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Ann Binlot /

CBS News/ March 7, 2011, 11:01 AM

Circumcision: Beneficial or genital mutilation?

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(CBS) Is circumcision a key to better health for men and women - or a form of genital mutilation?

An anti-circumcision activist in San Francisco, Lloyd Schofield, goes with the latter view, saying that removing the male foreskin - a coveted ritual in Judaism and Islam - causes "excruciating pain, nerve destruction, loss of normal, natural and functional tissue, infection, disfigurement and sometimes death," according to his website, sfmgmbill.org.

Schofield is so convinced circumcision is a bad idea that he's collecting signatures to put a measure on San Francisco's fall ballot that would ban the practice there.

What do health experts say?

Men who have been circumcised have a lower risk for infection with HIV, the virus that causes AIDS, according to the Centers for Disease Control and Prevention. In addition, circumcision seems to offer some protection against genital ulcer, Chlamydia, and penile cancer.

HPV: Are circumcised men safer?

Infants do experience pain during circumcision, according to the American Academy of Pediatrics. But, the organization says, it's not significant and has no lasting effect.

As for circumcision's effects on sexual function, several studies conducted among men after adult circumcision suggest that few men report their sexual functioning is worse after circumcision. Most report either improvement or no change, according to the CDC.

"People care way too much about this little piece of skin," Dr. Mark Alanis, assistant professor obstetrics and gynecology at the Medical University of South Carolina in Charleston, who has written a history of circumcision, told the Washington Post. "At the end of the day, it's unlikely to significantly change your child's life for better or worse."

