Medical association abandons proposed ban
|The College of Physicians & Surgeons of Manitoba issued a draft policy that various minor procedures could only be performed in a hospital or clinic. This included circumcisions.|
This would have left Jewish families who want to have a traditional home ceremony only able to use a mohel who was not a medical doctor. Does that meake sense? The state's chief mohel, who is a member, didn't think so, and neither did other Jewish community leaders. The policy has now been changed.
Read the story on Arutz Sheva, Israel National News. Thanks to DP for the link.
In spite of their efforts the circumcision rate remains high.
A contributor who wishes to renain anonymous has drawn our attention to a press release from Intact America - "Having a baby boy? Get ready for the circumcision sellers". It makes rather nonsensical claims about mothers being given a 'hard sell' for circumcision.
Our correspondent has analyzed their data.
According to their survey, over the past 4 years in the US:
94% of mothers were asked about circumcision for their newborn son
78% of those asked chose to circumcise
45% of those not asked chose to circumcise
71% of mothers said they would have asked about circumcision without prompting
This equates to roughly a 76% Circumcision rate in the past 4 years across all American states
This is much higher than the 50% figure widely quoted. And note that in spite of the hard sell claim, the vast majority of mothers would have sought advice anyway.
The Complete Jewish History of the World's Greatest Hero
This new book, by Roy Schwartz, looks at the Jewish origin of Superman, created in 1938 by two Jewish teens, Jerry Siegel and Joe Shuster. Superman was destroying Nazi tanks years before the US entered WWII. Schwartz draws parallels between Jewish history (both Biblical and mythical) and the Superman story.
um, err, well ........
|A group of medical scientists in Shenzen, China, have developed what they call a "phimosis dilatation retractor for children". This Heath Robinson (or Rube Goldberg) device appears to be made from a tap washer and bent paper clips.|
In use the prongs are inserted under the foreskin to stretch it. "Children suffering from phimosis should wear the retractor for at least seven to fourteen days, with 1 to 2 h each day. Besides, these children should pull back their foreskins to the point that the corona of glans penis is exposed each day." But if they can do that why do they need the retractor? Nevertheless the device has been patented and is apparently going to be manufactured.
The paper, in the World Journal of Clinical Cases, is open access. You can read the PubMed abstract here or the full paper here. Thanks to JH for the link.
an antique Aboriginal Australian circumcision knife.
We have run items about circumcision devices for sale on ebay before, but this is something different, a knife used in tradiitional initiation ceremonies.
The knife is made of quartz, coloured with red ochre and with a handle of tree resin. It is being advertised on ebay and at the time of posting bidding is at $AU122.50 - about $90 US. There are four and a bit days to go so it is likely to go higher. If one of our readers buys it please let us know using the link at the top of this page.
Circumcision was practised over most of Australia except for the south-east corner (where Sydney and Melbourne are today). It was (and in some places still is) carried out when a boy was about 10 years old. Take a look at our page about Australia, ancient and modern.
Thanks to regular correspondent AM for alerting us to this item.
How about a temporary circumcision?
Remember 'Feelcut'? This was a procedure of taping up the penis to mimic circumsion, promoted on this site under the previous editor. Now a German company has commercialised the idea with Yvex, a sleeve that you put on your penis to hold the foreskin back. The promise is longer-lasting sex. It claims to offer the benefits of circumcision while being totally reversible.
The Yvex site promises "Naturally longer sex through glans desensitisation" but in fact there is no solid evidence that circumcision has any such effect. The site is in German but here is a translation of the introduction:
Being able to have longer sex through natural desensitization
By wearing yvex® love longer, the foreskin of the penis is kept in a retracted state during the day. Thus, the glans is exposed and is no longer covered by the foreskin. This can be compared to the anatomical condition of a circumcised man. The glans, which is covered with numerous nerve endings, is now exposed to minor but constant stimuli, for example through contact and friction with clothing.
The reduction of the hypersensitivity of the glans achieved after a few days of wearing leads to a lasting delay in the climax during the act of love.
So what is the device? It's a latex sleeve that you roll over your retracted foreskin to keep it back. You wear it only during the day and use a fresh one next day. One has to wonder how long it takes before the expense equals the cost of circumcision.
Thanks to Dutch correspondent Woody for the link.
You are in luck if you are a boy in Cavite Province, Phillipines.
The most popular way to boost morale in the Phillipines seems to be to announce a free circumcision project and the governor of Cavite province has announced just that. Cavite is these days mostly a dormitory area for Manila's sprawl and has a population of over 3 million so there should be plenty of boys keen to take up the offer.
