Circumcision is the removal of some or all of the foreskin (prepuce) from the penis.^[1] The word "circumcision" comes from Latin circum (meaning "around") and cædere (meaning "to cut"). Image File history File links Unbalanced_scales. ... Female genital cutting (FGC), also known as female genital mutilation (FGM), female circumcision or female genital mutilation/cutting (FGM/C), refers to all procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs whether for cultural, religious or other non-therapeutic... Brit milah (Hebrew: [bÉ™rÄ«t mÄ«lā] literally: covenant of circumcision), also berit milah (Sephardi), bris milah (Ashkenazi pronunciation) or bris (Yiddish) is a religious ceremony within Judaism to welcome infant Jewish boys into a covenant between God and the Children of Israel through ritual circumcision performed by a... The foreskin or prepuce (a technically broader term that also includes the clitoral hood, the homologous structure in women) is a retractable double-layered fold of skin and mucous membrane that covers the glans penis and protects the urinary meatus when the penis. ... The penis (plural penises, penes) is an external male sexual organ. ... For other uses, see Latins and Latin (disambiguation). ...

Early depictions of circumcision are found in cave drawings and Ancient Egyptian tombs, though some pictures may be open to interpretation.^[2][3][4] Male circumcision is a commandment from God in Judaism.^[5] In Islam, though not discussed in the Koran, circumcision is widely practiced and most often considered to be a sunnah.^[6] It is also customary in some Christian churches in Africa including some Oriental Orthodox Churches.^[7] According to the World Health Organization (WHO), global estimates suggest that 30% of males are circumcised of whom two thirds are Muslim.^[8] The prevalance of circumcision varies widely between different populations. For example, prevalence is reported to be nearly universal in the Middle East,^[9] but under 2% in Scandinavia.^[10] Cave or rock paintings are paintings painted on cave or rock walls and ceilings, usually dating to prehistoric times. ... The pyramids are among the most recognizable symbols of the civilization of ancient Egypt. ... For the New York prison see The Tombs. ... This article or section does not cite its references or sources. ... For people named Islam, see Islam (name). ... The Quran (Arabic al-qurʾān أَلْقُرآن; also transliterated as Quran, Koran, and less commonly Alcoran) is the holy book of Islam. ... Sunnah(t) () literally means “trodden path”, and therefore, the sunnah of the prophet means “the way of the prophet”. Terminologically, the word ‘Sunnah’ in Sunni Islam means those religious actions that were instituted by Muhammad(PBUH) during the 23 years of his ministry and which Muslims initially received through consensus... The term Oriental Orthodoxy refers to the churches of Eastern Christian traditions that keeps the faith of only the first three ecumenical councils of the undivided Church - the councils of Nicea, Constantinople and Ephesus. ... WHO redirects here. ... A map showing countries commonly considered to be part of the Middle East The Middle East is a region comprising the lands around the southern and eastern parts of the Mediterranean Sea, a territory that extends from the eastern Mediterranean Sea to the Persian Gulf. ... For other uses, see Scandinavia (disambiguation). ...

Routine neonatal circumcision advocates claim circumcision provides important health advantages which outweigh the risks, has no substantial effects on sexual function, has a complication rate of less than 0.5% when carried out by an experienced physician, and is best performed during the neonatal period.^[11] Opponents of routine neonatal circumcision claim circumcision violates the individual's bodily rights, is medically unnecessary, adversely affects sexual pleasure and performance, and is a practice defended through the use of myths.^[12] It has been suggested that this article or section be merged into Circumcision. ... The symbol of the Genital integrity movement is the ribbon Genital Integrity. ...

The American Medical Association stated in 1999: "Virtually all current policy statements from specialty societies and medical organizations do not recommend routine neonatal circumcision, and support the provision of accurate and unbiased information to parents to inform their choice."^[13] The American Medical Association (AMA) is the largest association of medical doctors in the United States. ...

The World Health Organisation (WHO; 2007), the Joint United Nations Programme on HIV/AIDS (UNAIDS; 2007), and the Centers for Disease Control and Prevention (CDC; 2008) state that evidence indicates that male circumcision significantly reduces the risk of HIV acquisition by men during penile-vaginal sex, but also state that circumcision only provides partial protection and should not replace other interventions to prevent transmission of HIV.^[14][15] The Joint United Nations Programme on HIV and AIDS, or UNAIDS, is the main advocate for accelerated, comprehensive and coordinated global action on the HIV epidemic. ... The Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, is recognized as the leading United States agency for protecting the public health and safety of people. ... Species Human immunodeficiency virus 1 Human immunodeficiency virus 2 Human immunodeficiency virus (HIV) is a retrovirus that causes acquired immunodeficiency syndrome (AIDS, a condition in humans in which the immune system begins to fail, leading to life-threatening opportunistic infections). ...

Circumcision procedures

For infant circumcision, clamps, such as the Gomco clamp, Plastibell, and Mogen are often used.^[16] Clamps cut the blood supply to the foreskin, limit any bleeding and protect the glans. Before using a clamp, the foreskin and the glans are separated with a blunt probe and/or curved hemostat. A rendering of a Gomco clamp. ... This article does not cite any references or sources. ... Hemostasis refers to a process whereby bleeding is halted in most animals with a closed circulatory system. ...

• With the Plastibell, the adhesions between glans and foreskin are first cut with a probe. The foreskin is cut longitudinally, the Plastibell is placed over the glans and the foreskin is covered over the Plastibell. A ligature is then tied firmly around the foreskin. This crushes the skin against the groove in the Plastibell. The skin protruding beyond the ring is then cut away. The remaining foreskin and the clamp come off in three to seven days.^[17]
• With a Gomco clamp, a section of skin is first crushed with a hemostat then slit with scissors. The foreskin is drawn over the bell shaped portion of the clamp and inserted through a hole in the base of the clamp. The clamp is then tightened, "crushing the foreskin between the bell and the base plate." The crushing limits bleeding (provides hemostasis). While the flared bottom of the bell fits tightly against the hole of the base plate, the foreskin is then cut away with a scalpel from above the base plate. The bell prevents the glans being reached by the scalpel.^[18]
• With a Mogen clamp, the foreskin is grabbed dorsally with a straight hemostat, and lifted up. The Mogen clamp is then slid between the glans and hemostat, following the angle of the corona to "avoid removing excess skin ventrally and to obtain a superior cosmetic result," than with Gomco or Plastibell circumcisions. The clamp is locked shut, and a scalpel is used to cut the foreskin from the flat (upper) side of the clamp.^[19][20]

The word ligature can mean more than one thing. ... Hemostats, curved and straight tip. ...

Cultures and religions

Jewish ritual circumcision

See also: Circumcision in cultures and religions

See also: Brit milah

Circumcising cultures may circumcise their males either shortly after birth, during childhood, or around puberty as part of a rite of passage. Circumcision is most prevalent in the Muslim world, parts of South East Asia, Africa, the United States, Israel, and South Korea. It is commonly practised in the Jewish and Islamic faiths. Brit milah (Hebrew: [bərīt mīlā] literally: covenant of circumcision), also berit milah (Sephardi), bris milah (Ashkenazi pronunciation) or bris (Yiddish) is a religious ceremony within Judaism to welcome infant Jewish boys into a covenant between God and the Children of Israel through ritual circumcision performed by a... Nations with a Muslim majority appear in green, while nations that are approximately 50% Muslim appear yellow. ... Location of Southeast Asia Southeast Asia is a subregion of Asia. ... A world map showing the continent of Africa Africa is the worlds second-largest and second most-populous continent, after Asia. ... For other uses, see Jew (disambiguation). ... For people named Islam, see Islam (name). ...

