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Circumcision and phimosis stories: 'i'm scared of my own penis'
Some of Pete's sexual partners have been "curious about why I'm not like most other guys". This is because his own son was advised to have a circumcision, rather than use steroid cream. His son's foreskin did not retract as he got older, so Marvin took him to a doctor when he was He was then referred to a consultant at ren's hospital. About eight weeks later, the problem was resolved.
He said it was "a huge success" for him and wanted to make other men with phimosis aware of it.
He was referred to an NHS urologist who told him the options were "nothing, stretching, circumcision or frenuloplasty". The procedure involves surgically lengthening the frenulum, which is the band of tissue where the foreskin attaches to the under surface of the penis. Barry dropped a stitch after his operation which led to some "scary bleeding" but this stopped on its own.
He initially regretted it, but says sex is now more enjoyable than before. My girlfriend remained outside throughout this but heard my screams. It bled during sex inso he circumcixion to see a urologist who advised him to get circumcised.
Chat Participant: What's controversial about this issue? Swanson: The controversial issue that the task force focused on was "Are there medical benefits for having a circumcision? We reviewed the medical studies over the past 40 years and the studies all show that there are some benefits in preventing urinary tract infections in the first year and in cancer of the penis in adult men, and in sexually transmitted diseases in men. But the s are small enough that we did not feel that this was compelling enough that circumcision should be done to all boys to prevent these occurrences.
Chat Participant: It is a man's body, so he should have the say in what happens to it. Swanson: Parents decide on circumcision for reasons other than medical ones. These include religious and cultural reasons.
A lot of controversy is directed towards whether a boy should wait to make the decision himself or whether a parent should make that decision. As long as an ethicist feels that it is appropriate for parents to make that decision, boys will be circumcised for non-medical reasons. Another important thing that the task force found corcumcision that infants experience pain and probably remember pain. If a boy is circumcised, anesthesia should be provided.
Currently only about half of the circumcisions that are performed in the United States use pain relief. We think that is unacceptable. The other important issue is that because of the important choices that parents have, if they are considering circumcision they should circumcisiin to a physician and get unbiased information so they can make their own choice. Chat Participant: Is the of circumcisions being done going down? Will uncircumcised boys be less in the minority?
Swanson: That's a hard question to answer. Because it's hard to predict, that well may be the case. The s of circumcisions have actually been declining in the last 30 years, from an estimate of 90 percent in the 's to about circumvision percent now. That's even lower in certain areas of the country; in the western part of the United States it's 50 percent or less.
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I would assume they would go down further for individual decisions parents have to make to do circumcisions. It's hard to predict if that will be the case. Chat Participant: Are there documented advantages to not being circumcised? Swanson: We looked for medical and psychological reasons to be uncircumcised.
What is circumcision?
There are no good studies that actually give that answer. There is a lot of subjective testimony that sexual feelings are greater in an uncircumcised male, but there's really no clinical documentation to that, in either the medical or psychological literature. There's a risk, but a low risk, of complications from circumcision. That's usually one every to operations.
And there are rare cases of more serious complications, as can occur with any surgery, such as more severe infections. Chat Participant: Comment on female vs. Swanson: One of the comments that has been raised is equating male circumcision with female circumcision, the latter of which the Academy strongly opposes. There are well-known medical harms shown from female circumcision, including the inability to normally deliver a baby, but, at the moment, any long-term medical complications of char circumcision are not known.
Again, a lot of that is an ethical argument, and from the medical standpoint the two don't seem to be comparable, at least with the current knowledge. Chat Participant: Why do you perform surgery on healthy tissue?
How to talk to your parents about circumcision
Is this logical? Swanson: Some people feel that it is logical, and some people feel that it is not logical. It depends on their orientation from a non-medical reason for choosing circumcision. Chat Participant: Why is it considered ethical by the American Academy Pediatrics to inflict pain unnecessarily circumcisioj an infant? Swanson: It's not, and that's why we're recommending analgesia to be performed during the surgery to prevent the pain.
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Studies to show that proper analgesia will prevent the pain. Chat Participant: Why does the AAP support unnecessary infliction of risk of infection, risk of death? Swanson: The complication rate, as I mentioned earlier, is one in two hundred to five hundred cases and usually involves minor bleeding or infection. There have been more serious complications from surgical amputations in part of the penis, to severe infections, including the penis in general.
Chat Participant: I recall hearing about a case in Ohio where a boy died following circumcision late last year. Swanson: I'm not aware of any deaths, but I cannot rule out that that has ever occurred. Chat participant: Does circumcision completely prevent the possibility of penile cancer?
Swanson: The studies are somewhat conflicting, but it appears that there are cases of penile cancer in circumcised men as well. Some studies showed none and some studies showed some. Our feelings are that cancer does occur in circumcised penises as well. The total of cases of cancer in an uncircumcised man is quite low, approximately one in every one hundred thousand men.
It's estimated circumcisio the chance may be three times greater for uncircumcised men versus circumcised. circumcjsion
The fact that this is such a rare cancer is the reason we felt it is not justified to perform the surgery on everyone to prevent cancer of the penis. Chat participant: Circumcjsion happens if 's foreskin does not pull back by the age of six? Swanson: In fact, 90 percent of foreskins are retractable by age five. There are rare times when foreskins do not retract, and that's called phimosis.
That's rare, cirucmcision it can occasionally lead to problems such as foreskin infections and require some kind of corrective surgery, either a partial or full chhat at an older age than infancy. Properly cared for, uncircumcised children, in general, do not have problems with hygiene or ificant infections. Chat participant: On a scalehow would your rate the benefit of being circumcised? Swanson: Well, as far as medical benefits go, it would be low.
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I would rate it a one. Chat participant: Do you oppose circumcision, or what?
Swanson: I think that circumcision is appropriate if the parents desire that their circmcision be circumcised for reasons that are not based on medical indications. Chat Participant: What made you choose this specialty over other medical fields? Swanson: I enjoy working with children, and the practice of pediatrics appealed to me when I dircumcision in medical school. Chat Participant: Dr. Swanson, do doctors benefit financially from circumcisions? Swanson: Doctors charge for circumcisions, and for that reason that is part of their income.
I guess that doctors' medical decisions should reflect their patients' interest and not their financial interests, and, hopefully, the majority of doctors make decisions based on their patients' well being.