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18th August, 2019. What is the ideal anaesthesia?

It seems the prick hurts more than the cut.

One obstacle to mass circumcision programs in Africa is the pain of the operation. So a Kenyan team (using the Shang Ring no-flip procedure ) compared injected local anaesthetic with topical anaesthetic rubbed on the skin. The topical anaesthetic won out quite strongly - it seems that the multiple needles needed for a dorsal block were a major problem for the patients.

An interesting sideline in the paper is how many boys and young men (aged 10+) had problems in retracting their foreskins. It seems the program benefitted them in more ways than just offering resistance to HIV infection.

Read the abstract at Pub Med or the full paper (open access) at PLOS 1.

Thanks to JH for the story.


13th August, 2019. Manhood

Circumcision comedy(?) at the Edinburgh Festival

Tom Rosenthal is unhappy that he was circumcised as an infant. His name implies that he is Jewish but he insists that his family have abandoned the faith, though he was the star of a UK sitcom about a Jewish family. And he is convinced that he has been damaged by the procedure.

Today's Guardian carries an interview with him by Ryan Gilbey, apropos his stand-up comedy show 'Manhood' at the Edinburgh Festival. Yes it is about that particular hood, and the interview is so gloomy it is very hard to believe that the show can be funny. Comments from any reader who sees it are, naturally, very welcome.

Read the story at the Guardian.


12th August, 2019. Circumcised by mistake

£20,000 damages awarded against Leicester hospital

70-year-old pensioner Terry Brazier went into hospital for a cytoscopy (bladder examination) and Botox injection. (Botox injections are a fairly new treatment for urinary frequency and incontinence.) When he awoke from the anaesthetic he found he'd been circumcised. When exactly this happened is not clear - the BBC says last summer, the Daily Mail says 2015.

Now he has been awarded £20,000 damages - quite a large amount but as Brazier said "There's been the jokes but there is a serious side to all of this. It could have been even worse for someone else, someone could end up having the wrong body part amputated. This shouldn't have happened and more importantly I don't want it to happen again."

Read the story at the BBC or the Daily Mail.

Thanks to JH for the story.


5th August, 2019. General or local anaesthetic?

Turkish study looks at the psychological consequences

Muslim boys are circumcised in childhood rather than infancy. There has been a tendency to assume that a general anaesthetic poses less psychological stress for the child since he is asleep for the procedure(and typically has less post-operative pain). A recent Turkish study shows that the opposite is true.

All cases were religious, not medical circumcision. Boys were assigned to general or local anaesthesia according to their own (and / or) parents' preference. While this may not meet criteria for randomisation, it did mean that no boys started off with negative feelings having been given a treatment they did not want. The results were clear. No boys who were awake for the procedure had negative psychological consequences, while a few in the general anaesthetic group did. The differences were significant but not large.

Read the abstract at PubMed and the full paper at Turkish Journal of Pediatrics.

Thanks to JH for the story.


5th August, 2019. China promotes circumcision

Shang ring is the device of choice

Not the latest news - the story was published on April 26th - but interesting. The Beijing College Hospital Union, which has more than 50 member hospitals in Beijing's universities, will train doctors in universities to use the Shang Ring, a China-made male circumcision device (see our Instruments and Techniques page.) Wang Hong, surgeon at Beijing University of Posts and Telecommunications Hospital, said many college students have poor awareness of the importance of circumcision and few doctors know that circumcision reduces the risk of HIV/AIDS infection. Even before the training centre was established more than 5,000 circumcisions had been carried out at the BUPT Hospital. It seems that we will be seeing a big boost in circumcision in China, at least among the university educated population.

Read the story at China Daily.

Thanks to new contributor 'greenbean' for the story.


27th July, 2019. Circumcision in the news in UK

Brits get their knickers in a twist.