Under Jewish law circumcision is a mitzva aseh ("positive commandment" to perform an act) and is obligatory for Jewish-born males, and some Jewish male converts. It is only postponed or abrogated in the case of threat to the life or health of the child.^[21] It is usually performed by a mohel on the eighth day after birth in a ceremony called a Brit milah (or Bris milah, colloquially simply bris), which means "Covenant of circumcision" in Hebrew. It is considered of such religious importance that the body of an uncircumcised Jewish male will sometimes be circumcised before burial.^[22] Halakha (Hebrew: הלכה ; alternate transliterations include Halocho and Halacha), is the collective corpus of Jewish religious law, including biblical law (the 613 mitzvot) and later talmudic and rabbinic law, as well as customs and traditions. ... Main article: Mitzvah i know year 11 stella girls are looking at this right. ... A mohel (מוהל also moel) is a Jewish ritual circumciser who performs a brit milah ritual circumcision on the penis of a male who is to enter the Jewish covenant. ... Brit milah (Hebrew: [bÉ™rÄ«t mÄ«lā] literally: covenant of circumcision), also berit milah (Sephardi), bris milah (Ashkenazi pronunciation) or bris (Yiddish) is a religious ceremony within Judaism to welcome infant Jewish boys into a covenant between God and the Children of Israel through ritual circumcision performed by a... Hebrew redirects here. ...

Circumcision of Jesus. Illumination from a missal, ca 1460. Municipal Library of Clermont-Ferrand, France

Circumcision is customary among the Coptic, Ethiopian, and Eritrean Orthodox Churches, and also some other African churches.^[7] Some Christian churches in South Africa oppose circumcision, viewing it as a pagan ritual, while others, including the Nomiya church in Kenya,^[7][23] require circumcision for membership. Some Christian churches celebrate the Circumcision of Christ.^[24][25] Christ - Coptic Art Coptic Orthodox Christianity is the indigenous form of Christianity that, according to tradition, the apostle Mark established in Egypt in the middle of the 1st century AD (approximately AD 60). ... The Ethiopian Orthodox Tewahido Church is an Oriental Orthodox church in Ethiopia that was part of the Coptic Church until it was granted its own Patriarch by Cyril VI, the Coptic Pope, in 1959. ... The Eritrean Orthodox Tewahdo Church is one of the Oriental Orthodox churches. ... The Feast of the Circumcision of Our Lord is a feast day formerly celebrated by the Roman Catholic Church on 1 January as a holy day of obligation (a day on which Catholics must attend Mass). ...

In Islam, circumcision is mentioned in some hadith, but not in the Qur'an. Some Fiqh scholars state that circumcision is recommended (Sunnah); others that it is obligatory.^[26] Some have quoted the hadith to argue that the requirement of circumcision is based on the covenant with Abraham.^[27] While endorsing circumcision for males, scholars note that it is not a requirement for converting to Islam.^[28] For people named Islam, see Islam (name). ... Hadith ( transliteration: ) are oral traditions relating to the words and deeds of Prophet Muhammad. ... The Qur’ān [1] (Arabic: , literally the recitation; also sometimes transliterated as Quran, Koran, or Al-Quran) is the central religious text of Islam. ... This article or section does not cite any references or sources. ... Sunnah(t) () literally means “trodden path”, and therefore, the sunnah of the prophet means “the way of the prophet”. Terminologically, the word ‘Sunnah’ in Sunni Islam means those religious actions that were instituted by Muhammad(PBUH) during the 23 years of his ministry and which Muslims initially received through consensus... For other uses, see Abraham (name) and Abram (disambiguation). ...

Circumcision in South Korea is largely the result of American cultural and military influence following the Korean War. In West Africa infant circumcision may have had tribal significance as a rite of passage or otherwise in the past; today in some non-Muslim Nigerian societies it is medicalised and is simply a cultural norm.^[29] Belligerents United Nations: Republic of Korea Australia Belgium Canada Colombia Ethiopia France Greece Luxembourg Netherlands New Zealand Philippines South Africa Thailand Turkey United Kingdom United States Naval Support and Military Servicing/Repairs: Japan Medical staff: Denmark Italy Norway India Sweden DPR Korea PR China Soviet Union Commanders Syngman Rhee Chung...

Circumcision is part of initiation rites in some African, Pacific Islander, and Australian aboriginal traditions in areas such as Arnhem Land,^[30] where the practice was introduced by Makassan traders from Sulawesi in the Indonesian Archipelago.^[31] Circumcision ceremonies among certain Australian aboriginal societies are noted for their painful nature: subincision is practised amongst some aboriginal peoples in the Western Desert.^[32] In the Pacific, ritual circumcision is nearly universal in the Melanesian islands of Fiji and Vanuatu;^[33] participation in the traditional land diving on Pentecost Island is reserved for those who have been circumcised.^[34] For other uses, see Rite of passage (disambiguation). ... A tradition is a story or a custom that is memorized and passed down from generation to generation, originally without the need for a writing system. ... Arnhem Land is an area of 97,000 km² in the north-eastern corner of the Northern Territory, Australia. ... Sulawesi (formerly more commonly known as Celebes, IPA: a Portuguese-originated form of the name) is one of the four larger Sunda Islands of Indonesia and is situated between Borneo and the Maluku Islands. ... Subincision is a form of body modification consisting of a urethrotomy, in which the underside of the penis is incised and the urethra slit open lengthwise, from the urethral opening (meatus) toward the base. ... Pentecost Island Pentecost Island is one of the 83 islands that make up the South Pacific nation of Vanuatu. ...

Circumcision is also commonly practiced in the Polynesian islands of Samoa, Tonga, Niue, and Tikopia. In Samoa it is accompanied by a celebration. Tikopia is the southernmost of the Santa Cruz Islands, located in the province of Temotu. ...

Among some West African animist groups, such as the Dogon and Dowayo, circumcision is taken to represent a removal of "feminine" aspects of the male, turning boys into fully masculine males.^[35] Among the Urhobo of southern Nigeria it is symbolic of a boy entering into manhood. The ritual expression, Omo te Oshare ("the boy is now man"), constitutes a rite of passage from one age set to another.^[36] For Nilotic peoples, such as the Kalenjin and Maasai, circumcision is a rite of passage observed collectively by a number of boys every few years, and boys circumcised at the same time are taken to be members of a single age set.^[37] The Dogon village of Banani. ... Nilotic people or Nilotes, in its contamporary usage, refers to some ethnic groups mainly in southern Sudan, Uganda, Kenya, and northern Tanzania, who speak Nilotic languages, a large sub-group of Nilo-Saharan languages. ... Kalenjin is an ethnic group of Nilotic origin living in the Great Rift Valley in western Kenya. ... Language(s) Maa (ɔl Maa) Religion(s) Monotheism including Christianity Related ethnic groups Samburu The Masai are an indigenous African ethnic group of semi-nomadic people located in Kenya and northern Tanzania. ... In anthropology, an age set is a social category or corporate social group, consisting of people of similar age, who have a common identity, maintain close ties over a prolonged period, and together pass through a series of age-related statuses. ...

Ethical, psychological and legal considerations

Ethical issues

A protest against routine infant circumcision

Main article: Bioethics of neonatal circumcision

The American Medical Association defines “non-therapeutic” circumcision as the non-religious, non-ritualistic, not medically necessary, elective circumcision of male newborns. It states that medical associations in the US, Australia, and Canada do not recommend the routine non-therapeutic circumcision of newborns.^[38] The bioethics of neonatal circumcision are controversial within practicing cultures. ... The American Medical Association (AMA) is the largest association of medical doctors in the United States. ...