© 2011 CBS Interactive Inc. All Rights Reserved.
42 Comments Add a Comment
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All_I_HAVE_TO_SAY says:
You must also consider it is just skin they are taking away. Skin heals amazing fast. Since it prevents future problems listed in my previous post and throughout the posts, why not? Lets not vaccinate any of our kids for anything because it could cause something or they could have a very unlikely adverse reaction. If they want to be vaccinated let them do it as adults. It can be painful and even make ya feel a bit sick for a few days and who knows what unlikely situation could arise. If they want to be vaccinated let them decide for themselves when they are 18. Sounds kind of stupid doesnt it. When gathering information look to see where it is coming from because if you are looking at a anti-circumcision (or even pro) they choose where to collect data and how to word it carefully. Instead find a neutral site and you will see.
One study in the Midwest of the U.S. found that this had no effect on the newborn circumcision rate but it did affect the demand for circumcision at a later time. and also, the reason the rate of circumcision is going down has to do with less public funding by medicaid. But they will do it for therepeutic reasons so the later demand costs even more and is more painful cause it is usually infected.
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paulkjames replies:
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Having sex with someone, where you could catch something, is an adult decision...how is circumcision preventing childhood sexual disease like vaccination.
STD's let's see, I dont' know of any uncircumcised kids contracting std simply because they weren't. However, a mohel in NYC gave at least 3 kids herpes, one dying. Because they had to put their mouth on the boy to suck the blood. Now they use glass rods...Or they get a urinary tract infection...that's nothing compared to what can happen with botched unecessary surgery.
Circumcision is doing nothing to protect except to protect men who have been cut from feeling the burn. They are not whole, they don't look like or function like a guy who is natural.
And far as dissese, it's throwing the baby out with the bath water.
If circumcision prevented HIV, then why are american cut men getting HIV? To reduce the skin area alone makes sense, there's less contact...etc so obviously it would have more risk. But it's not a "cure" just because you are circumcised does not mean you will not get STD's. Most of the world men are not cut, they dont' want cut, they are fully capable and intelligent and dont' want it. Like I said, the only reason this is being done is because it protects the ego of men who were cut. What was good for them will be good for their kids. It's sick, most of the world's men think it's sick and cruel. The only people still doing it are people who it was done to. It's a cycle of abuse..in the open for all to see, and they are simply blind.
They aren't circumcising cause it's good for the kid, they're doing it because it was done to them. They don't want to feel "less" which they indeed are. Who cares to what degree affects sexual function, it does...and that degree of sexuality is owned by the child for his adult life. And no one should be marked as a child to belong to a certain religion. While many hold that religious circumcision be left aside, I think that is THE most hideous form. Jews do not care if is harmful or not, it is commanded. It's not for health...it's to permanently mark someone a religion. And that is about as far away from religious freedom as you can get. At least Warren Jeff's pr amu victim of sexual abuse can get therapy to get over it...if guy wants to hold down a kid and cut on his genitals to mark him as his religion FOR LIFE. there isn't anything that can get back that choice.
And as US goes down in credit, so might want to think credibility...the rest of the world has turned against this...and not because they are dumb or poor. Funny that in countries where health care is national, they decided the money for doing it wasn't worth doing it among being vulgar. So this talk about protection against std's and infections, it's bull. No one is dying directly from being not cut, BUT kids have lost their lives and genitalia to this unecessary thing. To get real...saying that you're protecting a person against std's, is like peeing on a barn fire. It really does nothing.
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All_I_HAVE_TO_SAY says:
Not only does circumcision prevent urinary infections and STDS, but it prevents all types of infections in that area. Younger boys have a tendency to not clean themselves perfectly so unless you want to be pulling the foreskin back for them and making sure it is clean...or constantly taking them to the doctor to have it looked at because there is a painful infection.
Also, babies really dont feel it much. I had an internship in an OB unit and watched a circumcision. A bit of topical numbing cream and some sugar water had that baby happy. Not one cry came from the babies mouth.And my nephew was fine two days after, and for those two days all he needed was a baby dose of tylenol.
In addition to that think about the long term effects. Once the person is an adult it will actually hurt more and take longer to heal. Babies heal much faster and so adult men may not have time to take off work or the insurance to do it.
Several elderly male dementia patients I have taken care of have been uncircumcised and got infections. It wasn't that they weren't being cleaned properly, but that it isn't easy to get it perfectly clean when a dementia patient is upset and hitting you and also they lack certain cleanliness thoughts.
Which would you rather have, a single, barely painful experience that you can't remember and tylenol will cure the pain to or the possibility of constant infections if the diaper changes (from any person who will be changing that diaper ever) weren't done thoroughly enough, if the young boy didn't really think about the bacteria there while showering, and if the teenage boy had unprotected sex and harbored those bacteria (because uncircumcised guys tend to have more trouble or worries about using condoms) to get an STD they might not have, all the way to the elderly age where you might not be cared for properly or have a debilitating condition that keeps you from helping yourself or letting others help you thoroughly (did you know that about 50% of elderly get some type of dementia)? Personally and from the opinion of my brothers and friends I wouldn't want to ever have an infection in that area.
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JuliGumbiner says:
If it weren't for jews and muslims there would be no hate in the world at all. I work with several jews and they think they are not capable of racism. Muslims too. Yet get them out to the middle east together with nobody else around and watch them kill eachother for 50 years. Yeah, real impressive. they both take out their greivences with eachother out on every American they see too btw. We're sick of it.
TechResourceSupervisor, Dreamworks Animation
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All_I_HAVE_TO_SAY replies:
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Yeah way to take this discussion out of context. I'm pretty sure this discussion is about the article on circumcision not problems caused in the middle east or by Jews and Muslims. And if you weren't aware we also invaded Iraq to A) get some oil and B) tell them how they should run a country. I am very thankful for our troops but America thinks it is a lot better than others and will engage in war to prove it too and also remember the Civil War and Black Rights Movement. Yeah thats racism. Oh and racism is when you discriminate against a person of different color. Discriminate against religion is simply discrimination not racism. Otherwise if being Jewish is a race and they are white aren't all white people then Jewish? and Youre discriminating right now so obviously you're no better if what your comment says is true (which I don't agree). You can't down an entire group because of the mistakes of few and you judge what is happening there because if the leader of the country was taking over and what not and killing people in your group would you not expect retalliation. Working with several Jews does not make you all knowing. You are judging an entire group on several that you work with? There are plenty of whites that do the same thing (again like you) so think before you type please! and to let you know I am white so I am not just saying this because you hurt me by this but rather because that was an extremely ignorant comment.
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RabbiSol says:
Hear & read Rabbi Sol Solomon's Rabbinical Reflection on circumcision by visiting his website, ShalomDammit.com or at this youtube clip, http://www.youtube.com/watch?v=fTvS6zRCFbA&feature=player_embedded#at=18.
Here's an excerpt:
"On Chanukah we light the menorah to symbolize the drop of oil that burned for eight days in the great temple. So why can't we take a baby, have him wear a little condom, and then the mohel yanks off the Trojan and says, "Ut! This is to commemorate what we used to do to baloney ponies for 5,000 years."
Rabbi Sol's Rabbinical Reflections air weekly on the Dave's Gone By radio show (davesgoneby.com).
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mscore says:
Studies linking circumscision and HIV are from countries that are not comparable to western industrial nations.
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psandz says:
The article says: "As for circumcision's effects on sexual function, several studies conducted among men after adult circumcision suggest that few men report their sexual functioning is worse after circumcision. Most report either improvement or no change, according to the CDC."

