AT LAST! THE AAP STATEMENT ON CIRCUMCISION

Avatar for geedee99
iVillage Member
Registered: 07-07-2003
AT LAST! THE AAP STATEMENT ON CIRCUMCISION
13
Tue, 08-28-2012 - 5:27am

Abstract

Male circumcision is a common procedure, generally performed during the newborn period in the United States. In 2007, the American Academy of Pediatrics (AAP) formed a multidisciplinary task force of AAP members and other stakeholders to evaluate the recent evidence on male circumcision and update the Academy's 1999 recommendations in this area. Evaluation of current evidence indicates that the health benefits of newborn male circumcision outweigh the risks and that the procedure's benefits justify access to this procedure for families who choose it. Specific benefits identified included prevention of urinary tract infections, penile cancer, and transmission of some sexually transmitted infections, including HIV. The American College of Obstetricians and Gynecologists has endorsed this statement.
 
Policy Statement 

Systematic evaluation of English-language peer-reviewed literature from 1995 through 2010 indicates that preventive health benefits of elective circumcision of male newborns outweigh the risks of the procedure. Benefits include significant reductions in the risk of urinary tract infection in the first year of life and, subsequently, in the risk of heterosexual acquisition of HIV and the transmission of other sexually transmitted infections.

The procedure is well tolerated when performed by trained professionals under sterile conditions with appropriate pain management. Complications are infrequent; most are minor, and severe complications are rare. Male circumcision performed during the newborn period has considerably lower complication rates than when performed later in life.
 
Although health benefits are not great enough to recommend routine circumcision for all male newborns, the benefits of circumcision are sufficient to justify access to this procedure for families choosing it and to warrant third-party payment for circumcision of male newborns. It is important that clinicians routinely inform parents of the health benefits and risks of male newborn circumcision in an unbiased and accurate manner.

Parents ultimately should decide whether circumcision is in the best interests of their male child. They will need to weigh medical information in the context of their own religious, ethical, and cultural beliefs and practices. The medical benefits alone may not outweigh these other considerations for individual families.

This gives me all I could wish for, all I've believed in and been preaching for many years. It flattens for good the claim that; 'there are no benefits from circumcising baby boys'. At the same time it acknowleges that, for a variety of reasons, circumcision may be an anathema to some parents and I've always allowed for that.

Circumcise if you believe it is best for your boys and don't if you don't.

It is a good day for us all. Peace at last on this issue I hope!

Tony

 

 

 

 


 

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Avatar for geedee99
iVillage Member
Registered: 07-07-2003
Fri, 09-21-2012 - 3:45am

 

Christopher

At the risk of continuing a debate, you said: 

"If even a small but significant number of boys grew up with penile adult problems in the manner you described, I would give it food for thought."

How about the 30,000 or so who have circumcisions on the NHS (as a last resirt) and 'refugees' from it who go privately because they are refused on NHS or put on an eternal waiting list?

You've made your case in favour of 'self cleaning', I've made mine opposing it. Let's amicably agree to differ as usual.

Tony

PS did you get my PM in reply to yours? 

Avatar for islaywhisky
Community Leader
Registered: 01-06-2002
Fri, 09-21-2012 - 10:35pm

Tony,

"How about the 30,000 or so who have circumcisions on the NHS (as a last resirt) and 'refugees' from it who go privately because they are refused on NHS or put on an eternal waiting list?"

Misdiagnosed phimosis, mainly - plus others who seek circumcision for themselves. Also there are GPs and urologists who have a predilection for circumcised penises who will insist on surgery rather than attempt less invasive methods first.

Of the 30+ million males in the UK, 30,000 is a very small percentage.

As for 'self-cleaning', yes of course, we will agree to differ as usual.

I did get your PM - and your email. I will reply to the latter as soon as I can.

Christopher

"Education is the discovery of our own ignorance." Will Durant


"Almost any manmade phenomenon i

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