Circumcision and its indications remain a hot discussion topic in both the medical and the lay literature. Arguments are laced with subjectivity, emotion, religious fervour and too little scientific study. There are significant short-term complications of the operation whichever timing, technique or setting is employed, and these are underestimated by many of the studies cited. Major injury to the penis, although fortunately rare, will have a profound effect on the boy’s life and, more frequently, loss of protection of the urinary meatus is a potent cause of long-term problems. Avoidance of these is simple – avoidance of circumcision. While most arguments for circumcision are found lacking under scrutiny, congenital urological anomalies diagnosed antenatally may provide the only indication for prophylactic neonatal circumcision to help protect against urinary tract infection. It is true to say that the long-term effects of this procedure are yet to be fully assessed over 3000 years since it was first performed. -From Pediatric Surgery and Urology: Long Term Outcomes by Mark D. Stringer BSc MRCP MS FRCS
Posted on: Thu, 11 Dec 2014 16:58:04 +0000
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