Which is better GMC Mumbai or VMMC

Doctors oppose infant circumcision

UPDATED EVERY COUPLE OF DAYS NOW

AT THE COMMENT COLUMN

WITH LINKS TO THE LATEST DEVELOPMENTS

"Mockery is the mohel's scissors that cut off the foreskin of foolishness"
"Derision is the Mohel of Reason's knife. "
Spinoza

  
http://analytic-comments.blogspot.com/2012/11/offener-brief-den-juedischen-zentral.html

PSYCHOANALYTIC COMMENTS
OCCASIONAL COMMENTS ON PSCHO-ANALYTIC MATTERS + CONTIBUTIONS from MICHAEL ROLOFF

The purpose of this weblog is to supply information to help the discussion of the German Circumcision controversy.

I initially threw up the first version of the blog shortly before the German Ethic Council was to meet to discuss what to do, more on that further down.

1) http://analytic-comments.blogspot.com/2012/10/michael-wolffsohns-foreskin-of-heart.html

  http://www.circumcisioncomplex.com/fundamentals/

The theory of circumcision however submits that circumcision was caused by a single dynamic lack of fresh water and subsequently the unhygienic conditions arising from irregular ablution. Irregular ablution causes, bad odor, thrush, cystitis, and other poor sanitation infections, which diminish libidos and stifle sexual concert with the main malefactors being unwashed and accumulated smegma, or poorly managed menstruation. Relatedly, non-circumcising groups are commonly settled around large fresh water bodies, as those which practice circumcision are settled far from fresh water bodies. Indeed, the prescription of mid-teen-age for circumcision is preemptively designed to prepare teens for healthy relationships devoid of stigmatising claims of uncleanliness or sexual deficiency.

Read more at: http://www.standardmedia.co.ke/entertainment/thenairobian/article/2000122911/is-circumcision-a-rite-because-of-lack-of-waterhttp://www.standardmedia.co. ke / entertainment / thenairobian / article / 2000122911 / is-circumcision-a-rite-because-of-lack-of-water




http://eewiki.newint.org/index.php/Is_male_circumcisionyou% 3F

_bad_for_

The World Health Organization (WHO) and the American Academy of Pediatrics (AAP) agree with MC for personal, cultural, financial, and professional reasons. No medical organization finds any proven medical benefit for circumcision, and European organizations are against circumcision. Circumcision is painful and a shock to the system .--

http://www.dr.dk/Nyheder/Andre_sprog/English/2013/03/18/130530.htm

18th mar. 2013 08/13 English

The circumcision of infants entails a risk of serious physical injury, or even death, and should be banned, according to 38 leading doctors.

http://knmg.artsennet.nl/Nieuws/Nieuwsarchief/Nieuwsbericht-1/International-physicians-protest-against-American-Academy-of-Pediatrics-policy-on-infant-male-circumcision.htm

Circumcision conflicts with children’s rights and doctors’oath and can have serious long-term consequences, state an international group of 38 physicians from 16 European countries in Pediatrics today. They comment on the American Academy of Pediatrics' new policy on infant male circumcision.

There are no compelling health arguments in favor of circumcision, while it can have serious long-term urological, psychological and sexual consequences. And performing medically unwarranted circumcision of underage boys conflicts with good medical practice. Male infant circumcision conflicts with children's rights and the doctors' oath not to do harm.

. Cultural Bias in the AAP’s 2012 Technical Report and Policy Statement on Male Circumcision.Pediatrics 2013 131 (4) (PDF)



Making it a taboo to compare male with female sexual mutilation is the biggest scandal of the controversy. In both instances the most sensitive and most erogenous zone of the human body is amputated and severely damaged. In both instances, what counts primarily is the cutting of human sexuality. The imposition of control bythe patriarchy.
 