I'm amazed that this ignorant statment can be used to justify circumcising babies or to demonstrate that circumcision is not associated with significant loss of sensory/erogenous nerves!
Well over 85% of men who get circumcised as adults do so for a foreskin PROBLEM, such as phimosis (NB. foreskin problems are usually correctable far less invasively than by circumcision). So, how can testimony from men circumcised for a medical reason possibly be considered representative of the great majority of uncircumcised/intact men who have a healthy or normal foreskin, which they wish to keep? Many of the remaining 15% of men who choose circumcision in adulthood do so out of cultural/religious pressure, which again makes them unrepresentative of most intact men in developed nations.
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All_I_HAVE_TO_SAY replies:
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I agree completely with it. If they are going to use adult male statistics maybe they should compare the males as two groups. Those who were circumcised as infants and those as adults (and reason why as adult).
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Joseph4GI says:
One of the biggest flaws with the latest "studies" is that their "results" (if they can even be called that) fail to correlate with quite a few realities.

According to demographic health studies performed in other countries in Africa, HIV transmission was prevalent in circumcised men in at least 6 different countries:

Cameroon - DHS 2004 - 4.1 vs 1.1 (91% circumcised)
Ghana - DHS 2003 - 1.6 vs 1.4 (95.3% circumcised)
Lesotho - DHS 2004 - 22.8 vs 15.2 (23% circumcised)
Malawi - DHS 2004 - 13.2 vs 9.5 (20% circumcised)
Rwanda - DHS 2005 - 3.8 vs 2.1
Swaziland - DHS 2006-2007 - 22 vs 20
(These can be found at measuredhs com)

According to Malaysian AIDS Council vice-president Datuk Zaman Khan, more than 70% of the 87,710 HIV/AIDS sufferers in the country are Muslims. In Malaysia, most, if not all Muslim men are circumcised, whereas circumcision is uncommon in the non-Muslim community. 60% of the Malaysian population is Muslim, which means that HIV is spreading in the community where most men are circumcised at an even faster rate, than in the community where most men are intact.

In the 2010 Global AIDS report released by UNAIDS in late November, the Philippines was one of seven nations in the world which reported over 25 percent in new HIV infections between 2001 and 2009, whereas other countries have either stabilized or shown significant declines in the rate of new infections. Among all countries in Asia, only the Philippines and Bangladesh are reporting increases in HIV cases, with others either stable or decreasing.

In America, the majority of the male population is circumcised, approximately 80%, while in most countries in Europe, circumcision is uncommon. One would expect for there to be a lower transmission rates in the United States, and for HIV to be rampant in Europe; HIV transmission rates are in fact higher in the United States, where most men are circumcised, than in various countries in Europe, where most men are intact.

A common explanation given for this difference is the fact that sex education and instruction in the proper use of condoms is better executed in Europe than in the United States, where sex education is poor. However, it is precisely these reasons given, that sex education and condoms aren't catching on in Africa, why circumcision advocates say "mass circumcision campaigns" should be promoted in Africa. What failed in the United States is somehow supposed to work miracles in Africa.

If circumcision "works so well" according to these "studies," why are HIV rates higher in America where the majority of men are circumcised, as opposed to Europe, where the majority of men have anatomically correct genitalia?

In these hard economic times, I think rather than waste precious tax dollars on a dubious mode of "prevention" that hasn't worked anywhere else, we need to be spending money on what we know to be conclusively effective; condoms and sex education. Condoms are cheaper, safer, less invasive, and more effective; even if "studies" were correct, circumcision would only "reduce" the risk of HIV transmission by 60%, which means that men would still be vulnerable 40% of the time. If the WHO, UNAIDS or UNICEF were promoting a condom that broke 40% the time, they'd be laughed out of the room!

Stop mutilating children. They're at absolute zero risk for HIV transmission, and when they become adults (because kids grow up to be adults you know...), they can learn safe sex practices. Condoms are safe, more effective, and they don't cut anything off of your children's genitals.
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All_I_HAVE_TO_SAY replies:
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AIDS rates are higher not because of whether or not circumcision was done, but maybe because of what you said on condom use, as well as the lifestyle in countries. Muslims believe in more than one wife and so if one gets it they all do. Europeans are a little less sexual that those in the U.S. And developing countries aren't properly educated. As well, THe U.S. may simply be tracking the HIV rates better than the European system. Oh and is it really fair to compare the United States (one country) to an entire continents average. How about its individual states because Im sure different states have different levels of HIV and circumcision rates.
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Joseph4GI says:
If the four skin is just so "insignificant," why are so people adamant about having it cut off? If it "doesn't make a difference either way," WHY DO IT?