UNAIDS state (2007): "Male circumcision is a voluntary surgical procedure and health care providers must ensure that men and young boys are given all the necessary information to enable them to make free and informed choices either for or against getting circumcised."^[39] UNAIDS, the Joint United Nations Programme on HIV/AIDS, is a United Nations program designed to coordinate the worldwide response to the HIV/AIDS epidemic. ...

Circumcision advocates argue that circumcision prevents infections and slows down the spread of AIDS.^[40] Opponents of circumcision question the ethical validity of removing healthy, functioning genital tissue from a minor, arguing that infant circumcision infringes upon individual autonomy and represents a human rights violation.^[41][42] It has been suggested that this article or section be merged into Circumcision. ... For other uses, see AIDS (disambiguation). ... The symbol of the Genital integrity movement is the ribbon Genital Integrity. ... Human rights are rights which some hold to be inalienable and belonging to all humans. ...

Consent

Views differ on whether limits should be placed on caregivers having a child circumcised.

Some medical associations take the position that the parents should determine what is in the best interest of the infant or child,^[43][38][44] but the Royal Australasian College of Physicians (RACP) and the British Medical Association (BMA) observe that controversy exists on this issue.^[45][46] The BMA state that in general, "the parents should determine how best to promote their children’s interests, and it is for society to decide what limits should be imposed on parental choices." They state that because the parents' interests and the child's interests sometimes differ, there are "limits on parents' rights to choose and parents are not entitled to demand medical procedures contrary to their child's best interests." They state that competent children may decide for themselves.^[46] The Royal Australasian College of Physicians, or RACP, is the organization responsible for training, educating, and representing over 9,000 physicians and paediatricians in Australia and New Zealand. ... // The British Medical Association (BMA) is the professional association and registered trade union for doctors in the United Kingdom. ...

Some argue that the medical problems that have their risk reduced by circumcision are already rare, can be avoided, and, if they occur, can usually be treated in less invasive ways than circumcision. Somerville states that the removal of healthy genital tissue from a minor should not be subject to parental discretion and that physicians who perform the procedure are not acting in accordance with their ethical duties to the patient.^[41] Denniston contends that circumcision is harmful and asserts that in the absence of the individual's consent, non-therapeutic child circumcision violates several ethical principles that govern medicine.^[47] Margaret Anne Ganley Somerville, AM, FRSC (born April 13, 1942) is an Australian/Canadian ethicist and academic. ...

Others believe neonatal circumcision is permissible, if parents should so choose. Viens argues that, in a cultural or religious context, circumcision is of significant enough importance that parental consent is sufficient and that there is "an absence of sufficient evidence or persuasive argumentation" to support changing the present policy.^[48] Benatar and Benatar argue that circumcision can be beneficial to a male before he would be able to otherwise provide consent, that "it is far from obvious that circumcision reduces sexual pleasure," and that "it is far from clear that non-circumcision leaves open a future person’s options in every regard."^[49]

Psychological and emotional consequences

The British Medical Association (2006) state that "it is now widely accepted, including by the BMA, that this surgical procedure has medical and psychological risks."^[46] Goldman (1999) discussed the possible trauma of circumcision on children and parents, anxieties over the circumcised state, a tendency to repeat the trauma, and suggested a need on the part of circumcised doctors to find medical justifications for the procedure.^[50] Milos asserts the existence of "excruciating pain, perinatal encoding of the brain with violence, interruption of maternal-infant bonding, betrayal of infant trust..." among other consequences, and points to support groups providing information to Jewish parents "who are grappling with this difficult issue" as well as men "who perceive themselves as victims of a sexual assault."^[12] Moses et al. (1998) state that "scientific evidence is lacking" for psychological and emotional harm, and cite a longitudinal study finding no difference in developmental and behavioural indices.^[51]

Legality

Main article: Circumcision and law

In 2001, Sweden allowed only persons certified by the National Board of Health to circumcise infants, requiring a medical doctor or an anesthesia nurse to accompany the circumciser and for anaesthetic to be applied beforehand. Jews and Muslims in Sweden objected to the law,^[52] and in 2001, the World Jewish Congress stated that it was “the first legal restriction on Jewish religious practice in Europe since the Nazi era.”^[53] In 2005, the Swedish National Board of Health and Welfare reviewed the law and recommended that it be maintained. In 2006, the United States State Department's report on Sweden stated that most Jewish mohels had been certified under the law and 3000 Muslim and 40–50 Jewish boys were circumcised each year.^[54] // Religious laws pertaining to circumcision are ancient. ... The World Jewish Congress (WJC) is an international federation of Jewish communities and organizations. ... A mohel (מוהל also moel) is a Jewish ritual circumciser who performs a brit milah ritual circumcision on the penis of a male who is to enter the Jewish covenant. ...

In 2006, a Finnish court found that a parent's actions in having her 4-year-old son circumcised were illegal. The prosecutor argued that, "part of healthy genitalia is removed without medical foundation, or competent consent". No punishment was assigned by the court.^[55]

Pain and pain relief during circumcision

According to the American Academy of Pediatrics' 1999 Circumcision Policy Statement, “There is considerable evidence that newborns who are circumcised without analgesia experience pain and psychologic stress.”^[43] It therefore recommended using pain relief for circumcision.^[43] One of the supporting studies, Taddio 1997, found a correlation between circumcision and intensity of pain response during vaccination months later. While acknowledging that there may be "other factors" besides circumcision to account for different levels of pain response, they stated that they did not find evidence of such. They concluded "pretreatment and postoperative management of neonatal circumcision pain is recommended based on these results."^[56] Other medical associations also cite evidence that circumcision without anesthetic is painful.^[57][58] The American Academy of Pediatrics (AAP) is an organization of pediatricians, physicians trained to deal with the medical care of infants, children, and adolescents. ... This article is about the Latin alphabet letter. ...

Stang, 1998, found 45% of physicians used anaesthesia – most commonly a dorsal penile nerve block – for infant circumcisions. Obstetricians used anaesthesia significantly less often (25%) than family practitioners (56%) or pediatricians (71%).^[59] Howard et. al (1998) studied US medical doctor residency programs, and stated that 26% of the programs that taught the circumcision procedure "failed to provide instruction in anesthesia/analgesia for the procedure." They concluded: "Given the overwhelming evidence that neonatal circumcision is painful and the existence of safe and effective anesthesia/analgesia methods, residency training in neonatal circumcision should include instruction in pain relief techniques."^[60]

J.M. Glass, 1999, stated that Jewish ritual circumcision is so quick that "most mohelim do not routinely use any anaesthesia as they feel there is probably no need in the neonate. However, there is no Talmudic objection and should the parents wish for local anaesthetic cream to be applied there is no reason why this cannot be done."^[21] Tannenbaum and Shechet, 2000, stated that an “authentic, traditional bris performed by a mohel does not use clamps, so there is no pain associated with crushing tissue.”^[61] They also asserted that due to the speed of the procedure and rarity of complication, it is “more humane not to subject the infant to a local anesthetic.”^[61] Brit milah (Hebrew: [bÉ™rÄ«t mÄ«lā] literally: covenant of circumcision), also berit milah (Sephardi), bris milah (Ashkenazi pronunciation) or bris (Yiddish) is a religious ceremony within Judaism to welcome infant Jewish boys into a covenant between God and the Children of Israel through ritual circumcision performed by a... A mohel (מוהל also moel) is a Jewish ritual circumciser who performs a brit milah ritual circumcision on the penis of a male who is to enter the Jewish covenant. ...

