DECIDING WHETHER OR NOT TO CIRCUMCISE YOUR BABY BOY
- Dr Sears -This is a decision that many parents face. There are many misconceptions and out-of-date information that parents may read. Here is a summary of the pertinent issues that you should consider when making this decision.
Medical benefits - THERE ARE NONE! Do not circumcise your baby because you think there are some medical benefits. A recent review by the American Academy of Pediatrics looked at all the data from the past decades to see if there truly were any medical benefits. Their conclusion - NO. There are no significant medical benefits that make circumcision worth doing. Here are a few benefits that we used to think were true, and now know are not.
Cleanliness - although it is true, a circumcised penis does not collect much white stuff underneath the foreskin like an intact
penis does, THIS IS NOT A MEDICAL BENEFIT. It is really just one less area to wash in the shower.
Decreased risk of STD's - this was a myth that we now know is not true.
Decreased risk of penile cancer - it used to be thought that circumcised men had a much lower chance of cancer of the penis.
We now know that this benefit is much smaller than previously thought. The AAP determined that this benefit is so tiny, it is not
worth circumcising for this reason.
Avoiding infections in the foreskin - it is true, occasionally intact foreskins get irritated. This is easily treated with warms soaks
and washing. Rarely, the irritated foreskin becomes infected. This requires antibiotics to clear up, but is easily treatable. Even if
this does happen once or twice in a person's life, it is not a reason to circumcise at birth.
Avoiding the need to do it later on - very rarely, someone has a problem with recurrent infections in the foreskin that need
antibiotic treatment. Some of these men then need to be circumcised in an operating room under general anesthesia. This is
extremely rare, however, and is not a reason to circumcise everyone at birth.
Avoiding bladder infections - it used to thought that circumcised boys and men had a much lower chance of bladder infections.
The AAP now knows that this benefit is very small, and is only true for the first few years of life. After that, there is no difference in
the number of bladder infections. Again, not a reason to circumcise.
THEREFORE, IF YOU DECIDE TO CIRCUMCISE YOUR CHILD, DO NOT DO SO BECAUSE YOU THINK THERE IS ANY MEDICAL BENEFIT.
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