The taboo of any comparison between male and female genital mutilation is the great scandal of the debate. In both cases, the most sensitive and erogenous part of the human body is amputated or severely damaged. Both cases are primarily about the circumcision of human sexuality.

http://evidentist.wordpress.com/2012/09/11/beschneendung-ignoranz-und-sexismus/



Pediatric skepticism
Half-baked, catastrophic - pediatricians' criticism of the circumcision bill is clear. You see the UN Convention on the Rights of the Child violated - and the law is already being negotiated in Karlsruhe. But the paediatricians have a compromise proposal by Raimund Schmid

http://www.aerztezeitung.de/politik_gesellschaft/gp_specials/beschneendung/article/824592/beschneendung-skepsis-paediater.html
 




 Sunday August 5, 2012

THE CIRCUMCISION DEBATE - LINKS AND COMMENTS



Here is my opening statement which I. have reduced it to a kind of stub - a stub onto which one could add back on the entire controversy relating to Anti-Semitism, and how guilt distorts German ways of handling matters of that kind, and various defenses made of the practice for reasons of "Inscription of the law onto the body," the law ", and which is manifested in its multifariousness below. Towards the end there will be a section devoted to discussions that derive from the German yahootherapeuten group. Section" Yahoo ".

TABLE OF CONTENT
1 = OVERVIEW
2 = LETTER TO THE ETHICRAT
3 = MATERIAL COLLECTION
4 = Original letter to the Ethics Council
5 = yahoo therapist group
material, in progress

=1=

ON CIRCUMCISION

On June 26 of this year a Judge in Cologne, Germany

http://www.lg-koeln.nrw.de/ Presse / press releases / 26_ 06_2012 _-_ Beschnenung.pdf

condemned a German physician for violating the German constitution’s guarantee of the inviolability of a person for having circumcised - it was a four year old Muslim boy. But the judge did not pronounce a guilty verdict nor administer punishment since the physician was practicing within a tradition and was unaware of the conflict of those constitutional guarantees with those guaranteeing freedom of religion, in this instance the Abrahamic religious practices of BritMilahhttp: //en.wikipedia.org/wiki/ Brit_milah

in Judaic and the Islamic practice of Khitan

http://en.wikipedia.org/wiki/ Khitan_ (circumcision)

Thus ensued a conflict between the Jewish and Islamic religious in Germany and the German legal authorities that continues to this day. The chief Israeli Rabbi went to Germany and asserted that the prohibition of the Brit Mila constituted a prohibition of the fundament of Jewish identity and German Jews therefore would have to leave the country. The Bundestag, the German parliament, responded quickly to calls from the two dominant parties, Christian and Social Democrats, to pass a resolution, endorsed by Chancellor Angele Merkel, in favor of an exception for the practice

 http://dipbt.bundestag.de/ dip21 / btd / 17/103 / 1710331.pdf

Yet the controversy will not be resolveduntil that law has been studied by the German Ethic Council, if then.

Circumcision, the lopping off of a penis’s foreskin incises appr. 5,000 nerves; for the concentration of nerves at that region it is one of the most excruciatingly painful procedures if administered without anesthetic, as it is in the Jewish practice of the Prit Milah, which is celebrated on the 8thth day extra-uterine. The child is in no position to be consulted, no empathy of its pain can even be communicated for whatever trauma the procedure will induce. The child screams holy murder but is then coddled and attempts are made to reassure it. Islamic practice, which occurs anywhere between the 4thth and 12th birthday is voluntary and circumcision, there called Khitan, is administered with anesthesia. Only puncturing of the eardrum, which has a higher concentration of nerves, is more painful. However, as I can testify, done under emergency conditions at age 8 and with advance warning from a kindly house physician, the shockingly extreme pain, is exceedingly brief though you remember it forever as the high point, the lightning strike of the pain continuum when consulted during later hospital procedures.

Although those who have lost their foreskin eventually loose recollection of the procedure, it makes the infant fearful; other subsequent painful procedures, say inoculations, re-evoke the original trauma for many years. In a mature male, the trauma can be recovered under psychoanalysis; the lack of the foreskin, during adolescence, tends to suppress premature ejaculation; as a mature lover the lack will deprive the man of whatever pleasure 5,000 nerve cells can induce.

As a religious as distinct from a medical practice Brit Milah and Khitan, like other religious practices, has a rather dark past; it is the left-over of the original sacrifice of the first born son, subsequently replaced by his castration. It gives evidence of the patriarchy’s fear of generational conflict. Some Jewish reform congregations merely practice a simulation of the Brit Milah, I myself have come up with the ingenious compromise solution of the "Mosquito Bite" - one drop of blood to commemorate the dark history while keeping the name - giving and celebration and compact with God and the formation of group identity intact in this homogenizing world.

