Male circumcision for prevention of homosexual acquisition of HIV in men

Abstract

Current evidence suggests that male circumcision may be protective among MSM who practice primarily insertive anal sex, but the role of male circumcision overall in the prevention of HIV and other sexually transmitted infections among MSM remains to be determined. Therefore, there is not enough evidence to recommend male circumcision for HIV prevention among MSM at present. Further research should be of high quality and further explore interaction with the predominant sexual role.

CUA guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants

“…Most MSM are likely to be infected through a receptive rather an insertive role, which would further dilute the effects of MC in this population. In a Cochrane review by Wiysonge et al, including 21 observational studies (6 cohort, 14 cross-sectional, 1 case-control; 71,693 participants) were analyzed to assess the impact of circumcision for preventing HIV infection in MSM males the risk for HIV acquisition was not associated with MC (OR 0.86, 95% CI 0.7-1.06) [76]. In a subgroup analysis of men reporting an insertive role, MC was found to be protective (3465 participants; OR 0.27, 95% CI 0.17-0.44).…”

Nontherapeutic Circumcision of Minors as an Ethically Problematic Form of Iatrogenic Injury

“…In Western countries, HIV primarily infects men who have sex with men, a cohort that has not been reliably proven to be protected by NTC [41,42]. In any event, as Frisch et al state, "sexually transmitted HIV infection is not a relevant threat to children" [43].…”

Case Report on Role of Circumcision in Controlling of HIV, Cervical, Genital Diseases

“…They considered that it was because of contrasts in the criteria of circumcision utilized by the doctors. The way that surgical circumcision had been performed was of less significance than the genuine measure of prepuce evacuated [4][5][6][7] (Table 1).…”