Male Circumcision

Jacobs, A.

doi:10.1007/978-3-030-87698-2_14

Cited by 3 publications

(1 citation statement)

References 53 publications

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“…Male circumcision (MC), the surgical removal of the penile prepuce, is associated with traditional, religious, ethnic, and cultural practices [ 1 , 2 , 3 ]. It is also executed to address medical conditions such as phimosis and redundant prepuce.…”

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confidence: 99%

A Retrospective Taiwanese-Population-Based Clinical Study on Determining the Efficacy and Safety of Disposable Circumcision Anastomat

Chou

Laih

2022

JCM

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Traditional approaches for male circumcision are tedious and could lead to complications such as peri-/postoperative pain, bleeding, and infection. Thus, for the first time, we investigated the surgical outcomes of recently the discovered Disposable Circumcision Anastomat Type A (Dongguan ZSR Biomedical Technology Company Ltd., China), a disposable circumcision suture device (DCSD), in terms of the operation time, surgical complexity, safety, satisfaction, and aesthetic outcomes and most importantly the prognostic factors for postoperative infection. A total of 394 individuals were circumcised, with a mean age, body mass index (BMI), stretched penile length (SPL), and penile circumference of 30.1 ± 7.05 years, 25.47 ± 4.73, 10.12 ± 1.61, and 7 ± 0.73 cm, respectively. Associated comorbidities included diabetes mellitus (6.09%), hypertension (2.03%), gout (1.02%), end-stage renal disease (ESRD, 0.25%), and HIV (0.25%). The mean operation time, average postoperative bleeding, and wound infection rate was 31.4 ± 9.96 min, 2.54%, and 9.39%, respectively. The mean VAS postoperative pain scores at D0 and D1 were 4.4 ± 2.4 and 1.9 ± 1.6, respectively. Moreover, 1.27% of subjects required reoperation, and a 2.03% rate of instrument malfunction was noted. The significant factors associated with the post-operative infection group were age (p = 0.0313), BW (p = 0.0081), BMI (p = 0.0026), penile circumference (p = 0.0343), and DM (p ≤ 0.001). Multivariate analyses revealed only DM as a statistically significant factor (p < 0.001). Our box–whisker plot revealed no significant difference between the HbA1c level of infection (Hb1Ac = 7.77 ± 1.39) and non-infection groups (Hb1Ac = 6.92 ± 1.84). However, a trend of higher glycemic index in the infection group was observed. Conclusively, DSCD could be an effective and safe alternative to performing circumcision. However, in the population with advanced aging, phimosis, elevated BMI, and DM (HbA1C > 9%), users should be highly cautious due to the increased risk of infection, dehiscence, and hematoma.

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Section: Introductionmentioning

confidence: 99%

A Retrospective Taiwanese-Population-Based Clinical Study on Determining the Efficacy and Safety of Disposable Circumcision Anastomat

Chou

Laih

2022

JCM

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Against legalising female ‘circumcision’ of minors: a reply to ‘The prosecution of Dawoodi Bohra women’ by Richard Shweder

Earp

2022

Global Discourse

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Defenders of male circumcision increasingly argue that female ‘circumcision’ (cutting of the clitoral hood or labia) should be legally allowed in Western liberal democracies even when non-consensual. In his target article, Richard Shweder (2021) gives perhaps the most persuasive articulation of this argument to have so far appeared in the literature. In my own work, I argue that no person should be subjected to medically unnecessary genital cutting of any kind without their own informed consent, regardless of the sex characteristics with which they were born or the religious or cultural background of their parents. Professor Shweder and I agree that Western law and policy on child genital cutting is currently beset with cultural, religious and sex-based double standards. We disagree about what should be done about this. In this commentary, I argue that ‘legalising’ childhood FGC so as to bring it into line with current treatment of childhood MGC is not an acceptable solution to these problems. Instead, all medically unnecessary genital cutting of non-consenting persons should be opposed on moral and legal grounds and discouraged by all appropriate means. Key messages <ul><li>Under current legal norms, children with female-typical sex traits, male-typical sex traits, and intersex traits are treated fundamentally differently when it comes to protection from medically unnecessary, non-consensual genital cutting</li> <li>Defenders of non-consensual male circumcision increasingly argue that non-consensual female ‘circumcision’ should be legalized in Western liberal democracies</li> <li>Advocates of children’s rights counter that all non-consenting persons, irrespective of their sex-characteristics, should be protected from medically unnecessary, non-consensual genital cutting</li> <li>An emerging view is that non-consensual child genital cutting of any type is already contrary to criminal law, constituting physical assault and battery; parents cannot legally “consent” to the physical assault of their children</li> <li>Nevertheless, questions remain about the prudence of applying criminal sanctions (at least in the immediate future) to parents or providers who authorize or perform child genital cutting</li></ul>