“This afternoon I will call all mayors to organize a free circumcision drive. This will follow anti-COVID guidelines such as social distancing, crowd control, and the rule that children below 18 years old are not allowed to leave their homes,” Governor Remulla said. (The prohibition on children leaving their homes seems a bit strange given that they are at the lowest risk of contracting COVID, but the Phillipines is having a surge in cases.) Probably these circumcisions will be done in dedicated circ-mobiles (see our item on 1st July, 2020) rather than in the boys' homes.
The report comes from Coconuts. Thanks to DC for the link.
we assume it failed. Confirmed - it was rejected.
There has been a move in Denmark to ban non-therapeutic (i.e. religious) circumcision, and it has been covered in this column before (see our item on 1st January). In Denmark if a borgerforslag (citizens' petition) gets 50,000 signatures Parliament is obliged to debate it. This finally happened on Monday May 10th. (Coincidentally the 76th anniversary of VE Day, the day when surviving Jews in German-occupied Europe were formally freed). Since the major parties were all voting against the bill it was expected to have no chance of passing. We have delayed posting this item in the hope of confirming this, but have heard nothing. If any reader has information please contact us by the link above. However, if it had passed there would surely have been a storm of protest.
The latest report we have is The Local, posted just before the vote. You can read an older, but more detailed, article in CPH Post. Thanks to Tom for the links and Michael Barrett, editor of The Local, for the confirmation.
How much for a pill - or a circumcision?
The Centers for Medicare & Medicaid Services (CMS) now require US hospitals to make public their standard charges (known as chargemasters) for routine items. The hospitals are obviously not happy since they deliberately use varying names for the same procedure to hinder automatic comparison. One can see why. A group of academics at the University of Texas set out to do a manual comparison and the results defy belief. How about a difference of 18,617% between prices for one pill (5-mg tablet of amlodipine: $0.23-$43.05)? For circumcision charges ranged from $252 to $7,532.10, a 2,889% difference. Understand that this is just within Dallas County Tx! Not surprisingly, the authors conclude "Refining the minimum requirements for publishing chargemaster data could increase their utility." Obliging hospitals to use a standard list of items would seem to be the obvious step.
Read the abstract at PubMed. The full text requires payment but really it's all there in the abstract. Thanks to JH for the link.
Moroccan man presents with necrotic foreskin
A 30-year-old man suffered from phimosis. He was unable to have sex but too embarrased (and impecunious) to see a doctor. So he decided on a self-circumcision despite never having never seen the operation performed, and having no idea how it was done. A month later he fronted up to hospital. Fortunately the doctors were able to salvage the situation and the man ended up with a nice two-tone circumcision. (He is very dark-skinned, obviously originally from somewhere further south).
Bulgarian Muslims hold their pre-Ramadan feast.
Bulgarian Muslims decided that despite COVID they could hold their traditional 4-day festival before the beginning of Ramadan, since most of the festivities take place outdoors. Hundreds gathered in the picturesque mountain village of Ribnovo for feasting, singing, dancing - and circumcision. Bulgarian Muslims circumcise their sons in infancy, and 80 baby boys lost their foreskins - with much ceremony - this year.
Read the full story at Associated Press. Thanks to Tom for the link.
Three million circumcisions.
Phase 1 of the Zambian VMCC rollout circumcised three million men between 2007 and 2020. Health Minister Jonas Chanda estimated that this prevented 26,000 new HIV infections in his speech lauching the next phase of the rollout.
To put this in perspective, while we in the West are all concerned about the COVID pandemic, in Zambia AIDS is the major killer with a death rate of about 20,000 per annum. In Zambia there have been 87,872 cases of COVID and just 2,100 deaths. (Incidentally a fatality rate of 1.36% - much lower than in the UK. So much for the NHS.)
Read the report in the Zambia Daily Mail. Thanks to regular contributor DC for the link.
He reintroduced cirumcision to the Zulu people.
King Goodwill Zwelithini, the hereditary ruler of the Zulu people, died on 12th March from complications of diabetes. He was 72 and had ruled for almost 50 years. He had no formal authority in South Africa but wielded huge influence over his people, with whom he was extremely popular. He leaves behind 6 wives and 28 children (!)
The Zulu nation had traditionally practiced circumcision but King Shaka banned it in the early 19th century - see our South Africa page. Faced with the HIV crisis King Goodwill removed the ban, but only allowed medically performed circumcisions, which were strongly promoted.
A recent paper by Christina Oetzmann von Sochaczewski (there's a name to conjure with) looks at trends in circumcision and other foreskin operations in Germany. (Other operations include dorsal slit, plasties, cutting the frenulum and separating adhesions.) The overall trend for all operations was down, though infant circumcisions (a small proportion of the total) were pretty constant and, curiously, non-circumcision operations on infants under 1 year increased substantially. Another interesting point was that circumcision was the preferred option for boys under 5 and over 15, while the conservative options were more common in boys aged 5-14. Like the US study we featured on January 28th, this paper only covers hospital operations and the authors admit that many others take place in clinic and office settings.