Lander et al., found that babies circumcised without pain relief "exhibited homogeneous responses that consisted of sustained elevation of heart rate and high pitched cry throughout the circumcision and following. Two newborns ... became ill following circumcision (choking and apnea)."[3] A 2004 Cochrane review, which compared the dorsal penile nerve block and EMLA (topical anaesthesia) found both anaesthetics appear safe, but neither of them completely eliminated pain.^[62] Razmus et al. reported that newborns circumcised with the dorsal block and the ring block in combination with the concentrated oral sucrose had the lowest pain scores.^[63] Ng et al. found that EMLA cream, in addition to local anaesthetic, effectively reduces the sharp pain induced by needle puncture.^[64]

Williams (2003) argued that human attitudes toward the pain that animals (including humans) experience may not be based on speciesism; developing an analogy between attitudes toward the pain pigs endure while having their tails "docked", and "our culture's indifference to the pain that male human infants experience while being circumcised."^[65] The relevance of particular information in (or previously in) this article or section is disputed. ...

Sexual effects

Main article: Sexual effects of circumcision

The sexual effects of circumcision are the subject of much debate. The American Academy of Pediatrics (1999) stated "There are anecdotal reports that penile sensation and sexual satisfaction are decreased for circumcised males", however they also stated that "[a] survey of adult males using self-report suggests more varied sexual practice and less sexual dysfunction in circumcised adult men." Masters and Johnson noted no difference in exteroceptive and light tactile discrimination on the ventral or dorsal surfaces of the glans penis between circumcised and uncircumcised men."^[43] In January 2007, The American Academy of Family Physicians (AAFP) stated "The effect of circumcision on penile sensation or sexual satisfaction is unknown. Because the epithelium of a circumcised glans becomes cornified, and because some feel nerve over-stimulation leads to desensitization, many believe that the glans of a circumcised penis is less sensitive. [...] No valid evidence to date, however, supports the notion that being circumcised affects sexual sensation or satisfaction."^[57] The sexual effects of circumcision are not well understood and researchers findings are often contested. ... Time magazine, May 25, 1970 The Masters and Johnson research team, made up of William Masters and Virginia E. Johnson, pioneered research into the nature of human sexual response and the diagnosis and treatment of sexual disorders and dysfunctions from 1957 until the 1990s. ...

Conversely Boyle et al. (2002) stated that "the genitally intact male has thousands of fine touch receptors and other highly erogenous nerve endings—many of which are lost to circumcision, with an inevitable reduction in sexual sensation experienced by circumcised males"^[66] They concluded, "Evidence has also started to accumulate that male circumcision may result in lifelong physical, sexual, and sometimes psychological harm as well."

Fink et. al(2002) found a statistically significant increase in erectile dysfunction in circumcised men."^[67]

Medical aspects

Main article: Medical analysis of circumcision

The British Medical Association, states “there is significant disagreement about whether circumcision is overall a beneficial, neutral or harmful procedure. At present, the medical literature on the health, including sexual health, implications of circumcision is contradictory, and often subject to claims of bias in research.”^[46] Cost-benefit analyses have varied. Some found a small net benefit of circumcision,^{[68][69][verification needed]} some found a small net decrement,^[70][71] and one found that the benefits and risks balanced each other out and suggested that the decision could "most reasonably be made on nonmedical factors."^[72] Numerous medical studies have tried to assess the effects of circumcision. ... // The British Medical Association (BMA) is the professional association and registered trade union for doctors in the United Kingdom. ... Numerous medical studies have tried to assess the effects of circumcision. ...

Risks of circumcision

Main article: Medical analysis of circumcision

While the risk in a competently performed medical circumcision is very low,^[73] complications from bleeding, infection and poorly carried out circumcisions can be catastrophic.^[74] According to the American Medical Association (AMA), blood loss and infection are the most common complications, but most bleeding is minor and can be stopped by applying pressure.^[38] Kaplan identified other complications, including urinary fistulas, meatal stenosis, chordee, cysts, lymphedema, ulceration of the glans, necrosis of all or part of the penis, hypospadias, epispadias, impotence and removal of too much tissue, sometimes causing secondary phimosis. He stated “Virtually all of these complications are preventable with only a modicum of care" and "most such complications occur at the hands of inexperienced operators who are neither urologists nor surgeons.”^[75] Numerous medical studies have tried to assess the effects of circumcision. ... The American Medical Association (AMA) is the largest association of medical doctors in the United States. ... For other uses, see Bleeding (disambiguation). ... An infection is the detrimental colonization of a host organism by a foreign species. ... In medicine, a fistula (pl. ... Urethral meatal stenosis is a narrowing (stenosis) of the opening of the urethra, the tube through which urine leaves the body from the urinary bladder. ... Chordee is a condition in which the penis curves downward (that is, in a ventral direction)or upward. ... This article is about cysts in the body. ... Azskeptic 17:34, 10 July 2007 (UTC) Lymphedema, also spelled lymphoedema, also known as lymphatic obstruction, is a condition of localized fluid retention caused by a compromised lymphatic system. ... An ulcer (from Latin ulcus) is an open sore of the skin, eyes or mucous membrane, often caused by an initial abrasion and generally maintained by an inflammation and/or an infection. ... Necrosis (in Greek Νεκρός = Dead) is the name given to accidental death of cells and living tissue. ... Hypospadias is a birth defect of the urethra in the male that involves an abnormally placed urethral meatus (opening). ... Hypospadias is a birth defect of the urethra in the male that involves an abnormally placed urethral meatus (opening). ... Impotence or, more clinically, erectile dysfunction is the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. ... Phimosis is a condition where the male foreskin cannot be fully retracted from the head of the penis. ...

A penis that has been circumcised (a skin bridge is present in this example).

A penis that has not been circumcised.

Complication rates ranging from 0.06% to 55% have been cited.^[76] Infant circumcision may result in skin bridges,^[77] and meatal stenosis may be a common longer-term complication from circumcision.^[78][79] The RACP states that the penis is lost in 1 in 1,000,000 circumcisions.^[80] Image File history File links Download high-resolution version (1257x555, 572 KB) Example of a circumcised human penis in flaccid and erect states. ... Image File history File links Download high-resolution version (1257x555, 572 KB) Example of a circumcised human penis in flaccid and erect states. ... Urethral meatal stenosis is a narrowing (stenosis) of the opening of the urethra, the tube through which urine leaves the body from the urinary bladder. ...

Deaths have been reported.^[75][81] The American Academy of Family Physicians states that death is rare, and cites an estimated death rate of 1 infant in 500,000 from circumcision.^[57] Gairdner's 1949 study reported that an average of 16 children per year out of about 90,000 died following circumcision in the UK. He found that most deaths had occurred suddenly under anaesthesia and could not be explained further, but hemorrhage and infection had also proven fatal. Deaths attributed to phimosis and circumcision were grouped together, but Gairdner argued that such deaths were probably due to the circumcision operation.^[82]

Adult circumcisions are often performed without clamps, and require 4 to 6 weeks of abstinence from masturbation or intercourse after the operation to allow the wound to heal.^{[citation needed]}

HIV and other sexually transmitted diseases

In March 2007, WHO and the Joint United Nations Programme on HIV/AIDS (UNAIDS) stated that male circumcision is an effective intervention for HIV prevention, but also noted that male circumcision only provides partial protection and should not replace other interventions to prevent the heterosexual transmission of HIV.^[14] The Centers for Disease Control and Prevention (CDC) state that several types of research have documented that male circumcision significantly reduces the risk of HIV acquisition by men during penile-vaginal sex. Both the WHO and CDC indicate that it may not reduce HIV transmission from men to women, and that data is lacking for the transmission rate of men who engage in anal sex with either a female or male partner, as either the insertive or receptive partner.^[14][15] WHO redirects here. ... The Joint United Nations Programme on HIV and AIDS, or UNAIDS, is the main advocate for accelerated, comprehensive and coordinated global action on the HIV epidemic. ... Species Human immunodeficiency virus 1 Human immunodeficiency virus 2 Human immunodeficiency virus (HIV) is a retrovirus that causes acquired immunodeficiency syndrome (AIDS, a condition in humans in which the immune system begins to fail, leading to life-threatening opportunistic infections). ... The Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, is recognized as the leading United States agency for protecting the public health and safety of people. ...

