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Yes or No to Circumcision? – Is the Question
We talked to experts in urology and surgery to see if it is better to subject a man to circumcision or not.
Yes or No to Circumcision? – Is the Question
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A banana

Author
Author
Antonija Zbiljski
Translation
Translation
Joseph Stedul
Illustrative photo
TEXT
Published: March 17, 2009 15:50h
The Newest Articles

Circumcision is something that is still considered to be something a man does for religious reasons. However, besides them there are hygienic, medical and aesthetic reasons to take this medical procedure. We talked to the experts that work in this field.

Many health studies have been carried out on the topic for its advantages and disadvantages, but men who are circumcised for reasons that are not religious can ask themselves is it better to be circumcised or not.

American scientists have carried out a study that showed that circumcision can work to stop being infected with HPV, and research done by Turkish scientists revealed that circumcision delays ejaculation during sexual intercourse.
Easier to maintain hygiene

“It is better to be circumcised. Especially is a man has problems with fungal or other infections on their penis. With men it is possible that the foreskin breaks, which causes scars. These scars can lead to the inability of pulling the skin over the penis, which can be very painful. Circumcision is positive from the hygienic side, because a moist layer is not created which can be suitable for the development of bacteria. In general, a circumcised penis is easier to hygienically maintain, because of which the organ is automatically healthier” – explained the surgeon and urologist Dusko Maletic.

We found out from the “Maletic” clinic that the circumcision itself is a simple and painless operation that lasts only 30 minutes, and is carried out under local anaesthetic.

Religion before aesthetics and hygiene

“Men rarely get a circumcision for aesthetic reasons, much more often they have problems with infections and scars. After circumcision it is necessary to wait 2-3 weeks for the wound to heal, and in that period it is not recommended to have sexual intercourse to avoid bleeding. However, during that period there is no pain. Side effects are very rare, but in the case of incorrect hygiene there can be infections” said Maletic.

“When hygiene and health are in question, circumcision is a positive thing, because it contributes to cleanliness and gathers dirt less. However, in Croatia it is not common. It is still done more often for religious reasons that aesthetic or medical reasons” said the aesthetic surgeon dr. Zoran Zgaljardic.

Circumcision and HPV

A study carried out in February 2009 suggests that circumcised men have less chances of being infected by the HPV virus. The study was carried out by American scientists on 285 men, aged 18 to 44, whose health was monitored during 18 months.

The price of a circumcision varies between 2500 and 3500 kuna in Croatia. The operation is painless, and the recovery is easy and quick.
When the risk of getting HPV is concerned, it increases parallel with the number of sexual partners. With most people, their immune system defends itself from it, however repeated infections can lead to carcinomas.

When “cleaning” the organism of HPV, circumcision has shown to be useful. Circumcised men have a three times higher probability of getting rid of any type of the approximately hundred types of HPV compared to those not circumcised. Even though scientists do not quite know the reason for this, they assume the reason is that circumcised men have less damaged skin when having intercourse, so less of the HPV virus enters their organism.

Circumcision does not endanger your sex life

Between 2002 and 2003, Turkish scientists studied how circumcision influences male sexual functions. They only studied men who were circumcised for aesthetic or religious reasons. The average age of those surveyed was 22.3 years old, and their sexual functions were equal before and after circumcision. After the survey was carried out, scientists concluded that circumcising grown men does not negatively effect their sexual functions. On the contrary, the fact that it causes a delay in ejaculation is more of an advantage than a complication.

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ADS
17.03.2009 19:37 h
Not all the facts 
It is good that you bring up the subject, but I don't think you have all of the facts on circumcision.

Note that circucison medical professionals usually defend the practice.

The hygine issue is a myth. There is veruy little care involved if one has access to water.

The HPV study showed cut and natural men had equal HPV with onl;y factor being number of sexual partners as to getting infected.

Circumcision has been shown to bring on erectile dysfunction (ED) at a younger age. One gets ED sooner if one is cut.

Circumcison does affect sex. Men typically don't say bad things about their penis, so that study is worthless. About 20,000 fine touch nerve endings ARE LOST from the surgery, That is more tha a clitoris. The only study on premature ejaculation and circumcision showed cut men have more premature ejaculation problems. The circumcision scar gives wrong signals and causes early orgasim. Natural men have more control and better orgasim timing. The myth about delay in orgasim is a MYTH. Cut men often do it too soon as a young mand and then have ED problems (or cant orgasism) as they get old. This suurgery DOES affect sex.
17.03.2009 19:41 h
This is not journalism 
I wonder why people advocate circumcision for hygiene, when simple washing with water works well, and does not remove two out of three of the most erotic parts of a man. Circumcision dries out the penis. Is this desirable? Would a man want a dry vagina? A penis is designed by nature to be moist and soft. Circumcision callouses, by rubbing the head against clothing constantly. There is no medical group on the planet which advises to circumcise, for medical reasons. The author did not do any investigation. If she did, she would have found studies which also indicate that men with foreskins are less likely than circumcised men to contract HPV. This is an empty opinion piece.
A man deserves to keep all of the parts he was born with, unless disease takes them from him. There is no firm clinical, double-blind study which proves that the alleged benefits of circumcision outweigh the very real dangers. These include excessive bleeding, skin bridges, MRSA, staph infection, and meatal stenosis. Circumcision for health, has been sold in the USA since 1870. Why is the rate of HIV infection up 22% in Washington, DC, alone, if circumcision is effective? Why are the American infection rates higher than in Europe, when Europe is mostly uncircumcised, and the US is mostly circumcised?
Why would any man voluntarily give up such a precious piece of his manhood?
18.03.2009 04:04 h
Circumcision does have benefits 
Just a few parts of the latest news..