The controversy persists on this day in various forum in Germany. Many resolutions by German psychologists, lawyers and medical personnel calling for the prohibition of involuntary circumcision have been addressed to the Bundestag

http://www.welt.de/newsticker/ news3 / article108343689 / opponent-der-circumcision-from-boys-rich-petition-a.html

http: //www.beschneendung-von- jung.de/home/ gesellschaftliche-aspekte-der- Beschneendung / circumcision-and- politics / petition-gegen-Beschnenung-minors. html

Why isn't someone like Professor Michael Wolffsohn asked about other Jewish views?
http://analytic-comments.blogspot.com/2012/10/michael-wolffsohns-foreskin-of-heart.html
http://www.welt.de/print/die_welt/debatte/article108847257/Die-Vorhaut-des-Herzens.html
http://www.tagesspiegel.de/meinung/andere-meinung/gastkommentar-zur-beschneidungsdebatte-danke-deutschland/7160872.html


=2=


Dear Professor, Dear Ethics Council.
the compromise you proposed in the
Circumcision matter does not seem
to be aware that even in spite of anesthesia the cut
leaves trauma. The Jewish community has
to relieve the pain, with a drop of something
is known to us in the USA as Manischevitz,
so she shows a minimum of empathy,

http://www.juedische-allgemeine.de/article/view/id/13831


The origin is left out of their considerations
circumcision in the Abrahamic religions,
from the sacrifice of the firstborn son, to his castration, to the circumcision
the foreskin, whereby only a scrap of skin and 5000 nerves have to believe in it.
However, since there is a slow development in the lessening of this brutal act in history, it is easy to imagine a further lessening. Since the Brit Milah gave a reason for insane anti-Semitic prejudices [Freud found that circumcision in the subconscious, or semi-conscious THE reason for anti-Semitism - as fear, castration anxiety - was in his patients at all] the Orthodox rabbiat should be this fact is also included in the report
the consideration of a compromise solution. In addition, one becomes a Jew through

Birth of a Jewish mother; Reform rabbinates simulate the Brit Milah!

A train of thought that struck me especially when thinking about something is whatS.Criminal lawyer and legal philosopher Reinhard Merkel, who called it “bizarre” when religious communities were given the power to define the permissibility of bodily harm, ultimately wanted to bow to the argument that there was one in Germany "Worldwide singular duty to all Jewish concerns". He said in the conflict between the criminally unlawfuln physical interference and the obligation of the German nation towards Judaism a "legal political emergency" arises.

If you take this thought further, you get there that Germany should not do anything if Israel decided to implement a "final solution" to the Palestinian / Bedouin problem
Germany itself bears such a guilt. So, ad absurdum. A bad justification, especially from a criminal lawyer, but a justification which shows what I especially like in these considerations
miss: the truly unique guilt that German society took on in the 20s to 40s of the last century as it went step by step to the final solution, the Shoah without the elites, the German legal system, the people, its soldiers rebelled against it and prevented this singular self-destructive outburst of hatred and envy. I found it absolutely correct that im
Historians dispute that the result was that this occurrence was not put into perspective. In such a way, human hatred has never manifested itself before or after, which only humans can do to humans.

But thinking about guilt and trying to make amends is hardly a reason or duty to allow another type of guilt or to be blackmailed for it by the Orthodox Rabbiat. Guilt is dumbfounded, it is / was always abused by parents. Perhaps it should be considered to what extent German guilt is dumbfounded in these considerations.

=3=


This
http://analytic-comments.blogspot.com/2012/08/the-circumcision-debate-links-and.html

Blog contains a rich collection of material on the subject of circumcision and is updated daily..
=========================
P.S. Gerd Boettcher of therapists yahoo groups made a communication the other day via my analytic list, to which had had no access to except by theft or illegally misuse. I will reply to it separately and in a comment to the above blog. m.r.