The World Health Organization (WHO) stated that studies of three trials provide compelling evidence that male circumcision provides a 50–60% reduction in HIV transmission from female to male.^[83] All three trials were stopped early by their monitoring boards, because it was judged that the significant reductions in HIV incidence made it unethical to continue following control group participants without offering circumcision.^[84] In 2007, WHO and UNAIDS recommended that male circumcision should now be recognized as an efficacious intervention for HIV prevention,^[14] but emphasised that it does not provide complete protection against HIV infection.^[85] They have stated that scientific findings regarding the role of male circumcision in preventing heterosexual HIV infection are particularly relevant in regions where the incidence of heterosexually acquired HIV infection is high, such as Sub-Saharan Africa, and stressed that the procedure must be carried out safely and under conditions of informed consent.^[85][86] Before there were any results from randomized controlled trials, reviews of observational data differed as to whether there was sufficient evidence for an intervention effect of circumcision against HIV.^[87][88] UNAIDS, the Joint United Nations Programme on HIV/AIDS, is a United Nations program designed to coordinate the worldwide response to the HIV/AIDS epidemic. ... Satellite image of Africa, showing the ecological break that defines the sub-Saharan area Sub-Saharan Africa is a geographical term used to describe the area of the African continent which lies south of the Sahara, or those African countries which are fully or partially located south of the Sahara. ...

McCoombe et al. stated that a layer of keratin could provide protection from viral entry, and found that the keratin is thinner on the foreskin than the glans penis, and thinnest on the inner surface of the foreskin.^[89] Not to be confused with kerogen or carotene. ... Healy Mak Syndrome The glans penis (or simply glans) is the sensitive tip of the penis. ...

A meta-analysis found that circumcision is associated with lower rates of syphilis, chancroid and possibly genital herpes.^[90] Chancroid is a sexually transmitted disease characterized by painful sores on the genitalia. ...

Hygiene, and infectious and chronic conditions

Studies have found that boys with foreskins tend to have higher rates of various infections and inflammations of the penis than those who are circumcised.^[91][92][93] The foreskin may harbor bacteria and become infected if it is not cleaned properly,^[94] but may become inflamed if it is cleaned too often with soap.^[95] Also, the forcible retraction of the foreskin in boys can lead to infections.^[76] Forcible retraction of the foreskin, sometimes called premature retraction, refers to the retraction of the foreskin (prepuce) in infants or young adults, where the penis and the prepuce have not yet sufficiently developed to allow for full or partial retraction. ...

Circumcision is one treatment for balanitis. The usual treatment for balanoposthitis is to use topical antibiotics (metronidazole cream) and antifungals (clotrimazole cream) or low-potency steroid creams.^[96] Balanitis is inflammation of the glans penis. ... Bovine herpesvirus 1 (BHV-1) is a virus of the family Herpesviridae that causes several diseases worldwide in cattle, including rhinotracheitis, vaginitis, balanoposthitis, abortion, conjunctivitis, and enteritis. ...

Several studies have shown that uncircumcised men are at greater risk of human papilloma virus (HPV) infection.^[97][98][99] One study found no statistically significant difference in the incidence of HPV infection between circumcised and uncircumcised men, but did note a higher prevalence of urethritis in the uncircumcised.^[100] Results of the 1999 to 2004 United States National Health and Nutrition Examination Survey demonstrated that more circumcised men reported having been diagnosed with genital warts compared with uncircumcised men (4.5% and 2.4%, respectively).^[101] Human papillomavirus (HPV) is a virus which affects humans. ...

Twelve studies have indicated that neonatal circumcision reduces the rate of Urinary tract infections (UTI's) in male infants by a factor of about 10.^[102] Some UTI studies have been criticized for not taking into account a high rate of UTI's among premature infants, who are usually not circumcised because of their fragile health status.^[43] The AMA stated that “depending on the model employed, approximately 100 to 200 circumcisions would need to be performed to prevent 1 UTI," and noted one decision analysis model that concluded that circumcision was not justified as a preventative measure against UTI.^[38] A urinary tract infection is an infection of the urinary tract. ...

Penile cancer

Penile cancer affects from 0.82 per 100,000 in Denmark to 10.5 per 100,000 men per year in parts of India (0.9 to 1 per 100,000 in the United States).^[43] Studies have reported a rate of penile cancer from 3 to 22 times higher in uncircumcised than circumcised men.^[103][104]

The American Academy of Pediatrics (1999) stated that studies suggest that neonatal circumcision confers some protection from penile cancer, but circumcision at a later age does not seem to confer the same level of protection. Further, because penile cancer is a rare disease, the risk of penile cancer developing in an uncircumcised man, although increased compared with a circumcised man, remains low.^[43] The American Academy of Pediatrics (AAP) is an organization of pediatricians, physicians trained to deal with the medical care of infants, children, and adolescents. ...

The American Cancer Society (2006) stated, "The current consensus of most experts is that circumcision should not be recommended as a prevention strategy for penile cancer."^[105] The American Cancer Society (ACS) is the nationwide community-based voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy and service. ...

Policies of various national medical associations

United States

The American Academy of Family Physicians (2007) recommends that physicians discuss the potential harms and benefits of circumcision with all parents or legal guardians considering circumcision for newborn boys.^[106] The American Academy of Family Physicians (AAFP) was founded in 1947 to promote the science and art of family medicine. ...

The American Academy of Pediatrics (1999) do not recommend that all infant boys be circumcised, and state that parents should choose what is best for their child by looking at the benefits and risks.^[107] The AAP also recommended using analgesia as a safe and effective method for reducing pain associated with circumcision, and that circumcision only be performed on newborns who are stable and healthy.^[108] The American Academy of Pediatrics (AAP) is an organization of pediatricians, physicians trained to deal with the medical care of infants, children, and adolescents. ...

The American Medical Association supports the general principles of the 1999 Circumcision Policy Statement of the American Academy of Pediatrics.^[38]

The American Urological Association (2007) believes that neonatal circumcision has potential medical benefits and advantages as well as disadvantages and risks. In the context of HIV studies carried out in Africa, the AUA states that while "the results of studies in African nations may not necessarily be extrapolated to men in the United States at risk for HIV infection," the AUA "recommends that circumcision should be presented as an option for health benefits."^[109]

Canada

The Fetus and Newborn Committee of the Canadian Paediatric Society posted "Circumcision: Information for Parents" in November 2004,^[58] and "Neonatal circumcision revisited" in 1996. The 1996 position statement says that "circumcision of newborns should not be routinely performed," (a statement with which the Royal Australasian College of Physicians concurs,) and the 2004 advice to parents says it "does not recommend circumcision for newborn boys. Many pediatricians no longer perform circumcisions."^[44] Logo of the CPS The Canadian Paediatric Society, or CPS, is a national advocacy association committed to the health needs of children and youth. ...

