Circumcision controversies

Male circumcision has been a subject of controversy for a number of reasons including religious, ethical, sexual, and medical.[1][2][3][4][5]

During the late 19th and early 20th centuries, in a rapidly changing medical and surgical world, circumcision rose in popularity as a means of prophylaxis in the Anglosphere.[6] Its primary justification was to promote cleanliness,[7][8][9] as well as reducing and preventing the incidence of disease.[10][11][12] Many medical professionals and advocates of the procedure also believed that it would reduce pleasure and the urge to masturbate, which was considered a social ill of the era, although their belief is considered false in modern times.[1][4][13][11][14][9]

Traditional proponents say that circumcision reduces the risks of a range of infections and diseases and confers sexual benefits.[1][15][4][2][16] By contrast, the majority of modern opponents, particularly of routine neonatal circumcision, question its preventive efficacy and object to subjecting non-consenting newborn males to a procedure that is potentially harmful with little to no benefit, as well as violating their human rights and possibly negatively impacting their sex life.[1][2][4][5][3][17][18][19][20]

In Classical and Hellenistic civilization, Ancient Greeks and Romans posed great value on the beauty of nature, physical integrity, aesthetics, harmonious bodies and nudity, including the foreskin[20][21][22] (see also Ancient Greek art), and were opposed to circumcision, an opposition inherited by the canon and secular legal systems of the Christian West and East that lasted at least through to the Middle Ages, according to Frederick Hodges.[20]

Traditional branches of Judaism, Islam, Coptic Christianity, the Ethiopian Orthodox Church, and the Eritrean Orthodox Church still advocate male circumcision as a religious obligation.[23]