The controversy, which has elicited sometimes heated discussions, also in psychoanalytic circles, has barely has managed to make a dent on the news media in the U.S. Letter mention in the Washington Post; the German editor ofThe timeand Neo-Con co-founder ofThe National Interest Josef Joffe in the Wall Street Journal seemed very wrought up

http://online.wsj.com/article/ SB1000087239639044334370457755 0854160191664.html? KEYWORDS = josef + joffe

=4=

Here the you-tube of an Islamic Bris

http://www.youtube.com/watch?v=1VQyLvhd28o 


----------------------------------

Press release
Heinrich Heine University Düsseldorf, Dr. Victoria Meinschäfer, 07/18/2012 11:37 am

Genital Circumcision in Boys

The circumcision of the foreskin (circumcision) is the oldest and most frequently performed surgical procedure. Prof. Dr. Matthias Franz, Deputy Director of the Clinical Institute for Psychosomatic Medicine and Psychotherapy, clearly warns of the dangers of the mostly religiously motivated operation: "Removing the foreskin in infancy or childhood is a trauma and can lead to permanent physical, sexual or psychological complications and Lead to states of suffering. This problem has so far been discussed mainly in specialist circles out of respect for religious or cultural taboos and out of fear of possible conflicts. "

Research shows that the experience of parental violence during childhood causes breaks in the emotional perception and empathy of the later adult child. Traumas experienced in childhood are internalized and often repeated later themselves. Collectively ritually mediated traumatic childhood experiences therefore lead to a breach of empathy. The circumcised group reacts with defense, i.e. they deny the pain they have suffered. This affects the empathy for the experience of the next victims of the same ritual: It cannot and must not have been bad what my parents did to me at the time. That's why I do it too. Such an experience usually leads to a continuation of the ritual practice in the affected boys. The adult parents deny the violence they have suffered out of their own defense needs, so the emotional experience of the child to be circumcised cannot be grasped empathically by the acting adults. This creates a perpetrator-victim chain that can be established over many generations. Franz: "A German variant, not so long ago: a good beating has never harmed anyone."

A distinction must be made between the effects of circumcision in infancy, as required by Judaism, and those in childhood, which is common in Islam.
Jewish boys who, according to the Bible, are to be circumcised on the eighth day, suffer pain during circumcision, which can still be detected in their body memory after a year as excessive pain reactions to vaccinations. Muslim boys, on the other hand, are usually circumcised between the ages of five and eight. Franz: “That the circumcision of the boy at the height of the infantile sexual development can bring with it special developmental risks seems at least plausible. Circumcision can be experienced by boys, who experience themselves increasingly centered on their genitality in this phase, like a parentally induced, severe sanction or threat of castration. The painful-traumatic intervention takes place factually, consciously perceptible and with direct access to the genital area, which is highly occupied by libidinal and narcissistic factors. The frightening aspect of violence is subject to a remarkable denial by the adults involved. It is rationalized as a festive and forced joyously designed masculinity rite. The little boy, who is in no way on the threshold of manhood, is declared a man with hyper masculine attributes and great gifts, but is actually manipulated by adults. "


From a psychoanalytical point of view, circumcision in five to eight-year-old boys is a collective sex-traumatic experience. In particularly patriarchal cultures, this can be one of the reasons for a strong control of sexuality and women. The trauma can lead to the stabilization of power structures. Franz: "From a psychoanalytical point of view, this definitive clarification of hierarchical relationships results in a patriarchal loyalty based on strong fears (of the ultimate cut)."
Both Jews and Muslims regard circumcision as a sign of their exclusive belonging to God. While circumcision is expressly required in the Old Testament ("But this is my covenant, which you should keep between me and you ... you should circumcise your foreskin ... Every boy when it is eight days old you should circumcise your offspring" ) it is not prescribed in Islam by the Koran. However, it is an integral part of ritual culture. Tradition has it that the Prophet Mohamed was born foreskin, and those who follow this example are offered rewards.
The ritual of circumcision itself dates back to prehistoric times. Franz: “In hunter cultures it could have served as a male initiation rite for social aggression control. The overcoming of the inhibition to killing required with the permit to hunt necessitates a release of aggression, from which the reference group must be protected. The control of aggressive (and sexual) impulses within the group could have been made easier by the ritual threat of castration, if the fears and pain suffered by the child were linked to the prohibition of crossing boundaries towards group members. A demonstrative, publicly repeated ritual with potential threats opens up a fantasy space in which castration as a punishment may be possible after all. The rigid patriarchal loyalty that was generated by this ritual served on the one hand to control social instincts and on the other hand to develop a group identity. "
In addition, circumcision can also give the initiation to the man separating from the mother a drastic expression: Due to the anatomy of the male foreskin in the archaic layers of the subconscious, the male foreskin can be imagined as "female"; its removal then finally separates the boy from the mother.