United Kingdom

The British Medical Association's position (June 2006) was that male circumcision for medical purposes should only be used where less invasive procedures are either unavailable or not as effective. The BMA specifically refrained from issuing a policy regarding “non-therapeutic circumcision,” stating that as a general rule, it “believes that parents should be entitled to make choices about how best to promote their children’s interests, and it is for society to decide what limits should be imposed on parental choices.”^[110]

Australasia

The Royal Australasian College of Physicians states "there is no medical indication for routine neonatal circumcision". It states, "If the operation is to be performed, the medical attendant should ensure this is done by a competent operator, using appropriate anaesthesia and in a safe child-friendly environment"^[45] The Royal Australasian College of Physicians, or RACP, is the organization responsible for training, educating, and representing over 9,000 physicians and paediatricians in Australia and New Zealand. ...

The Tasmanian President of the Australian Medical Association (AMA), Haydn Walters, has stated that the AMA would support a call to ban circumcision for non-medical, non-religious reasons.^[111]

History of circumcision

Main article: History of male circumcision

Ancient Egyptian carved scene of circumcision, from the inner northern wall of the Temple of Khonspekhrod at the Precinct of Mut, Luxor, Egypt. Eighteenth dynasty, Amenhotep III, c. 1360 BC.

It has been variously proposed that circumcision began as a religious sacrifice, as a rite of passage marking a boy's entrance into adulthood, as a form of sympathetic magic to ensure virility, as a means of suppressing (or enhancing) sexual pleasure or to increase a man's attractiveness to women, or as an aid to hygiene where regular bathing was impractical, among other possibilities. Immerman et al. suggest that circumcision causes lowered sexual arousal of pubescent males, and hypothesize that this was a competitive advantage to tribes practicing circumcision, leading to its spread regardless of whether the people understood this.^[112] It is possible that circumcision arose independently in different cultures for different reasons. It has been variously proposed that male circumcision began as a religious sacrifice, as a rite of passage marking a boys entrance into adulthood, as a form of sympathetic magic to ensure virility, as a means of suppressing sexual pleasure, as an aid to hygiene where regular bathing was... Image File history File links Download high-resolution version (1081x703, 1521 KB) Summary Ancient Egyptian caved scene of circumcision, from the inner northern wall of the Temple of Khonspekhrod at the Precinct of Mut, Luxor, Egypt. ... Image File history File links Download high-resolution version (1081x703, 1521 KB) Summary Ancient Egyptian caved scene of circumcision, from the inner northern wall of the Temple of Khonspekhrod at the Precinct of Mut, Luxor, Egypt. ... Main entrance to Precinct of Mut. ... Luxor on Nile, at Luxor Temple with mosque. ... The Eighteenth, Nineteenth, and Twentieth Dynasties of ancient Egypt are often combined under the group title, New Kingdom. ... Nebmaatre The Lord of Truth is Re[2] Nomen Amenhotep Hekawaset Amun is Satisfied, Ruler of Thebes[1] Horus name Kanakht Emkhaimaat The strong bull, appearing in truth Nebty name Semenhepusegerehtawy One establishing laws, pacifying the two lands Golden Horus Aakhepesh-husetiu Great of valour, smiting the Asiatics Consort(s... Marcus Aurelius and members of the Imperial family offer sacrifice in gratitude for success against Germanic tribes: contemporary bas-relief, Capitoline Museum, Rome For other uses, see Sacrifice (disambiguation). ... For other uses, see Rite of passage (disambiguation). ... In psychology and cognitive science, magical thinking is non-scientific causal reasoning (e. ... Hygiene refers to practices associated with ensuring good health and cleanliness. ... Children bathing in a small metal bathtub Bathing is the immersion of the body in fluid, usually water, or an aqueous solution. ...

The oldest documentary evidence for circumcision comes from ancient Egypt.^[113] Circumcision was common, although not universal, among ancient Semitic peoples.^[114] In the aftermath of the conquests of Alexander the Great, however, Greek dislike of circumcision (they regarded a man as truly "naked" only if his prepuce was retracted) led to a decline in its incidence among many peoples that had previously practised it.^[115] The pyramids are among the most recognizable symbols of the civilization of ancient Egypt. ... In linguistics and ethnology, Semitic (from the Biblical Shem, Hebrew: שם, translated as name, Arabic: سام) was first used to refer to a language family of largely Middle Eastern origin, now called the Semitic languages. ... For the film of the same name, see Alexander the Great (1956 film). ...

Medical circumcision in the 19th century and early 20th century

Family circumcision set and trunk, ca. eighteenth century Wooden box covered in cow hide with silver implements: silver trays, clip, pointer, silver flask, spice vessel.

There are several hypotheses to explain why infant circumcision was accepted in the United States about the year 1900. The germ theory of disease elicited an image of the human body as a conveyance for many dangerous germs, making the public "germ phobic" and suspicious of dirt and bodily secretions. Because of its function, the penis became "dirty" by association, and from this premise circumcision was seen as preventative medicine to be practiced universally.^[116] In the view of many practitioners at the time, circumcision was a method of treating and preventing masturbation.^[116] It was also said to protect against syphilis,^[117] phimosis, paraphimosis, balanitis, and "excessive venery" (which was believed to produce paralysis).^[116] Gollaher states that physicians advocating circumcision in the late nineteenth century expected public skepticism, and refined their arguments to overcome it.^[116] Image File history File links Circumcision_set. ... Image File history File links Circumcision_set. ... The germ theory of disease, also called the pathogenic theory of medicine, is a theory that proposes that microorganisms are the cause of many diseases. ... Syphilis is a curable sexually transmitted disease caused by the Treponema pallidum spirochete. ... Paralysed redirects here. ...

Infant circumcision was taken up in the United States, Australia and the English-speaking parts of Canada, South Africa and to a lesser extent in the United Kingdom and New Zealand. Although it is difficult to determine historical circumcision rates, one estimate[4] of infant circumcision rates in the United States holds that 30% of newborn American boys were being circumcised in 1900, 55% in 1925, and 72% in 1950.

Circumcision since 1945

In 1949, the United Kingdom's newly-formed National Health Service removed infant circumcision from its list of covered services. Since then, circumcision has been an out-of-pocket cost to parents, and the proportion of newborns circumcised in England and Wales has fallen to less than one percent. In Canada, individual provincial health services began delisting circumcision in the 1980s. NHS redirects here. ... Out-of-pocket expenses are direct outlays of cash which are not reimbursed. ...

In South Korea, circumcision grew in popularity following the establishment of the United States trusteeship in 1945 and the spread of American influence. More than 90% of South Korean high school boys are now circumcised, but the average age of circumcision is 12 years.^[118]

In some South African ethnic groups, circumcision has roots in several belief systems, and is mostly performed on teenage boys.

A study in 1987 found that the prominent reasons for parents choosing circumcision were "concerns about the attitudes of peers and their sons' self concept in the future," rather than medical concerns.[5] A 2005 study speculated that increased recognition of the potential benefits may be responsible for an observed increase in the rate of neonatal circumcision in the USA between 1988 and 2000.[6]

Prevalence of circumcision

Main article: Prevalence of circumcision

Estimates of the proportion of males that are circumcised worldwide vary from one-sixth^[119] to a third.^[120] WHO has estimated that 664,500,000 males aged 15 and over are circumcised (30% global prevalence), with almost 70% of these being Muslim.^[85] Prevalence is near universal in the Middle East and Central Asia.^[85] WHO states that "there is generally little non-religious circumcision in Asia, with the exceptions of the Republic of Korea and the Philippines".^[85] WHO presents a map of estimated prevalence in which the level is generally low (< 20%) across Europe,^[85] and Klavs et al. report findings that "support the notion that the prevalence is low in Europe".^[121] In Latin America, prevalence is universally low.^[122] Estimates for individual countries include Spain^[123], Colombia^[123] and Denmark^[124] less than 2%, Finland^[125] and Brazil^[123] 7%, Taiwan^[126] 9% and Thailand^[123] 13%. The prevalence of circumcision (or circumcision rate) refers to the proportion of males that are circumcisised in a given population. ...