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Sünnet Sonrasında Çocukların Duygusal Stres Yaşama Durumunun Belirlenmesi

Çimke

ARAS²

2023

Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi

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Amaç: Bu çalışmada, sünnet sonrasında çocuklarda duygusal stres yaşama durumlarının belirlenmesi amaçlanmıştır. Materyal ve Metot: Araştırma tanımlayıcı, bir araştırma olarak tasarlanmıştır. Araştırma verilerinin toplanmasında klinikte sünnet olan ve araştırmaya dahil edilme kriterlerini sağlayan çocukların ebeveynlerine, sünnettin üzerinden 1 ay geçmiş olan ebeveynlere online olarak hazırlanmış olan anket formu gönderilerek çalışmaya katılmaya davet edilmiştir. Araştırma Ekim 2021- Şubat 2022 tarihleri arasında yapılmıştır. Araştırmaya 228 gönüllü ebeveyn katılmıştır. Araştırmanın verilerinin toplanmasında çocuk ebeveyn tanıtım bilgi formu ve Çocukluk Çağı Travma Sonrası Duygusal Stres Ölçeği (ÇÇTSDSÖ) kullanılmıştır. Bulgular: Çocukların %93,90’unun sünnet olması için tıbbı bir gereklilik olmadığı belirlenmiştir. Sünnet sonrası en sık yaşanan fiziksel semptomların ağrı (% 86,0), yara yerinde şişme (% 63, 60) olduğu belirlenmiştir. Çalışmada ÇÇTSDSÖ puan ortalaması … bulunmuştur. Sünnet sonrası ağrı, kanama ve şişme semptomları yaşayan çocukların ÇÇTSDSÖ puanları semptom yaşamayan çocuklardan yüksek olduğu belirlenmiştir (p=0,022; p=0,002; p=0,030). Çalışmada sünnet öncesi işleme hazırlanan, sünnetten önce ve sünnet günün doktoru ve hemşiresi ile tanıştırılan çocukların ÇÇTSDSÖ puanları diğer gruplardaki çocuklardan anlamlı şekilde düşük olduğu saptanmıştır (p=0, 009; p=0,013; p=0,029). Sonuç: Sünnet kültürel, dini ve tıbbı yönleri olan çok boyutlu bir olgudur. Bu nedenle sünnetin etkileri değerlendirilirken toplumsal özellikleri göz ardı etmemek gerekir. Çalışmamızda çocukların sünnet sonrası duygusal stres yaşama durumlarının yüksek olmadığı belirlenmiştir.

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Male Circumcision

Cited by 3 publications

References 53 publications

A Retrospective Taiwanese-Population-Based Clinical Study on Determining the Efficacy and Safety of Disposable Circumcision Anastomat

A Retrospective Taiwanese-Population-Based Clinical Study on Determining the Efficacy and Safety of Disposable Circumcision Anastomat

Against legalising female ‘circumcision’ of minors: a reply to ‘The prosecution of Dawoodi Bohra women’ by Richard Shweder

Sünnet Sonrasında Çocukların Duygusal Stres Yaşama Durumunun Belirlenmesi

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