For the future, Prof. Franz expects more damages lawsuits by circumcised men, not only against the doctors, but possibly also against the parents.


You can access the entire press release on the WWW at:
http://idw-online.de/de/news488890

Contact details for the sender of the press release are available at:
Heinrich-Heine-University Dusseldorf

idw - Science Information Service V.
http://idw-online.de
[email protected]

 ===========================

For your kind attention and with the best of colleagues. To greet

Dipl. Psych. Michael B. Flöter

also under the link: http://www.circumcision.org/studies.htm

Medical Studies on Circumcision

Circumcision is Associated with Adult Difficulty in Identifying and Expressing Feelings

This preliminary study investigates what role early trauma might have in alexithymia (difficulty in identifying and expressing feelings) acquisition for adults by controlling for male circumcision. Three hundred self-selected men were administered the Toronto Twenty-Item Alexithymia Scale checklist and a personal history questionnaire. The circumcised men had age-adjusted alexithymia scores 19.9 percent higher than the intact men; were 1.57 times more likely to have high alexithymia scores; were 2.30 times less likely to have low alexithymia scores; had higher prevalence of two of the threealexithymia factors (difficulty identifying feelings and difficulty describing feelings); and were 4.53 times more likely to use an erectile dysfunction drug. Alexithymia in this population of adult men is statistically significant for having experienced circumcision trauma and for erectile dysfunction drug use. (See link to article on our home page.)

Bollinger, D. and Van Howe, R., "Alexithymia and Circumcision Trauma: A Preliminary Investigation," International Journal of Men's Health (2011); 184-195.

Circumcision Associated with Sexual Difficulties in Men and Women

A new national survey in Denmark, where about 5% of men are circumcised, examined associations of circumcision with a range of sexual measures in both sexes. Circumcised men were more likely to report frequent orgasm difficulties, and women with circumcised spouses more often reported incomplete sexual needs fulfillment and frequent sexual function difficulties overall, notably orgasm difficulties, and painful sexual intercourse. 

Frisch, M., Lindholm, M., and Grnbk, M., "Male Circumcision and Sexual Function in Men and Women: A Survey-based, Cross-sectional Study in Denmark," International Journal of Epidemiology (2011); 115.

Circumcision is Associated with Premature Ejaculation

Premature ejaculation (PE) is common. However, it has been underreported and undertreated. The aim of the study was to determine the prevalence of PE and to investigate possible associated factors of PE. This cross-sectional study was conducted at a primary care clinic over a 3-month period in 2008. Men aged 18-70 years attending the clinic were recruited, and they completed self-administered questionnaires. A total of 207 men were recruited with a response rate of 93.2%. Their mean age was 46.0 years. The prevalence of PE was 40.6%. No significant association was found between age and PE. Multivariate analysis showed that erectile dysfunction, circumcision, and sexual intercourse = 5 times in 4 weeks were predictors of PE. These associations need further confirmation.

Tang, W. and Khoo, E. "Prevalence and Correlates of Premature Ejaculation in a Primary Care Setting: A Preliminary Cross-Sectional Study," Journal of Sexual Medicine (2011) Apr 14.

NOTE: There have been numerous articles in American media about claims that circumcision prevents HIV transmission. No mainstream media article has reported on an opposing view, as described in the findings of the following five medical articles.