WHO estimates prevalence in the United States and Canada at 75% and 30%, respectively.^[85] Prevalence in Africa varies from less than 20% in some southern African countries to near universal in North and West Africa.^[122] The circumcision rate has declined sharply in Australia since the 1970s, leading to an age-graded fall in prevalence, with a 2000-01 survey finding 32% of those aged 16-19 years circumcised, 50% for 20-29 years and 64% for those aged 30-39 years.^[127][128] Prevalence in the UK is also age-graded, with 12% of those aged 16-19 years circumcised and 20% of those aged 40-44 years.^[129] A world map showing the continent of Africa Africa is the worlds second-largest and second most-populous continent, after Asia. ...

See also

• Brit milah
• Circumcision scar
• Foreskin restoration
• Genital integrity
• Genital modification and mutilation
• Holy Prepuce
• Preputioplasty, alternative to circumcision in the treatment for phimosis

Brit milah (Hebrew: [bərīt mīlā] literally: covenant of circumcision), also berit milah (Sephardi), bris milah (Ashkenazi pronunciation) or bris (Yiddish) is a religious ceremony within Judaism to welcome infant Jewish boys into a covenant between God and the Children of Israel through ritual circumcision performed by a... In males, the circumcision scar refers to the scar after a male circumcision has healed. ... Foreskin restoration is the process of expanding the residual skin on the penis, via surgical or non-surgical methods, to create the appearance of a natural foreskin (prepuce) covering the glans penis. ... The symbol of the Genital integrity movement is the ribbon Genital Integrity. ... The terms genital modification and genital mutilation can refer to permanent or temporary changes to human genitals. ... 11th century Icon of Christ Pantocrator. ... Preputioplasty or prepuce plasty, also known as limited dorsal slit with transverse closure, is a minor plastic surgical operation on the prepuce or foreskin of the penis to widen a narrow non-retractile foreskin which cannot comfortably be drawn back off the head of the penis in erection because of...

Notes

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A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 183rd day of the year (184th in leap years) in the Gregorian calendar. ... For other uses, see BBC (disambiguation). ... is the 274th day of the year (275th in leap years) in the Gregorian calendar. ... This article is about the year. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 291st day of the year (292nd in leap years) in the Gregorian calendar. ... Reuters Group plc (LSE: RTR and NASDAQ: RTRSY); pronounced is known as a financial market data provider and a news service that provides reports from around the world to newspapers and broadcasters. ... is the 158th day of the year (159th in leap years) in the Gregorian calendar. ... This article is about the year. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 291st day of the year (292nd in leap years) in the Gregorian calendar. ... is the 258th day of the year (259th in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 185th day of the year (186th in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 219th day of the year (220th in leap years) in the Gregorian calendar. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 260th day of the year (261st in leap years) in the Gregorian calendar. ... Gideon Koren, MD, FACMT, FRCP(C) (born 1947) is a Canadian pediatrician, clinical pharmacologist, and toxicologist. ... The Lancet is one of the oldest and most respected peer-reviewed medical journals in the world, published weekly by Elsevier, part of Reed Elsevier. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 220th day of the year (221st in leap years) in the Gregorian calendar. ... The American Academy of Family Physicians (AAFP) was founded in 1947 to promote the science and art of family medicine. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 30th day of the year in the Gregorian calendar. ... Logo of the CPS The Canadian Paediatric Society, or CPS, is a national advocacy association committed to the health needs of children and youth. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 297th day of the year (298th in leap years) in the Gregorian calendar. ... Pediatrics is an official peer-reviewed journal of the American Academy of Pediatrics. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... ISSN, or International Standard Serial Number, is the unique eight-digit number applied to a periodical publication including electronic serials. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 180th day of the year (181st in leap years) in the Gregorian calendar. ... 2008 (MMVIII) is the current year, a leap year that started on Tuesday of the Common Era (or Anno Domini), in accordance with the Gregorian calendar. ... is the 170th day of the year (171st in leap years) in the Gregorian calendar. ... Pediatrics is an official peer-reviewed journal of the American Academy of Pediatrics. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 96th day of the year (97th in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 180th day of the year (181st in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... 2008 (MMVIII) is the current year, a leap year that started on Tuesday of the Common Era (or Anno Domini), in accordance with the Gregorian calendar. ... is the 175th day of the year (176th in leap years) in the Gregorian calendar. ... 2008 (MMVIII) is the current year, a leap year that started on Tuesday of the Common Era (or Anno Domini), in accordance with the Gregorian calendar. ... is the 179th day of the year (180th in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 182nd day of the year (183rd in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 270th day of the year (271st in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 182nd day of the year (183rd in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 182nd day of the year (183rd in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 182nd day of the year (183rd in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... 2008 (MMVIII) is the current year, a leap year that started on Tuesday of the Common Era (or Anno Domini), in accordance with the Gregorian calendar. ... is the 177th day of the year (178th in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 182nd day of the year (183rd in leap years) in the Gregorian calendar. ... ISSN, or International Standard Serial Number, is the unique eight-digit number applied to a periodical publication including electronic serials. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 182nd day of the year (183rd in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 272nd day of the year (273rd in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 183rd day of the year (184th in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 182nd day of the year (183rd in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 183rd day of the year (184th in leap years) in the Gregorian calendar. ... is the 163rd day of the year (164th in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 183rd day of the year (184th in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 192nd day of the year (193rd in leap years) in the Gregorian calendar. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 168th day of the year (169th in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 182nd day of the year (183rd in leap years) in the Gregorian calendar. ... is the 54th day of the year in the Gregorian calendar. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 54th day of the year in the Gregorian calendar. ... is the 55th day of the year in the Gregorian calendar. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... The Lancet is one of the oldest and most respected peer-reviewed medical journals in the world, published weekly by Elsevier, part of Reed Elsevier. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 91st day of the year (92nd in leap years) in the Gregorian calendar. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... December 27 is the 361st day of the year in the Gregorian calendar (362nd in leap years). ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... December 27 is the 361st day of the year in the Gregorian calendar (362nd in leap years). ... is the 188th day of the year (189th in leap years) in the Gregorian calendar. ... Also see: 2002 (number). ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 190th day of the year (191st in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 199th day of the year (200th in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 232nd day of the year (233rd in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... 2008 (MMVIII) is the current year, a leap year that started on Tuesday of the Common Era (or Anno Domini), in accordance with the Gregorian calendar. ... is the 102nd day of the year (103rd in leap years) in the Gregorian calendar. ... is the 318th day of the year (319th in leap years) in the Gregorian calendar. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... eMedicine is an online clinical medical knowledge base that was founded in 1996. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 324th day of the year (325th in leap years) in the Gregorian calendar. ... is the 101st day of the year (102nd in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 190th day of the year (191st in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 190th day of the year (191st in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 190th day of the year (191st in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... is the 213th day of the year (214th in leap years) in the Gregorian calendar. ... Year 2005 (MMV) was a common year starting on Saturday (link displays full calendar) of the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 264th day of the year (265th in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... The American Academy of Family Physicians (AAFP) was founded in 1947 to promote the science and art of family medicine. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 30th day of the year in the Gregorian calendar. ... is the 60th day of the year (61st in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... ISSN, or International Standard Serial Number, is the unique eight-digit number applied to a periodical publication including electronic serials. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 182nd day of the year (183rd in leap years) in the Gregorian calendar. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 238th day of the year (239th in leap years) in the Gregorian calendar. ... // The British Medical Association (BMA) is the professional association and registered trade union for doctors in the United Kingdom. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 182nd day of the year (183rd in leap years) in the Gregorian calendar. ... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 343rd day of the year (344th in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... The Sixth Dynasty of Egypt is considered by many authorities as the last dynasty of the Old Kingdom of Ancient Egypt, although The Oxford History of Ancient Egypt (ed. ... In the art of sculpture, a relief is an artwork where a modelled form projects out of a flat background. ... It has been suggested that Hieroglyph (French Wiki article) be merged into this article or section. ... The Book of Jeremiah, or Jeremiah (יִרְמְיָהוּ YirmÉ™yāhÅ« in Hebrew), is part of the Hebrew Bible, Judaisms Tanakh, and later became a part of Christianitys Old Testament. ... Edom (אֱדוֹם, Standard Hebrew Edom, Tiberian Hebrew ʾĔḏôm) sounds like the Biblical Hebrew word for red and is a vividly apposite designation for the red sandstones of Edom. ... Ammon or Ammonites (עַמּוֹן People, Standard Hebrew Ê»Ammon, Tiberian Hebrew Ê»Ammôn), also referred to in the Bible as the children of Ammon, were a people living east of the Jordan river who along with the Moabites traced their origin to Lot, the nephew of the patriarch Abraham, and who were... Moab (מוֹאָב Seed of father/leader, Standard Hebrew Moʾav, Tiberian Hebrew Môʾāḇ) is the historical name for a mountainous strip of land in Jordan running along the eastern shore of the Dead Sea. ... Herodotus of Halicarnassus (Greek: HÄ“ródotos Halikarnāsseús) was a Greek historian who lived in the 5th century BC (c. ... In ancient geography, Colchis or Kolchis (Georgian/Laz: კოლხეთი, kolkheti; Greek: , Kolchís) was an ancient Georgian [1][2][3], state[4] [5]kingdom and region[6] in the Western Georgia (Caucasus region), which played an important role in the ethnic and cultural formation of the Georgian nation and its subgroups. ... Phoenicia was an ancient civilization in the north of ancient Canaan, with its heartland along the coastal plain of what is now Lebanon and Syria. ... 1 Maccabees is a deuterocanonical book of the Bible which was written by a Jewish (pre-Christian) author, probably about 100 BC, after the restoration of an independent Jewish kingdom. ... The Seleucid Empire was one of several political states founded after the death of Alexander the Great, whose generals squabbled over the division of Alexanders empire. ... Pompeii gymnasium, seen from the top of the stadium wall. ... Brit milah (Hebrew: [bÉ™rÄ«t mÄ«lā] literally: covenant of circumcision), also berit milah (Sephardi), bris milah (Ashkenazi pronunciation) or bris (Yiddish) is a religious ceremony within Judaism to welcome infant Jewish boys into a covenant between God and the Children of Israel through ritual circumcision performed by a... Year 2007 (MMVII) was a common year starting on Monday of the Gregorian calendar in the 21st century. ... is the 340th day of the year (341st in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... Year 2006 (MMVI) was a common year starting on Sunday of the Gregorian calendar. ... is the 192nd day of the year (193rd in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... 2008 (MMVIII) is the current year, a leap year that started on Tuesday of the Common Era (or Anno Domini), in accordance with the Gregorian calendar. ... is the 115th day of the year (116th in leap years) in the Gregorian calendar. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ... A digital object identifier (or DOI) is a standard for persistently identifying a piece of intellectual property on a digital network and associating it with related data, the metadata, in a structured extensible way. ...