  1. ^ a b c d Still, Hereford (January 1972). "Circumcision — An Outdated and Unnecessary Procedure?". Canadian Family Physician. 18 (1). College of Family Physicians of Canada: 51–52. PMC 2370328. PMID 20468719.
  2. ^ a b c Lukong, C. S. (December 2011). "Circumcision: Controversies and Prospects". Journal of Surgical Technique and Case Report. 3 (2). Sokoto: Usmanu Danfodiyo University Teaching Hospital: 65–66. doi:10.4103/2006-8808.92795. PMC 3296435. PMID 22413046.
  3. ^ a b Denniston, George C.; Grassivaro Gallo, Pia; Hodges, Frederick M.; Milos, Marilyn Fayre; Viviani, Franco, eds. (2006). Bodily Integrity and the Politics of Circumcision: Culture, Controversy, and Change. New York: Springer-Verlag. ISBN 978-1-4020-4915-6.
  4. ^ a b c d Wallerstein, Edward (February 1985). "Circumcision: The Uniquely American Medical Enigma". Urologic Clinics of North America. 12 (1): 123–132. doi:10.1016/S0094-0143(21)00798-9. PMID 3883617. Archived from the original on 20 February 2014. Retrieved 4 January 2020.
  5. ^ a b Hutson, J. M. (June 2004). "Circumcision: a surgeon's perspective". Journal of Medical Ethics. 30 (3). BMJ Group: 238–40. doi:10.1136/jme.2002.001313. PMC 1733864. PMID 15173354.
  6. ^ Cite error: The named reference :1 was invoked but never defined (see the help page).
  7. ^ Gollaher, David; Page 106 (2001). Circumcision: A History of the World's Most Controversial Surgery. Basic Books. ISBN 9780465026531.{{cite book}}: CS1 maint: numeric names: authors list (link)[permanent dead link]
  8. ^ Cite error: The named reference Hutchinson was invoked but never defined (see the help page).
  9. ^ a b Remondino, Peter Charles (1891). History Of Circumcision. pp. 187.
  10. ^ Hutchinson, Johnathan (1855). ""On the influence of circumcision in preventing syphilis"". Medical Times and Gazette. pp. 32: 542–543.
  11. ^ a b Darby, Robert (2005). A Surgical Temptation: The Demonization of the Foreskin and the Rise of Circumcision in Britain. London: University of Chicago Press. pp. 44–214. ISBN 978-0-226-13645-5.
  12. ^ Chubak, Barbara (2013). "1101 the Orthopedic Origin of Popular Male Circumcision in America". American Urological Association. 189 (4S). doi:10.1016/j.juro.2013.02.693.
  13. ^ Darby, Robert (Spring 2003). "The Masturbation Taboo and the Rise of Routine Male Circumcision: A Review of the Historiography". Journal of Social History. 36 (3). Fairfax County, Virginia: George Mason University Press: 737–757. doi:10.1353/jsh.2003.0047. S2CID 72536074. Archived from the original on 28 April 2019. Retrieved 4 January 2020.
  14. ^ The American Academy of Pediatrics Task Force on Circumcision "Technical Report" (2012) addresses sexual function, sensitivity and satisfaction without qualification by age of circumcision. Sadeghi-Nejad et al. "Sexually transmitted diseases and sexual function" (2010) addresses adult circumcision and sexual function. Doyle et al. "The Impact of Male Circumcision on HIV Transmission" (2010) addresses adult circumcision and sexual function. Perera et al. "Safety and efficacy of nontherapeutic male circumcision: a systematic review" (2010) addresses adult circumcision and sexual function and satisfaction. Dave S, Afshar K, Braga LH, Anderson P (February 2018). "Canadian Urological Association guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants (full version)". Canadian Urological Association Journal. 12 (2): E76–E99. doi:10.5489/cuaj.5033. PMC 5937400. PMID 29381458. There is lack of any convincing evidence that neonatal circumcision will impact sexual function or cause a perceptible change in penile sensation in adulthood. Shabanzadeh DM, Düring S, Frimodt-Møller C (July 2016). "Male circumcision does not result in inferior perceived male sexual function - a systematic review". Danish Medical Journal (Systematic review). 63 (7). PMID 27399981. Friedman B, Khoury J, Petersiel N, Yahalomi T, Paul M, Neuberger A (September 2016). "Pros and cons of circumcision: an evidence-based overview". Clinical Microbiology and Infection. 22 (9): 768–774. doi:10.1016/j.cmi.2016.07.030. PMID 27497811. Bañuelos Marco B, García Heil JL (March 2021). "Circumcision in childhood and male sexual function: a blessing or a curse?". International Journal of Impotence Research. 33 (2): 139–148. doi:10.1038/s41443-020-00354-y. PMC 7985026. PMID 32994555. Staff. "Statement on Newborn Male Circumcision". American College of Obstetricians and Gynecologists. Archived from the original on 21 March 2023. Retrieved 21 March 2023. Some parents also may worry that circumcision harms a man's sexual function, sensitivity, or satisfaction. However, current evidence shows that it does not. Shezi MH, Tlou B, Naidoo S (February 2023). "Knowledge, attitudes and acceptance of voluntary medical male circumcision among males attending high school in Shiselweni region, Eswatini: a cross sectional study". BMC Public Health. 