Claim of Circumcision Benefit is Overstated and Premature

Further research is required to assess the feasibility, desirability and cost-effectiveness of circumcision to reduce the acquisition of HIV. This paper endorses the need for such research and suggests that, in its absence, it is premature to promote circumcision as a reliable strategy for combating HIV. Since articles in leading medical journals as well as the popular press continue to do so, scientific researchers should think carefully about how their conclusions may be translated both to policy makers and to a more general audience. The importance of addressing ethico-legal concerns that such trials may raise is highlighted. The understandable haste to find a solution to the HIV pandemic means that the promise offered by preliminary and specific research studies may be overstated. This may mean that ethical concerns are marginalized. Such haste may also obscure the need to be attentive to local cultural sensitivities, which vary from one African region to another, in formulating policy concerning circumcision.

Fox, M. and Thomson, M., "HIV / AIDS and Circumcision: Lost in Translation," Journal of Medical Ethics 36 (2010): 798-801.

Circumcision / HIV Claims are Based on Insufficient Evidence

An article endorsed by thirty-two professionals questions the results of three highly publicized African circumcision studies. The studies claim that circumcision reduces HIV transmission, and they are being used to promote circumcisions. Substantial evidence in this article refutes the claim of the studies.

Examples in the article include the following:

1. Circumcision is associated with increased transmission of HIV to women.

2. Conditions for the studies were unlike conditions found in real-world settings.

3. Other studies show that male circumcision is not associated with reduced HIV transmission.

4. The U.S. has a high rate of HIV infection and a high rate of circumcision. Other countries have low rates of circumcision and low rates of HIV infection.

5. Condoms are 95 times more cost effective in preventing HIV transmission.

6. Circumcision removes healthy, functioning, unique tissue, raising ethical considerations.

Green, L. et al., "Male Circumcision and HIV Prevention: Insufficient Evidence and Neglected External Validity," American Journal of Preventive Medicine 39 (2010): 479-82.

In National Survey Circumcision Had No Protective Effect

A survey of South African men showed that circumcision had no protective effect in the prevention of HIV transmission. This is a concern, and has implications for the possible adoption of mass male circumcision strategy both as a public health policy and an HIV prevention strategy.

Connolly, C. et al., South African Medical Journal 98 (2008): 789-794.

Circumcision is Not Cost Effective

The findings suggest that behavior change programs are more efficient and cost effective than circumcision. Providing free condoms is estimated to be significantly less costly, more effective in comparison to circumcising, and at least 95 times more cost effective at stopping the spread of HIV in Sub-Saharan Africa. In addition, condom usage provides protection for women as well as men. This is significant in an area where almost 61% of adults living with AIDS are women.

McAllister, R. et al., "The Cost to Circumcise Africa," American Journal of Men's Health 7 (2008): 307-316.

Circumcision / HIV Have Incomplete Evaluation

The push to institute mass circumcision in Africa, following the three randomized clinical trials (RCTs) conducted in Africa, is based on an incomplete evaluation of real-world preventive effects over the long-term effects that may be quite different outside the research setting and circumstances, with their access to resources, sanitary standards and intensive counseling. Moreover, proposals for mass circumcision lack a thorough and objective consideration of costs in relation to hoped-for benefits. No field test has been performed to evaluate the effectiveness, complications, personnel requirements, costs and practicality of proposed approaches in real-life conditions. These are the classic distinctions between efficacy and effectiveness trials, and between internal validity and external validity.

Campaigns to promote safe-sex behaviors have been shown to accomplish a high rate of infection reduction, without the surgical risks and complications of circumcision, and at a much lower cost. For the health community to rush to recommend a program based on incomplete evidence is both premature and ill-advised. It misleads the public by promoting false hope from uncertain conclusions and might ultimately aggravate the problem by altering peoples behavioral patterns and exposing them and their partners to new or expanded risks. Given these problems, circumcision of adults, and especially of children, by coercion or by false hope, raises human rights concerns.

Green, L. et al., "Male Circumcision is Not the HIVVaccine We Have Been Waiting For! "Future Medicine 2 (2008): 193-199, DOI 10.2217 / 17469600.2.3.193.

