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Published on: June 3, 2022
Circumcision of pacific boys: tradition at the cutting edge
Robert Thomson1, Sitaleki Finau, Eseta Finau
1Ministry of Health, Apia, Samoa.
Insights
Newborn circumcision is a common elective surgery with benefits like preventing infections and certain cancers. However, parents should be aware of potential procedural risks and complications before making an informed decision.
Area of Science:
- Urology
- Pediatric Surgery
- Public Health
Background:
- Circumcision is a long-standing surgical practice for neonates and young boys.
- It is an elective procedure with historical and cultural significance.
Observation:
- Properly performed circumcision offers protective benefits.
- Potential risks and complications are associated with the surgical procedure.
Findings:
- Benefits include prevention of phimosis, paraphimosis, and balanoposthitis.
- Reduced incidence of penile cancer, cervical cancer in female partners, UTIs, STIs, and HIV.
- Risks include pain, bleeding, inflammation, infection, poor healing, and potential loss of sensation.
Implications:
- Informed parental choice is crucial for elective neonatal circumcision.
- Accurate, unbiased information and discussion opportunities are essential.
- Understanding both benefits and risks supports responsible decision-making.
Abstract:
Circumcision of neonates and young boys, is a frequently performed elective surgical procedure, and is one of the oldest known surgical procedures. When properly performed circumcision prevents phimosis, paraphimosis, and balanoposthitis and has been shown to decrease the incidence of penile among men and cervical cancer among the women sexual partners of circumcised men. It may also result in a decreased incidence of urinary tract infection, sexually transmitted infections and HIV infection. Circumcision also has its own inherent risks. The risk are mainly associated with the procedure (pain, bleeding, inflammation) also included post operative infection, poor healing, excess foreskin removed leading to minor or major loss of sensation, accidental cutting of the glan penis, and cross infection if performed with un-sterile instruments especially during ritual circumcision. To make an informed choice, parents should be given accurate and unbiased information and be provided the opportunity to discuss this decision.
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