External links

Wikimedia Commons has media related to:

Circumcision

Circumcision opposition

• The Circumcision Information and Resource Pages by Geoffrey T. Falk
• Doctors Opposing Circumcision presided by George C. Denniston, MD, MPH
• National Organization of Circumcision Information Resource Centers by Marilyn Milos, RN
• Sex as Nature Intended It by Kristen O'Hara.

Kristen OHara, author and proponent of genital integrity, has researched the effects of male circumcision on sexual intercourse. ...

Circumcision promotion

• Jewish Circumcision – Brit Milah Chabad.org
• Benefits of circumcision: medical, health and sexual by Professor Brian Morris
• Circumcision: a lifetime of medical benefits by Edgar Schoen, BSc., M.D.

Circumcision techniques

• Description of an adult circumcision from the American Academy of Family Physicians.
• Visualisation of amount of skin removed, showing 'styles' of circumcision.

The American Academy of Family Physicians (AAFP) was founded in 1947 to promote the science and art of family medicine. ...

Further reading

• Billy Ray Boyd. Circumcision Exposed: Rethinking a Medical and Cultural Tradition. Freedom, CA: The Crossing Press, 1998. (ISBN 978-0-89594-939-4)
• Anne Briggs. Circumcision: What Every Parent Should Know. Charlottesville, VA: Birth & Parenting Publications, 1985. (ISBN 978-0-9615484-0-7)
• Robert Darby. A surgical temptation: The demonization of the foreskin and the rise of circumcision in Britain. Chicago: University of Chicago Press, 2005. (ISBN 978-0-226-13645-5)
• Aaron J. Fink, M.D. Circumcision: A Parent's Decision for Life. Kavanah Publishing Company, Inc., 1988. (ISBN 978-0-9621347-0-8)
• Paul M. Fleiss, M.D. and Frederick Hodges, D. Phil. What Your Doctor May Not Tell You About Circumcision. New York: Warner Books, 2002. (ISBN 978-0-446-67880-3)
• Leonard B. Glick. Marked in Your Flesh: Circumcision from Ancient Judea to Modern America. New York: Oxford University Press, 2005. (ISBN 978-0-19-517674-2)
• David Gollaher. Circumcision: A History of the World's Most Controversial Surgery. New York: Basic Books, 2000. (ISBN 0465026532)
• Ronald Goldman, Ph.D. Circumcision: The Hidden Trauma. Boston: Vanguard, 1996. (ISBN 978-0-9644895-3-0)
• Paysach J. Krohn, Rabbi. Bris Milah. Circumcision—The Covenant Of Abraham/A Compendium of Laws, Rituals, And Customs From Birth To Bris, Anthologized From Talmudic, And Traditional Sources. New York: Mesorah Publications, 1985, 2005.
• Brian J. Morris, Ph.D., D.Sc. In Favour of Circumcision. Sydney: UNSW Press, 1999. (ISBN 978-0-86840-537-7)
• Peter Charles Remondino. History of Circumcision from the Earliest Times to the Present. Philadelphia and London; F. A. Davis; 1891.
• Rosemary Romberg. Circumcision: The Painful Dilemma. South Hadley, MA Bergan & Garvey, 1985. (ISBN 978-0-89789-073-1)
• Edgar J Schoen, M.D. Ed Schoen, MD on Circumcision. Berkeley, CA: RDR Books, 2005. (ISBN 978-1-57143-123-3)
• Edward Wallerstein. Circumcision: An American Health Fallacy. New York: Springer, 1980 (ISBN 978-0-8261-3240-6)
• Gerald N. Weiss M.D. and Andrea W Harter. Circumcision: Frankly Speaking. Wiser Publications, 1998. (ISBN 978-0-9667219-0-4)
• Yosef David Weisberg, Rabbi. Otzar Habris. Encyclopedia of the laws and customs of Bris Milah and Pidyon Haben. Jerusalem: Hamoer, 2002.