Circumcision Decreases Sexual Pleasure

A questionnaire was used to study the sexuality of men circumcised as adults compared to uncircumcised men, and to compare their sex lives before and after circumcision. The study included 373 sexually active men, of whom 255 were circumcised and 118 were not. Of the 255 circumcised men, 138 had been sexually active before circumcision, and all were circumcised at> 20 years of age. Masturbatory pleasure decreased after circumcision in 48% of the respondents, while 8% reported increased pleasure. Masturbatory difficulty increased after circumcision in 63% of the respondents but was easier in 37%. About 6% answered that their sex lives improved, while 20% reported a worse sex life after circumcision. There was a decrease in masturbatory pleasure and sexual enjoyment after circumcision, indicating that adult circumcision adversely affects sexual function in many men, possibly because of complications of the surgery and a loss of nerve endings.

Kim, D. and Pang, M., "The Effect of Male Circumcision on Sexuality," BJU International 99 (2007): 619-22.

Circumcision Removes the Most Sensitive Parts of the Penis

A sensitivity study of the adult penis in circumcised and uncircumcised men shows that the uncircumcised penis is significantly more sensitive. The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface. Five locations on the uncircumcised penis that are routinely removed at circumcision are significantly more sensitive than the most sensitive location on the circumcised penis.

In addition, the glans (head) of the circumcised penis is less sensitive to fine touch than the glans of the uncircumcised penis. The tip of the foreskin is the most sensitive region of the uncircumcised penis, and it is significantly more sensitive than the most sensitive area of ​​the circumcised penis. Circumcision removes the most sensitive parts of the penis.

This study presents the first extensive testing of fine touch pressure thresholds of the adult penis. The monofiliment testing instruments are calibrated and have been used to test female genital sensitivity.

Sorrells, M. et al.,Fine-Touch Pressure Thresholds in the Adult Penis, BJU International 99 (2007): 864-869.

Circumcision Policy Influenced by Psychosocial Factors

The debate about the advisability of circumcision in English-speaking countries typically has focused on potential health factors. The position statements of committees from national medical organizations are expected to be evidence-based; However, the contentiousness of the ongoing debate suggests that other factors are involved. Various potential factors related to psychology, sociology, religion, and culture may also underlie policy decisions. These factors could affect the values ​​and attitudes of medical committee members, the process of evaluating the medical literature, and the medical literature itself. Although medical professionals highly value rationality, it can be difficult to conduct a rational and objective evaluation of an emotional and controversial topic such as circumcision. A negotiated compromise between polarized committee factions could introduce additional psychosocial factors. These possibilities are speculative, not conclusive. It is recommended that an open discussion of psychosocial factors take place and that the potential biases of committee members be recognized.

Goldman, R.,Circumcision Policy: A Psychosocial Perspective, Pediatrics & Child Health 9 (2004): 630-633.

Circumcision is Not Good Health Policy

A cost-utility analysis, based on published data from multiple observational studies, comparing boys circumcised at birth and those not circumcised was undertaken using the Quality of Well-being Scale, a Markov analysis, the standard reference case, and a societal perspective. Neonatal circumcision increased incremental costs by $ 828.42 per patient and resulted in an incremental 15.30 well-years lost per 1000 males. If neonatal circumcision was cost-free, pain-free, and had no immediate complications, it was still more costly than not circumcising. Using sensitivity analysis, it was impossible to arrange a scenario that made neonatal circumcision cost-effective. Neonatal circumcision is not a good health policy, and support for it as a medical procedure cannot be justified financially or medically.

Van Howe, R.,A Cost-Utility Analysis of Neonatal Circumcision, Medical Decision Making 24 (2004): 584-601.

Pain, Trauma, Sexual, and Psychological Effects of Circumcision

Infant male circumcision continues despite growing questions about its medical justification. As usually performed without analgesia or anesthetic, circumcision is observably painful. It is likely that genital cutting has physical, sexual and psychological consequences, too. Some studies link involuntary male circumcision with a range of negative emotions and even post-traumatic stress disorder (PTSD). Some circumcised men have described their current feelings in the language of violation, torture, mutilation and sexual assault. In view of the acute as well as long-term risks from circumcision and the legal liabilities that might arise, it is timely for health professionals and scientists to re-examine the evidence on this issue and participate in the debate about the advisability of this surgical procedure on unconsenting minors.

Boyle G. et al., "Male Circumcision: Pain, Trauma and Psychosexual Sequelae," Journal of Health Psychology (2002): 329-343.