Here's the bottom line:

Unless there is a medical or clinical indication, doctors have no business performing surgery on healthy, non-consenting individuals, much less pandering to a parent's sense of entitlement.

For any surgery, not just circumcision, there has to be a medical necessity. Without it, it's charlatanism and medical fraud, plain and simple. Doctors and media outlets have some nerve continuing to try and convince parents that they're entitled have the doctor perform a non-medical procedure on their children.

The four skin is not a birth defect. Neither is it a deformity or genetic anomaly akin to a 6th finger or a cleft. The four skin is normal, healthy tissue found in every baby boy at birth.

Circumcision is the deliberate destruction of normal, healthy, genital tissue. Unless there is an actual medical necessity for it, then it is nothing less than abuse, infant genital mutilation and a violation of basic human rights.

The day is coming when this atrocity will be viewed as the sick, disgusting crime that it is.

I leave those of you who quote "medical benefit" as an alibi with a couple of questions:

1. What number of "benefits?" What amount of "research" or "study" would ever convince you to give your daughters a labiaplasty? (Go on, google it. Women in the western countries are "enhancing their sexual pleasure" with this procedure. It's all the craze.) Is there a number? Or how far do you actually care about "medical benefit?" (Pst! I know the answer; as long as the sex of your child is a boy...)

2. The doctor comes in and tells you "Great news! We've discovered a wonderful vaccine that prevents disease, and now we don't have to circumcise your child! Isn't this awesome?" What would your reaction be? Would you say "Alright! That's great!" Or would you say "meh, cut him anyway, doc."? Your answer would be telling.

Bottom line: "Science" that "studies" ways to cut your children is backwards. "Research" and "innovation" is supposed to replace the old with the newer and better, not preserve age-old mutilations. There are better, safer, more effective, less invasive ways to prevent disease. Why don't you look into those, instead of looking for reasons to mutilate your children?

THINK, people.

THINK.
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All_I_HAVE_TO_SAY replies:
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labiaplasty is the conmplete removal of the female enternal genitalia, not just a bit of skin! And keeping female genitalia does not cause any health conditions as keeping the foreskin. And also does the so called vaccine also prevent all types of infection and any other problems late in life?
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md2205 says:
All my boys were circumcised at 8 days old as required by Jewish law. They were given a finger dipped in wine to suck as pain relief. None of my boys cried during the operation. They were not strapped to a board. Someone was holding my baby in his lap. The babies were returned to me right after for nursing and were fine. Never had infections or anything else.(As an aside, it has been found that by the eighth day of life the amount of vitamin K in the body has risen to a level that is protective and the blood will clot properly.) Circumcision done in accordance with religious procedure is very quick and not prolonged. The circumcision is done as required by G-d so that the child will realize that he has a promise built in to his body that he will have Jewish children (at the part that concerns that promise as he has to marry a Jewish woman to fulfill that promise). This is the promise of the continuation of the Jewish people. This parallels G-d's promise to the Jews that He will never abandon them. That circumcision is done on the eighth day of life shows that this promise is greater than and above human intellect.
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Alimagrog replies:
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So you feed a newborn alcohol and cut off his foreskin...still sounds pretty cruel. And why isn't it also done to Jewish girls with their clitoral hood?

Look, a lot of stupid things are done in the name of religion, this being one of them. What's wrong with changing something when reason and science shows it's nothing but cruel and unnecessary?
mscore replies:
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Nobody can "require" you to mutilate your own children. You are the parent and you should protect your children from harm like that. Many Jews around the world choose not to continue the destructive tradition. You are a fool mislead by your religion into harming your family.
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tlctugger says:
This headline is very irresponible and misleading.

There is NO controversy. NOT ONE national medical association of doctors on earth (not even Israel's) endorses routine circumcision. As such it is cosmetic surgery.

Holland's very up-to-date policy says of circumcision: "KNMG is calling upon doctors to actively and insistently inform parents who are considering the procedure of the absence of medical benefits and the danger of complications." They also say there is actually a good case to make it illegal.

Hundreds of thousands of men are enduring a tedious multi-year process of non-surgical foreskin restoration to undo just some of the damage of infant circumcision.

HIS body, HIS decision.
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All_I_HAVE_TO_SAY replies:
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and what is the health benefit of having the skin restored? Or are they enduring this surgery for religous reasons they came to decide upon later in life? It is obviously a controversy if it has yet to be passed.
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