Boys Circumcision

Boys Circumcision

  Autor NN Team Data: 31.07.2008

Boys Circumcision
Although in the developed countries such as USA, Canada the circumcision rate has decreased dramatically in the last 10 years, this rate is increasing in Romania. In 2005 this was with 23,85% higher than in 2000, and most probably is still increasing. In 98% of the cases, this surgery is an elective action and not a medical one. 

The information regarding this surgery are few and contradictory, and many parents cannot decide whether to do it to their children or not. Further one, we will see what are the risks and the benefits of this surgery. 

The foreskin is the skin which covers the glans (the penis) at an uncircumcised man. If the baby is not circumcised, the bind between the foreskin and the glans will get loose and they will separate in the first years of life, so that the foreskin will cover the glans. By circumcision, the foreskin is removed from the glans and cut, so that the penis will always be uncovered. 

Long time before the medical associations discussed about circumcision, this used to be a frequent practice in the Jewish communities where all the boys were circumcised for religious reasons. In the 70's, the medical associations issued their first notes regarding the circumcision, stating that there wasn't any medical recommendation for this practice. In the 80's, new notes stated that circumcision implies both risks and benefits, and in the 90's, new researches proved that the benefits of circumcision were too little for it to become a routine surgery. 

Which were the discovered benefits? It seems like circumcised boys under one had less risks to develop urinary infections than uncircumcised boys of the same age. However, the total rate of urinary infections in men is so low, that the benefit is negligible. The same conclusions were drawn regarding the penile cancer. 

These negligible benefits go together with the risks caused by the circumcision surgery itself: infections, excessive bleeding, and pains. The infections and hemorrhages are quite rare, but the pain felt by the newborn cannot be ignored. The researchers showed that the newborns feel the pain same deep as the adults, and the feeling causes high blood pressure, rapid pulse, production of stress hormones. Although they are given anesthetics, the pain remains after the effect of the drug passes, and this is known by each person who undergone a surgery. 

Cosmetically speaking, the surgery may have some effects, but the scar disappears as the boy grows up. Actually, the cosmetic argument is the most frequent brought by the parents who choose to circumcise their children, referring to social reasons obviously. The parents want their boy to be like his father, his brothers or other men in the family. In some countries, the circumcision has been a routine surgery for a long time, and most men are circumcised, therefore the newborns are going through the same thing so that they won't have complexes or be rejected because of the difference between them and the others, when they are adults. It would be interesting to know that some Romanian parents choose to circumcise their children, considering that this hasn't been a tradition in our country, so the social factor might be excluded. 

The circumcision is usually done by the obstetrician, neonatology or pediatrician. If the boy was born prematurely, the surgery is postponed until the doctor considered it is recommended. After the surgery, the glans will be red and the left foreskin will bleed a little for a few hours. In the next days, the plague will encrust and it should heal in a week or two. 

The circumcised penis of the boy will be closely cared not to cause pains or delay the healing. The area will be covered with a loose bandage in order to prevent the rubbing with the diaper. Use a baby soap and warm water for hygiene. You don't have to force the retraction of the foreskin. This will come with time, in the following years. 

Read the English version of this article: Boys Circumcision