On July 18th BBC1 broadcast a feature on circumcision - a time and a channel which pretty much guaranteed a big audience. Correspondent MP alerted us to this and regular correspondent Tom watched it. He reported that it was fairly balanced, and mainly slanted towards Islam and Judaism. Of course the antis did get a spot, including a barrister arguing for the 'rights of the child'. Doesn't a child have a right to the best possible health outcome? A urologist asked how many circumcisions one had to do to prevent one UTI. (The answer wasn't given but it is 3). Watch the programme at the BBC.

This was followed on July 26th by a 'horror' news item about a man whose circumcision had ruined his life .. one of a string of such stories, none of them remotely believable, that the BBC has run in the last few months.

The newspapers got in on the act. Stephen Evans, in The Independent wrote, on July 19th, that it was "barbaric and unnecessary – just like female genital mutilation" (dare one hope that one day he will get cancer of the penis?). On the 21st The Guardian published an article "Foreskin reclaimers: the 'intactivists' fighting infant male circumcision." This was so full of alt-facts that the Guardian was forced to recant, and on 25th July published a letter from Danish epidemiologist Dan Meyrowitsch - "The myth of male circumcision and sexual dysfunction". He wrote "Despite the lack of scientific evidence, intactivists promote the notion that male circumcision results in sexual dysfunction. This fake health science portrays circumcised men as sexually dysfunctional and traumatised" and pointed out that genuine evidence shows the opposite.


10th July, 2019. Little boy scared

5-year-old takes to roof to avoid circumcision

Boy on roof

Indonesian boys are normally circumcised around age 5. It is a big ceremony, with lots of treats for the boy, but the fact remains that he will have a knife taken to his private parts. So one little boy took to the roof to escape it. Nobody dared go up to the roof for fear the boy would fall. After a 2-hour standoff his teacher was called and talked him down.

Read the story at Coconuts.

Thanks to Tom for the story.


6th July, 2019. Kenya cleans up its act

20,000 knives blessed for the upcoming circumcision season

Samburu elders blessed 20,000 knives so that each boy could be circumcised with a clean knife. Previously the same knife was used for all boys in a session. (The image shows traditional circumcision knives but I suspect that modern surgical instruments were used.) This avoids the risk of transmitting infection and is a great example of combining modern medical knowledge with a traditional rite.

Read the story in The Star.

Thanks again to Tom for the link.


5th July, 2019. Circumcision in central Florida

Medicaid-funded circumcision now available again in Ocala, Fla.

Around the turn of the century 18 states in the US withdrew Medicaid funding for circumcision. In 2014 Florida restored it - as Brian Morris points out, probably because it saved more money in avoiding subsequent problems than the cost of the operation. However no hospital in central Florida provided the service under Medicaid, forcing parents to travel out of area within the 27 day window for neonatal circumcision. Now the Advent Hospital in Ocala, under new management, is offering a full range of maternity services, including circumcision, under Medicaid.

Read the story at Insurance Newsnet.

Thanks to both Brian Morris and Tom for the story.


4th July, 2019. Circumcision schools or killing fields?

Anger in South Africa as more young men die.

The circumcision season in East Cape province, always the most troublesome part of South Africa in this regard, has seen 12 young men die ar the hands of untrained circumcisers, acting illegally. The provincial government is promising action, but why aren't these unqualified operators in jail if their actions were illegal? Nobody can deny the significance of circumcision, and the traditional education that accompanies it, to these people, but training circumcisers and providing clean instruments doesn't compromise that.

Read the story at IOL News, South Africa.

Thanks again to Tom for the story.


4th July, 2019. Foreskins flapping around

British television item gets in a flap

The question was common enough - the husband wanted his (as yet unborn) son circumcised, like him, the wife was opposed. The team on "This Morning" agreed that it was an almost insoluble problem. But the resident 'agony aunt', Vanessa Feltz got the rent-a-crowd stirred up when she said "circumcision is clearly normal" to the expectant father and "dads [want] their boys to look like them in the winkle department. You don't want foreskins flapping around the house when you haven't got one yourself."