23 (1): 349. doi:10.1186/s12889-023-15228-3. PMC 9933013. PMID 36797696. It was interesting to note that the young males in this study had misconceptions about sexual pleasure post male circumcision... Sorokan ST, Finlay JC, Jefferies AL (8 September 2015). "Newborn male circumcision". Paediatrics & Child Health. 20 (6): 311–320. doi:10.1093/pch/20.6.311. PMC 4578472. PMID 26435672. ...medical studies do not support circumcision as having a negative impact on sexual function or satisfaction in males or their partners. World Health Organization, UNAIDS, Jhpiego (December 2009). "Manual for Male Circumcision Under Local Anaesthesia" (PDF). Archived from the original (PDF) on 15 January 2012. ...there are many myths about male circumcision that circulate. For example, some people think that circumcision can cause impotence (failure of erection) or reduce sexual pleasure. Others think that circumcision will cure impotence. Let me assure you that none of these is true. Alt URL Archived 30 March 2023 at the Wayback Machine^
  15. ^ Society, Canadian Paediatric. "Newborn male circumcision | Canadian Paediatric Society". cps.ca. Retrieved 5 June 2023.
  16. ^ "Newborn Male Circumcision". American Academy of Pediatrics. 27 August 2012. Archived from the original on 7 November 2017. Retrieved 11 August 2019.
  17. ^ Aigrain, Yves; Barauskas, Vidmantas; Bjarnason, Ragnar; Boddy, Su-Anna; Czauderna, Piotr; de Gier, Robert P.E.; de Jong, Tom P.V.M.; Fasching, Günter; Fetter, Willem; Gahr, Manfred; Graugaard, Christian; Greisen, Gorm; Gunnarsdottir, Anna; Hartmann, Wolfram; Havranek, Petr; Hitchcock, Rowena; Huddart, Simon; Janson, Staffan; Jaszczak, Poul; Kupferschmid, Christoph; Lahdes-Vasama, Tuija; Lindahl, Harry; MacDonald, Noni; Markestad, Trond; Märtson, Matis; Nordhov, Solveig Marianne; Pälve, Heikki; Petersons, Aigars; Quinn, Feargal; Qvist, Niels; Rosmundsson, Thrainn; Saxen, Harri; Söder, Olle; Stehr, Maximilian; von Loewenich, Volker C.H.; Wallander, Johan; Wijnen, Rene (April 2013). Frisch, Morten (ed.). "Cultural Bias in the AAP's 2012 Technical Report and Policy Statement on Male Circumcision" (PDF). Pediatrics. 131 (4). American Academy of Pediatrics: 796–800. doi:10.1542/peds.2012-2896. PMID 23509170. S2CID 40444911. Archived from the original on 6 January 2020. Retrieved 4 January 2020.
  18. ^ Warren, John (2010). "Physical Effects of Circumcision". In Denniston, George C.; Hodges, Frederick M.; Milos, Marilyn Fayre (eds.). Genital Autonomy: Protecting Personal Choice. New York: Springer-Verlag. pp. 75–79. doi:10.1007/978-90-481-9446-9_7. ISBN 978-90-481-9446-9. Archived from the original on 6 August 2020. Retrieved 19 November 2019.
  19. ^ Svoboda, J. Steven (July 2013). "Circumcision of male infants as a human rights violation". Journal of Medical Ethics. 39 (7): 469–474. doi:10.1136/medethics-2012-101229. ISSN 1473-4257. PMID 23698885. S2CID 7461936.
  20. ^ a b c Hodges, Frederick M. (2001). "The Ideal Prepuce in Ancient Greece and Rome: Male Genital Aesthetics and Their Relation to Lipodermos, Circumcision, Foreskin Restoration, and the Kynodesme" (PDF). Bulletin of the History of Medicine. 75 (Fall 2001). Baltimore, Maryland: Johns Hopkins University Press: 375–405. doi:10.1353/bhm.2001.0119. PMID 11568485. S2CID 29580193. Archived from the original on 20 November 2018. Retrieved 24 April 2021.
  21. ^ Kennedy, Amanda (Spring 2015). "Masculinity and Embodiment in the Practice of Foreskin Restoration". International Journal of Men's Health. 14 (1): 38–54. doi:10.3149/jmh.1401.38 (inactive 1 November 2024). eISSN 1933-0278. Archived from the original (PDF) on 16 December 2019. Retrieved 22 July 2020.{{cite journal}}: CS1 maint: DOI inactive as of November 2024 (link)
  22. ^ Neusner, Jacob (1993). Approaches to Ancient Judaism, New Series: Religious and Theological Studies. Scholars Press. p. 149. Circumcised barbarians, along with any others who revealed the glans penis, were the butt of ribald humor. For Greek art portrays the foreskin, often drawn in meticulous detail, as an emblem of male beauty; and children with congenitally short foreskins were sometimes subjected to a treatment, known as epispasm, that was aimed at elongation.
  23. ^ N. Stearns, Peter (2008). The Oxford Encyclopedia of the Modern World. Oxford University Press. p. 179. ISBN 9780195176322. Uniformly practiced by Jews, Muslims, and the members of Coptic, Ethiopian, and Eritrean Orthodox Churches, male circumcision remains prevalent in many regions of the world, particularly Africa, South and East Asia, Oceania, and Anglosphere countries.