based on studies in Africa that don't apply in the West; doesn't take into account syphilis, gonorrhea and chlamydia; and again is only relevant to adults, so "the decision of whether to circumcise can be postponed to an age when boys are old enough to decide for themselves."
- Perhaps most importantly, the AAP, relying on three studies done in Africa, suggested circumcision can have a preventive effect against HIV/AIDS. The Europeans argue that conclusion has been "contradicted by other studies, which show no relationship between HIV infection rates and circumcision status. The African findings are also not in line with the fact that the United States combines a high prevalence of STDs and HIV infections with a high per- centage of routine circumcisions. The situation in most European countries is precisely the reverse: low circumcision rates combined with low HIV and STD rates... There are alternative, less intrusive, and more effective ways of preventing HIV than circumcision, such as consistent use of condoms."
- The Europeans also noted the possible problems with circumcision -- infections, hemorrhages, metal strictures, deaths and (partial) amputations.
- And lastly, the foreigners say not to underestimate the foreskin's role in sexy time: "the foreskin is a richly innervated structure that protects the glans and plays an important role in the mechanical function of the penis during sexual acts. Recent studies [which the AAP did not take into account] ..suggest that circumcision desensitizes the penis and may lead to sexual problems in circumcised men and their partners.
"Nothing in life is so exhilarating as to be shot at without result." -Winston Churchill