Read the story at North Wales Live. You have to laugh, but it is a real problem. The sad thing is that none of the panel mentioned the health benefits of circumcsion.

Thanks to Tom for the link.


25th June, 2019. No circumcision on Prince Edward Island

Canada's smallest province has no doctors who will perform the procedure

CBC News Canada reports "Mom 'enraged' she can't find doctor to perform circumcision on P.E.I.". Arielle MacDonald's family has a history of urinary tract infections and she wants her five-month-old son Liam circumcised to help protect him from these. But no doctor on the island does circumcisions so she faces a 4-hour journey to get it done.

The Canadian Paediatric Society has a curiously contradictory policy on circumcision, stating that it reduces the risk of urinary tract infection in infants while nevertheless opposing infant circumcision. Some might say that's Canada all over. Just to add to the contradiction, Prince Edward Island has the highest circumcision rate in Canada, with one in three babies done, according to an earlier CBC report.

At the time of writing the article had attracted 541 comments, many of them boringly predictable. But did anyone point out that Prince Edward is himself circumcised?

Thanks to Tom for the link.


22nd June, 2019. Roundheads to rise again in England?

Manchester clinic promotes infant circumcision

The health site Health Thoroughfare carries a story, dateline June 18th, "The Benefits Of Circumcision in Manchester For Babies". While it is essentially an advert for a particular clinic, it gives a very balanced acccount of the benefits of infant circumcision. Interesting to see that it's now considered worthwhile to advertise such a service in the UK.

Thanks to Professor Brian Morris for the link.


15th June, 2019. Campaign to ban circumcision

In Israel!? ... well maybe not

Rabbi Ben Dahan, Israel's Deputy Defence Minister, from the Union of Right-Wing Parties, claimed that "one of the most prominent members of the Zehut party established a movement aimed at banning circumcision in Israel" in an interview with the news site Arutz Sheva last week. The Zehut party is a moderate party which welcomes all Jews, observant or not, though its leader, Rabbi Moshe Feiglin, is an observant Jew. Feiglin emphatically denies the claim, which is obviously designed to put the Zehut party offside with almost all of the population. (Even the non-Jewish population of Israel mostly practises circumcision). Now it will be fought out in the courts, as Zehut is suing. Read the story in Arutz Sheva, Israel National News.

Thanks to Tom for the story.


7th June, 2019. When the weird get going ...

... the art gets seriously weird.

Foreskin sculpture

Sculptor Vincenzo Aiello has a new exhibition titled "HUFO, The Missing Piece" opening this week at the Open Space Studio in Philadelphia. All nine artworks consist of silicone replicas of human foreskins. Note the inclusion of the 'ridged band', a feature only visible to anti-circumcision fantasists. Needless to say the Italian artist is an opponent of infant circumcision, though why exactly he thinks these sculptures will advance his point of view is unclear.

The saddest thing is that Aiello was himself circumcised as an adult, so he knows full well the benefits circumcision brings. Perhaps he gets his rocks off thinking of baby boys screaming with pain as they suffer urinary tract infections. To make it clear, uncircumcised boys are 10 to 20 times more likely to suffer from UTIs than circumcised boys. Girls get these infections more frequently than circumcised boys, but much less frequently than uncircumcised boys.

Read the full story in The Philadelphia Enquirer. To its credit, the article includes a link to a page where a paediatrician explains why your infant son should be circumcised.

Thanks to Tom for the story.


22nd May, 2019. Circumcision wagon hits the road

Mobile clinic to reach remote districts in Botswana

Kweneng East district is vast, sparsely populated, has a challenging terrain and also has the largest Safe Male Circumcision (SMC) target of 6,151 among all districts in Botswana. A mobile clinic (4x4 vehicle) has therefore been donated to bring safe medical services, particularly circumcision, to the district. The launch seems to have been a great festivity. Read the full story in The Voice. Unfortunately the picture shows only the bigwigs, not the vehicle or the country.

