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smootches2uall -> RE: To Circ or Not To Circ (4/27/2006 5:12:48 PM)
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DH and I are kind of up in the air about this. I am pro-intact, he is undecided. We started researching, and this is what we have come up with so far.... Circumcision has been ruled, by the American Academy of Pediatrics, to be a cosmetic surgery and is no longer covered by many insurance companies. So.... Some of the risks of circing include: reduced sensation in the glans (guaranteed to some degree or another) painful erection (uncommon) bent erection (common) over-taut skin (which can lead to --> ) tears or cracks in the shaft during erection (very uncommon) hemmhorage (rare) castration (very rare) death (very rare) Some of the risks of intactness include: Increase incidence of contracting STDs (though we plan on raising him in such a way that this should not be an issue) Increase incidence of contracting HIV/AIDs (though we plan on raising him in such a way as this should not be an issue) Increase incidence of UTIs (though this is an incorrect conclusion - and will post more about later) Increase incidence of cervical cancer in partners of intact males (though this study has since been proven incorrect as their controls were not 'controlled' - lol) Harder to keep clean (goes along with the misinformation of the UTI point, will touch on this with the UTI explaination) Religious reasons (we are not kept under OT law - so not an issue) Cultural reasons (only real reason we can find... dh doesn't want ds to be made fun of... but we will talk about that later too) My dh made a good observation, he said he wanted his son to look like him. Then he paused for a moment and said, "no matter what his penis looks like, it won't 'look' like mine - because no two penis' look alike". Astute observation for a man who was, previously, rabidly pro-circ. Okee Dokee.. to delve into the cleanliness issue and UTI arguement: The prepuce (forskin) is NOT retractable at birth, and should not be retracted to clean under it. The majority of irritation and infection that occur 'from uncircing' is, in fact, FROM forcing the foreskin back before it separates on its own (somewhere between 4 and 11 years of age). There is a layer of mucosa that basically adheres the glans to the prepuce, not allowing outside elements into it. UNFORTUNATELY, many uneducated and "misguided doctors might suggest that the "adhesions" between the foreskin and glans should be broken so that your son can retract his foreskin. This procedure is called synechotomy. To perform it, the doctor pushes a blunt metal probe under the foreskin and forcibly rips it from the glans. It's as painful and traumatic as having a metal probe stuck under your fingernail to pull if off. It will also cause bleeding and may result in infection and scarring of the inner lining of the foreskin and the glans. The wounds that are created by this forced separation can fuse together, causing true adhesions. There is no medical justification for this procedure because the foreskin is not supposed to be separated from the glans in childhood." - S. M. Downs, "Technical Report: Urinary Tract Infections in Febrile Infants and Young Children," The Urinary Tract Subcommittee of the American Academy of Pediatrics Committee on Quality Improvement, Pediatrics 103, no. 4 (April 1999): e54. J. Winberg, I. Bollgren, L. Gothefors, M. Herthelius, and K. Tullus, "The Prepuce: A Mistake of Nature?" The Lancet 8638, no. 1 (March 1989): 598-599. So, though a pediatrician may think they are giving someone good advice when they tell someone to pull back the prepuce to clean under it, it's wrong. And the worst thing is they probably were taught that that was what to do. BUT the AAP and American Urology Association both concur, that a forskin should not be pulled back to clean under it, it should be left alone, because of the above information. K, next thing... the teasing issue: the US is the furthest behind on medical research and circumcision issues. We are quickly becoming a 50/50 country, though, so teasing or feeling 'left out' will probably not be an issue soon. In addition, I worry, at the rate we are moving toward UNcircing in the US, what if he is angry that we DID circ, if he is in health class someday and hears everything that we are now learning here. Just food for thought... K, now for the benefits of leaving him intact SEXUALLY... There is a great link on the reasons to keep a boy intact, but I think it is a TOS violation to post it, so you will have to PM e an email addy to get it out of me. But, basically, here is the information: The video explains how circ can effect sexual pleasure (for both man and woman), length of erect penis, and overall health of the male. An uncirced penis does not need anything 'done' to it... in fact, the AAP says 'leave it alone' - don't pull the prepuse (foreskin) back to clean under it.. it is 'glued down' with a mucosa that protects it. When an uncirced male urinates, it pulls back slightly to allow the urine to come out, then pinches off the excess urine on the tip, effectively keeping the urine from staying under the tip of the foreskin. A boy will learn that he can retract his foreskin with no pain somewhere between the ages of 4 and 11. Before that time, retracting the foreskin is PAINFUL. At that time, you can teach him how to pull it back and wash under it with soap and water at shower/bath time. That's it. No special care or cleaning needed. Sexually, the prepuce is chocked FULL of nerve endings.. and the glans (head) is supposed to stay moist (like your inside of your lip). So, when you cut off the prepuce, you cut off all those wonderful nerve endings, and you cut of the mechanism designed to keep the glans moist and sensitive. During an erection, the prepuce out-verts (lol) over the shaft and he gets super stimulated. Guess what... so does the woman from the extra smooth friction. All of the above is NOT to sway ones thinking, it is to make completely educated decisions about major surgery on our children. It IS a VERY personal choice... and it is best to know ALL the information on both sides in order to make a fully educated decision. . My brother circed his sons after knowing all the facts, and I respect that. But he decided for the RIGHT REASONS for them and not because of INCORRECT INFORMATION. BTW, just thought I would cite my sources in addition to those listed above: Infections in Children," Pediatric Infectious Disease Journal 18, no. 10 (October 1999): 889-892. R. Kerwat, A. Shandall, and B. Stephenson, "Reduction of Paraphimosis with Granulated Sugar," British Journal of Urology 82, no. 5 (November 1998): 755. Rosemary Romberg, Circumcision: The Painful Dilemma (South Hadley, Mass.: Bergan & Garvey, 1985).
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