The paper is open access at BMC Urology. Thanks to JH and JT for sending in this one - on the same day.
what would you like cut, your hair or your penis?
Panglao Island in the Phillipines is suffering. Its main income is from tourism and COVID means that this has pretty much dried up. To provide some cheer on Valentine's Day the 47th Infantry Battalion of the Philippine Army paid the island a visit giving food and gifts to children and also offering free haircuts and circumcision to the boys. The team was able to distribute food packs and gift treats to 200 children and 40 youngsters were circumcised with the help of Dr. Estrella Lim.
Read the story at Page One. Thanks to DC for the link.
seems to be missing its target.
A February 2021 article in UNAIDS bemoans the fact that the 2020 target of 25 million circumcisions in the 15 priority African countries is not going to be met. The program started off well but is now faltering. They point out that male circumcision provides 60% protection against female-male transmission of HIV. That's as good as some of the COVID vaccines - ed.
Thanks to DC for the link.
would you like your penis enlarged at the same time?
A group of Italian urologists and plastic surgeons have developed a method of adult circumcision which takes only a few minutes longer than the standard operation and - they claim - gives a modest, but significant, increase in penis size. The idea is that after cutting off the foreskin they completely retract the shaft skin, exposing Buck's fascia (the inner penis shaft) and severing all the loose connections between the shaft and the skin. The skin is then pulled forward again and sutured in the normal way. Of the 36 patients, one apparently gained 2 cm in length but the mean was just 7 mm. 5 gained only in girth. A complication rate of 13 patients out of 36 seems a bit worrying, though all resolved spontaneously.
Slight decline - but that's not the whole story
A recent paper in the Journal of Urology looks at circumcision rates before and after 2012, when the American Academy of Pediatrics changed its position and recommended the procedure. Overall 55% of boys were circumcised, with a decrease over time though there was no significant difference before and after the AAP policy change. "The rate of neonatal circumcision varied widely by region, race and socioeconomic status" being highest among whites with private health insurance. The authors comment "Among some populations access to neonatal circumcision has become increasingly limited despite evidence of its benefits."
To put this into perspective Medicaid, the public insurance system in the US, is administered by state governments and some have decided to remove benefits for neonatal circumcision. This doesn't mean that infants in those states don't get circumcised, just that those without private insurance tend to get it done as an outpatient procedure after discharge. See our news item for 18th October 2020 (scroll down to find it).
The paper is Nationwide Circumcision Trends 2003-2016 and you can read the abstract at the Journal of Urology - access to the full text requires payment. Thanks to our regular correspondent JT for the link.
VR headsets as distraction during circumcision - for the mother!
In Turkey boys are circumcised some time after age 5. Apparently this is more stressful for the mother than the child - really? An article in the International Journal of Nursing Practice "The effect of virtual reality on mothers' anxiety during children's circumcision: ..." describes an experiment where 30 mothers were shown video on VR headsets during their sons' circumcision while 30 others were not. One one measure the 'VR mothers' showed less signs of stress, on another there was no difference. One might think that if the mothers were not going to see the procedure a sweet cup of Turkish coffee and a cake would have been better stress relievers than a video. Also, a video might have been an effective distractor for the boy.
You can read the abstract at PubMed. The full paper is behind a paywall. Thanks again to both JH and Brian Morris for sending in this item.
Comprehensive African study debunks the myth
One line peddled by opponents of the African VMCC programme is that the sense of immunity that circumcision confers will lead young men to take more risks in their sex lives. This is really extraordinarily demeaning to Africans, implying they are little better than animals. Previous studies have suggested that this was untrue, and now a substantial, prospective, study in the South African Journal of HIV Medicine: "Sexual risk compensation following voluntary medical male circumcision: Results from a prospective cohort study amongst human immunodeficiency virus-negative adult men in Botswana" by Lisa Spees and colleagues confirms that the myth is just that.
Now there is a split in the neo-Fascist DF party
A Danish task force was set up to report on guidelines for infant and child circumcisions, but the Danish Pediatric Association withdrew from it for strange reasons. Surely they should be promoting circumcision? Do they like seeing baby boys suffering from urinary tract infections? More cynically, perhaps they see more money in treating UTIs than in performing circumcisions. Now the citizen petition to ban circumcision of under-18s, first launched some years ago, has finally reached parliament. But the far-right populist DF party has split, since some members want to permit Jews to follow their religion, but not Muslims! The mainstream Social Democrat party opposed the ban, so it will not pass.
Read the whole sorry story in the Fair Observer. Thanks to DC for sending in this item.
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