Thanks to Tom for the story.


21st May, 2019. Jewish woman escapes Muslim husband

He threatened to kill her if her unborn baby was given a bris

A French Jewish woman, know here only by the alias Tziporah, was married to a Muslim man. (For those not well up in the Bible, Tziporah was Moses' Midianite wife, who circumcised their son when God got stroppy with them.) Tzipora, in an advanced stage of pregnancy, had to get out of France quickly with her infant son because her husband was threatening to kill her. "If you give the baby a bris, like you did with his older brother, I will kill you," he screamed at her when she raised the subject. Two days later she was on an El Al flight to Tel Aviv, with her mother and infant son sitting at her side. The Yad L'Achim organization found her a safe house and covered her expenses when, just a week later, she gave birth. A week after that the baby boy was duly circumcised with full religious protocol. Read the full story in the Israel National News.

This all rather begs the question of why she married the man. She'd been to a Jewish school, so there was no doubt that she was observant. Surely at least they'd have had a prenuptial agreement about the religion of their children?

Thanks to DP for sending the story.


20th May, 2019. Mohel still going strong at 90

Holocaust survivor rabbi still performs circumcisions

Rabbi Cohn

A. Romi Cohn has performed more than 35,000 circumcisions, including the latest for a New Albany rabbi's grandson. He watched many Jews lose faith as they saw their families die at the hands of Nazis during the Holocaust, but Cohn held steadfast. Now, at 90, Cohn still expresses his faith in God by performing brit milah, the "covenant of circumcision," which is commonly known as a bris — and helping more Jews enter into a holy covenant with God. Read the full story in the Colunbus Dispatch (may not be accessible from all countries).

Thanks to Tom for sending the link (even though he couldn't access it).


7th May, 2019. Academic news

Women strongly favour circumcised men

From Professor Brian Morris comes the following paper:

Brian Morris, Catherine Hankins, Eugenie Lumbers, Adrian Mindel, Jeffrey Klausner, John Krieger and Guy Cox. (2019) Sex and Male Circumcision: Women's Preferences Across Different Cultures and Countries: A Systematic Review. Sexual Medicine, [Epub ahead of print]
Naturally improved hygiene and protection from disease (particularly HIV) featured highly but women also favoured circumcised men for better sex and preferred the look of the circumcised member. The paper is open access - you can read the abstract at PubMed (with link to the full paper) or go straight to the full paper in Sexual Medicine. (Thanks to regular correspondent JH who also sent in this item).

Brian also sent in another paper which I present without further comment:

Wang, Dong et al. (2019) Dorsal Penile Nerve Block via Perineal Approach, an Alternative to a Caudal Block for Pediatric Circumcision: A Randomized Controlled Trial. Biomedical Research International. doi: 10.1155/2019/6875756.
You can access it at PubMed


25th April, 2019. Circumcision in Belgium

is at an all-time high

"Nearly 15,000 boys are circumcised in Belgium every year, but there is rarely a medical reason for this
Every day fifty boys under the age of fifteen have all or part of their foreskin removed. Most children are not even five years old when they go under the knife. The parents see problems where there are none, says the urologist Piet Hoebeke. In children, it is perfectly normal if the foreskin does not retract over the glans penis. This becomes necessary only when the boys become sexually active."
Kathleen Huys, Uta Neumann

Belgium has one of the highest circumcision rates in the EU, and this is steadily increasing. It would seem that this doesn't please Piet Hoebeke, who has had to take to a German site to air his views. Among his claims are that the foreskin is the size of a postcard and has many sexual nerve endings. A postcard is 15 x 10 cm or 6" x 4". Foreskins are very variable but (as you can verify on yourself or your partner without any cutting) an adult foreskin which covers the glans when flaccid will be about 10 x 5 cm when cut off and unfolded - about a third of the size of a postcard. The 'postcard' claim is common on anti circumcision websites BUT a professional urologist could not possibly believe it - Hoebeke is deliberately peddling fake information. Neither does the foreskin have any sexual nerve receptors - see this paper or many others.

