[net.med] Circumcision

kwlalonde@watrose.UUCP (Ken Lalonde) (01/17/84)

For those interested in all aspects of circumcision, I recommend
correspondence with a group called INTACT.  In the states, check phone
listings of large cities. In Canada, call your local midwife.  Some
doctors may also have information on the subject. 

Some myths and answers about circumcision:

M: Men cannot keep themselves clean unless circumsized.

A.  Even men aren't that dumb. :-)


M:  Poor hygiene in uncircumcised males leads to penile cancer.

A: In cultures where there is little sanitation and no circumcision,
this is incredibly rare.  Why perform surgery?  It's like having
radical mastectomies to prevent breast cancer.


M: Uncircumcised men are dirty and so can give cervical cancer
   to sexual partners.

A: True, but who would sleep with them?  That's what you get if you
turn out the lights when making love and don't check for smegma, women
of the world.  Teach the guy to wash, or do it for him.  Would you cut
off the hood of you clit, or your vulva instead of washing?


Myth:  Babies don't feel the pain.

A: Bullcookies!  Most babies cry, many sinking into a temporary
catatonia, which is in turn mistaken for lack of sensation. I believe
newborns understand a lot more than we know.  By the way, there is
often no anaesthesia administered during circimcision. If you do decide
to have your son circumcised, please make sure he is given a local
anaesthetic.

For practising Jews and moslems and those of other religions, I have
fewer qualms.  The ceremony involved is much better than having the
child strapped to a steel table in a cold operating room. But, like
non-practising Christians who baptized their infants, many people have
the boy circumsised without question. I feel this is wrong, because it
is a operation.


M: Circumcision is a simple procedure.

A: Watch out for this one. Unless the baby has a shot of vitamin K
(hospitals do this routinely), he may haemorrhage and die, since babies
don't clot well until they're about six days old.  Vitamin K is serious
stuff - it can cause jaundice.

In hospital the operation is usually done on day 3 or 4.  In that sense
I think the Jews have the right idea - they do it on the sixth day.
And, although it is rare, the operation is not without risk:  about one
in 50,000 are botched, and the baby boy is surgically and hormonally
made into a girl.


M: He should have a penis like his dad and brothers.

A: Why?  When he starts looking at his friends, they won't all be the
same. I think he'll handle it.

M: It prevents masturbation.

A: This was a biggie in the forties. It didn't and doesn't work.  In
fact, many now feel the opposite is true.  If there are real medical
reasons of course, the operation is necessary.

Conclusion:
I think its very important for parents considering circumcision to see
what really happens and to be there during the operation.  Learn about
the procedure.  In the hospital, the procedure runs like this:  The
baby is strapped down on a "circumcision tray" He may be given an
injection of a local anaesthesia (painful and complication inducing in
itself).  A bell or clamp is applied to the penis to surround the
foreskin for removal.  Some brands are better than others...what does
your doctor use?  Most midwives and a few doctors also have slides to
give you an idea of the operation. If you decide to have your son
circumcised, try to be with him. Afterward he will need hugs.
					- Madeleine Clin

rao@utcsstat.UUCP (Eli Posner) (01/18/84)

Correction.

Jews are circumsized on the EIGHTH day not the sixth.
-- 
Eli Posner
...utzoo!utcsstat!rao

alex@aecom.UUCP (01/31/84)

	Jews are cirmcumcised on the EIGTH day, not the sixth.
Your other information is also suspect. Babies often sleep through the
entire ceremony or after being given a little ceremonial wine.
As for 1 out of 50,000 being botched, the operation (and it IS an
operation) is such a simple one that I doubt your figures apply to anyone
qualified.
-- 

				Alex S. Fuss
			{philabs, esquire, cucard}!aecom!alex

pc@hplabsb.UUCP (Patricia Collins) (02/02/84)

	Two anecdotes:

	We had our son circumcised last year.  His only objection
was to being tied onto what the nurses refer to as "the rack."  My
husband and I were there for the surgery and I nursed him immediately
afterward.  He never showed any signs of being in pain, although he
responded quite negatively to other benign procedures like the pin
prick for removing blood for jaundice tests.  HOWEVER, we did not 
realize that it was very important to pull back the foreskin and wash
the glans daily.  He now has a slight adhesion which his pediatrician
assures us will "unstick once he begins self-manipulation."  One
reason for circumcising him is that my father was *not* circumcised
and developed a serious constriction in middle age which had to be
corrected by circumcision--he WAS in a lot of pain.

	Our pediatrician related the story of a medical student (resident)
performing a circumcision in which he removed ALL of the foreskin--
right to the base of the shaft.  So, serious errors due occur!
I won't go to a hospital connected with a medical school under any
foreseeable circumstances.  I've heard too many horror stories.

						P. Collins
						hplabs