Infectious Diseases Society of America


Wednesday, December 17, 2008



Male Circumcision May Decrease Risk of HPV Infection and Cervical Cancer



Investigators found that circumcised men were about half as likely to have HPV as
uncircumcised men, after adjustment for other differences in the two groups. These
results demonstrated that lack of circumcision is associated with cervical cancer
because of the increased risk of HPV infection. Nielson suggested that it may be
useful to consider circumcising newborn boys in order to decrease the risk of HPV
infection for them and their future partners. “Parents are not currently advised
of this risk,” she said. “These studies contribute to the evidence that might help
to inform that decision.”

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Male Circumcision Seen to Lower HIV Risk in U.S.
By Michael Smith, North American Correspondent, MedPage Today
Published: December 18, 2008
Reviewed by Zalman S. Agus, MD; Emeritus Professor
University of Pennsylvania School of Medicine.




ATLANTA, Dec. 18 - - Male circumcision -- shown to help prevent HIV infection among
heterosexual men in Africa -- appears to have the same benefit in African Americans,
researchers here said.

In a retrospective observational analysis, men with known HIV exposure who were
circumcised had a 51% reduction in the risk of getting HIV, according to Lee Warner,
Ph.D., of the CDC and colleagues.
18.03.2009 14:18 h
appear is the operative word 
These studies appear every year. Then, there is a study which refutes them. These African studies were not double-blind.. Many of the circumcised participants disappeared afterward, so their HIV status is unknown.
As far as male circumcision in Africa appearing to have the same benefit in African Americans, well,
http://www.npr.org/templates/story/story.php?storyId=101986488
In the District of Columbia, 3 percent of the population has been diagnosed with HIV/AIDS, a rate not seen since what was considered the height of the epidemic in the 1990s in San Francisco. Health officials have attributed the high rate in part to the new routine testing for HIV at all medical visits.

How has circumcision protected these men?
The penis head is a poor third, in sensation, compared to the inner foreskin and frenulum. Male circumcision is like removing the clitoris in a woman. If men knew what they would be giving up, no one would do it, unless it was to save themselves from certain., immediate death. Would you give half the skin on your penis., willingly, for the 'appearance' of protection? Or would you prefer to use common sense, and a condom?
18.03.2009 14:20 h
scars 
The scarring discussed in the article, which leads to a tight foreskin, is caused by a yeast infection. It is cured with an antifungal cream.
Why would anyone pay for a circumcision, when they could use a cream?
Do women remove their vulvas, when they get a yeast infection?

Junk reporting misleads the public.
18.03.2009 17:50 h
Zbiljski's Censorious Circus Omission 
This
The Journal of the American Medical Association 2008 says this "We found no statistically significant association between circumcision and HIV infection in our meta-analysis of MSM observational studies, and no statistically significant association between circumcision status and STI."

The 2008 International Journal of Men's Health, that compares the cost of male circumcision to the cost of lifetime distribution of free condoms in sub-Saharan Africa, found that condom distribution is 95 times more cost-effective in preventing the same number of infections.

Langerhans cell produce Langerin which kills HIV. They may even continue the theory Langerhans cells drags HIV into the body as reported in the African HIV/male circumcision studies. There is no science to back up these studies it is correlative theory. Personally I call it Cargo Cult science.
Hugh7  
18.03.2009 22:09 h
Ask a salesman.... 
If you ask someone who is selling something, of course they will give you many good reasons to buy it. These men are selling circumcision. Nobody is selling whole penises, every boy baby gets one free so, sadly, their many advantages are not advertised.

In the study of 285 American men, only 34 were not circumcised. It showed no difference in their likelihood of contracting HPV, so only about 10 of those men were infected. (It is stupid to apply the high-level statistical calculations they did to such a small number.) They only tested them at six month intervals, the same as "the estimated median time to clearance", so they couldn't have found anything real about clearance times either.

helmet64: The Neilson study itself is not nearly as convincing as the rewrite you quote. (This is very common for stories about circumcision.) Only 74 of the men they studied were not circumcised. The study came very close to statistical insignificance, and was not significant for three of the six sites tested. A truer summary would be, circumcision makes very little difference, if any, to HPV, a very common virus, which in turn is only partially associated with cervical cancer.

It seems clear from the time and the source of these HPV studies that they were wheeled up to answer the criticism that circumcision offers no protection to women against HIV.

In the Warner study of 26,000 black men attending Sexually Transmitted Disease clinics in Baltimore, the vast majority (98.5%) were not at known risk of HIV - yet 2.5% of those did become infected with HIV - and there was no significant association with circumcision.

Among the 385 men at known risk, only 50 were not circumcised, and of those about 11 contracted HIV. The rate among circumcised men suggests about five men might have caught the disease if they had been circumcised, so a lot depends on the sexual behaviour of six men - far too much to draw any serious conclusions.

Circumcision is a "cure" looking for a disease.

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