Thanks once again to Tom for this story.


25th April, 2019. Young Briton suicides in Canada

apparently because of his circumcision

The BBC has a sad, and troubling, story about Alex Hardy, a 23-year-old Briton who committed suicide in Canada, where he had been living for five years. He had suffered from severe phimosis, which had prevented him from having a proper sex life. Topical steroid treatment had failed to solve the problem so eventually he was circumcised. So far, so normal. But two years later he killed himself, saying in his suicide note that circumcision had ruined his life.

It is a terrible tragedy, but the story as reported doesn't ring true - there must be more to it. The suicide note seems to have been cut and pasted from an extreme anti-circumcision site. Maybe, once he was able to have sex, he found out that in fact his sexual problems were more deeply rooted, and that left him vulnerable to intactivist propaganda. "These ever-present stimulated sensations from clothing friction are torture within themselves; they have not subsided/normalised from years of exposure," he wrote. "Imagine what would happen to an eyeball if the eyelid was amputated?" OK, but as the urologist Trevor Dorkin, interviewed by the BBC for this article, said. "I always say to guys 'it's going to feel more sensitive to start with' because all of a sudden you haven't got this protection over the head of the penis and it will feel different". But, not for 2 years, maybe 2 weeks. And yet, Alex also wrote about loss of sensitivity in the area of his frenulum. Er - if he couldn't retract his foreskin, how could he know about sensitivity there? And as Dr Dorkin says, in the article, removing the frenulum does not remove the sensitivity of the area.

The BBC article is written from a stridently anti-circumcision perspective, which really doesn't help either Alex Hardy's memory or public health. There is apparently a case pending against the urologist (from other issues) but no evidence that anything was wrong with Alex's circumcision. The BBC also includes a table of circumcision rates which has Britain as the lowest, at 8.5%. This is wrong, a government-funded national survey shows that the circumcision rate is twice that, and increasing - see our United Kingdom page.

Both Tom and Pelagian sent in this story.


22nd April, 2019. More on female circumcision in the US

It remains legal in half of the country

Last November we reported the case of a doctor acquitted on charges of performing circumcision (hoodectomy) on girls of the Bohra Muslim faith. The Federal law prohibiting the operation (except when medically necessary) was deemed to be unconstitutional since it didn't involve trade between states. In America that makes it solely a matter for state jurisdiction. Now the Justice Department has announced that it will not challenge this verdict nor seek to amend the legislation.

The New York Times, reporting this, waxes indignant that they will not modify the law, for example by asking Congress to make it illegal to use the banking system to pay for the operation. (Surely people would simply pay cash in that case?) Why exactly it cannot just be left to individual states is never explained. Anyway, at the moment only 26 states prohibit it.

Tom sent in this story.


20th April, 2019. Where to get circumcised?

Filipino mother doesn't trust 'shady' English clinics

Shawn, an 11-year old Filipino boy in England, is flying to the Philippines for his circumcision. Circumcision is not a popular practice in England, according to Shawn's mother, and scouting for the best clinic led them to several shady places. "I can't imagine how they do it there and how they will do it," she said.

In the Phillipines he will be circumcised by Dr Noel Cruz using a laser cutting device. He explains that there are two popular types of cut. Dorsal slit is done by doing a single incision, removing the top part of the foreskin or excess skin to expose the glans. No tissue is removed in this procedure and leaves a "lambi", as Filipinos would call it. This is also the type of cut for circumcision done in remote areas called "pukpok." Coronal cut, also known as the German cut or clean cut, is done by removing the skin around the circumference of the penis to expose the glans. The remaining skin is then sutured back in a crown like style.

Dorsal slit is the most popular and is also the easiest, Dr. Cruz said, a big percentage of Filipinos have this done but some end up unhappy since the foreskin is still there and it covers the glans when the penis is not erected. Dorsal cut costs 3,500 pesos and coronal cut costs 4,000 pesos at Dr. Cruz' clinic. No mention of what Shawn will have but after the expense of the air fare one expects his mother will fork out the extra 500 pesos for the full cut.

Read the full story at ABS-CBN news. (It is in a rather confusing mix of English and Tagalog.)

Thanks to Tom for the story.


25th March, 2019. Another tragedy in Italy

Ghanaian couple's baby dies after home circumcision

A 5-month-old baby was admitted to a Bologna hospital on the 22nd March after a botched home circumcision, and died soon afterwards. Police are condidering manslaughter charges. This follows a similar incident involving a baby born to a Nigerian refugee woman (see our News item for 28th December).

Circumcision is quite popular in Italy but it is not available in public hospitals, and the cost (€2,000 or more) of a private operation is beyond the means of many migrants. Surely it is time that Italy, like many other European countries, made affordable circumcision available? It is estimated that more than a third of the 5,000 circumcisions performed annually in Italy are by unqualified operators. Curiously in both this report and the December one reference is made to Islam, even though the Nigerian mother was Catholic and Ghana is a predominantly Christian country. Perhaps Italians think they can absolve themselves of responsibility by blaming it on Islam.

Read the full story at the BBC.

Both Tom and JH sent in this story.


20th March, 2019. Run for President of the USA on an anti-circumcision platform?

Andrew Yang seeks to get every possible minority group on board.

Outsider Democrat presidential candidate Andew Yang "appears to be the first presidential candidate in history to take a public position on circumcision." “I’m highly aligned with the intactivists,” Yang said. “History will prove them even more correct.” But then, his campaign has tried to get every possible minority group on board. The trouble with this particular stance is that it hugely resonates with the neo-Nazi alt-right - not comfortable bedfellows for a Democrat.

Quotes are from the Daily Beast, where you can read the full story. There is a hilarious discussion about it on Vice which readers outside the US will find pretty hard to follow.

Thanks to Tom for the story.


24th February, 2019. Whose fault was it?

Malysian boy gets no compensation for mutilation.

Nine years ago a medical assistant at a Malaysian hospital carried out a circumcision at a private home which went horribly wrong and the boy's penis head was amputated. He was taken to the hospital where the circumciser worked and they sent him to a secomd hospital who carried out surgery but did not reattach the penis head. Last year the mother filed suit against the circumciser, both hospitals and the Malaysian government. The court threw out the claims against all except the medical assistant on the grounds that they were not involved in the accident. The case against the circumciser will be heard on March 13th. Of course the problem is that he will never be able to pay adequate damages, so the mother is appealing the decision.

Moral - don't try to save money by having a backyard circumcision by an unqualified operator, even if he does work at a hospital.

Read the story in the New Straits Times.

Thanks to Tom for the story.


9th February, 2019. Should all male MPs be circumcised?

Time to set a good example.

Jackline Ngonyani, a female Tanzanian MP has called for checks to determine whether or not her male colleagues have been circumcised. Any MPs found not to have been circumcised should be required to undergo the procedure. The call was made during a debate about measures to limit the spread of HIV in the country. Male MP Joseph Selasini supported the proposal but others were not so keen. Tanzania has a circumcision rate of about 70% so presumably a substantial minority of members in the chamber would need to get the snip. About 5% of the Tanzanian population is HIV positive.

Read the story at the BBC.

Thanks to Tom for the story.


22nd January, 2019. Fill the gap in the liturgical story

Austrian theologian urges the Vatican to bring back the Feast of the Circumcision

Luke's Gospel, chapter 2 verse 21, tells the story of the circumcision and naming of Christ. As Jewish law reqires, it took place on the 8th day after his birth (7 days later in more modern reckoning). This puts it on the 1st of January, and for centuries Christian churches have celebrated this occasion. Most still do, but for some reason in 1969 the Catholic Church renamed the day the Solemnity of the Mother of God. Now Viennese theologian Jan-Heiner Tück, writing in the Neue Zürcher Zeitung (the premier Swiss quality newspaper) urges the Church to reinstate the original name and "fill the gap" in the Church's commemoration of the life of Christ. He also points out that by reminding us that Jesus was Jewish it represents a stand against racist extremists on both sides of politics.

Will Tück get his way? He refers in the article to the visit of Pope Francis to the Roman Synagogue in 2016. The Pope was asked "didn't he want to reintroduce the feast of the Circumcision of the Lord", and answered: "A good idea". So maybe it will happen.

Read the story in the Vatican News (in German, but a nice photo of the Pope in the Great Synagogue). Note that Vatican News spells the newspaper's name incorrectly. The link to the original article in Neue Zürcher Zeitung is here - also in German, but Dr Google can help. And there is a great 1470 painting of the Circumcision of Christ.

Thanks to Tom for the story.


21st January, 2019. Hebrew Dogs, anyone?

Wrap up your kosher sausage in a nice blanket.

Hebrew Dogs OK, I thought that this was a joke but regular correspondent JH assures me that this is a real product and available at his local Wal-Mart. Maybe US readers can check to see if I'm having my third leg pulled here!

Added 28th Jan:
Yes, they are real and have apparently been making kosher hot dogs since 1905. And they are well aware of the joke potential ... their website tells us they are 'a cut above the rest' and invites us to join in a 'frank discussion'!

11th January, 2019. Making replacement foreskins for circumcised men from ...

... er, circumcised foreskins.

They say when the going gets weird the weird get going and you really can't get weirder than this. You already know you are in fruit-loop territory with their depiction of the (detached) foreskin which includes the 'ridged band', a structure which is only visible to anti-circumcision activists. (It was invented by Cold and Taylor in 1999 based on a Japanese ritual drawing and, well, subsequent dealers in fake news don't need to look for themselves, do they?)

The entire paper is full of alt-facts, but the basis of it is the idea of stripping a human foreskin of its cells, leaving just a scaffold of connective tissue. This can then be repopulated with cells from the recipient (actually they didn't get that far, in fact nowhere near) and used to provide a replacement foreskin for a circumcised male. So you are circumcising one man to give a foreskin to another. I don't get it - if circumcision destroys sexual satisfaction, as they claim, where does this get you?

The paper is open access at Pub Med Central.

Thanks to JH for the link.


1st January, 2019. When the circumcision rate reaches 180%, what do you say?

Circumcised ghosts stalk Kenya.

It would seem that the VMMC program in Kenya is being rorted, and more circumcisions are being carried out than there are men and boys available. That way the clinics get more money. At least ghost circumcisions don't injure anyone!

Read the story in the Kenyan Standard.

Thanks to Tom for the story.


1st January, 2019. Gomco or Mogen?

Seems there's nothing to choose between them.

It appears that virtually all hospital neonatal circumcisions in the US are done either with the Mogen or the Gomco clamp, and both are roughly equal in popularity. (Curiously, it was reported that a 2010 lawsuit had led the Mogen company to be wound up - see our Instruments and Techniques page. Presumably someone else has taken over manufacture. Two consecutive short papers in Hospital Pediatrics present results from thousands of neonatal circumcisions. Both are free downloads. There is also a summary in Medscape - this is free but requires you to sign up.

With both devices, the only complication reported was bleeding and in almost all cases this was controlled either by pressure or a topical anti-bleeding agent. (Bear in mind here that with most other circumcision techniques bleeding is not a complication but inevitable). 0.47% of circumcisions required revision, either for excess prepuce remaining or adhesions - many adhesions were resolved non-surgically. Conclusions - circumcision in the US is a safe procedure whichever device is used.

Thanks to Tom for the story.


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