Circumcision of the foreskin in men: how and why do
Circumcision is a surgical operation or traditional practice, which consists in cutting off the foreskin of the penis in the stronger sex.Table of contents: How do circumcision in men Why do circumcision: medical reasons Arguments against circumcision Opinions of specialists
Targets of circumcision:
- Social.Prevention of vicious sexual practices, regulation of sexuality, initiation.
- Religious.Today it is practiced mainly among Jews and Muslims.
- Medical.Prevention of diseases or elimination of anatomical defect.
- National.Belonging of the Jew to the Jewish people is Brit-mil.
Important! When they talk about surgery, they imply cutting off men.For women, the term female circumcision is used.
How do circumcision in men
When circumcision for medical reasons, the foreskin is cut off all around the circumference.The operation is performed under local anesthesia, in some cases under anesthesia .
In some countries in Europe, the United States and South-East Asia, circumcision is performed using a variety of clamps, matching them to the size of the penis.The clip acts as a protective screen, which protects the head of the penis from cuts.After the operation, stitches are applied or clamps are used which are not removed until the wound is completely healed.
In Russia they use "manual equipment".The surgeon simply cuts off the foreskin.The edges of the wound are sewed with a resorbable suture material.
Modern medicine uses a laser method.This method allows you to make an accurate incision, which significantly reduces the risk of amputation and cosmetic defects. Laser cutting is distinguished by a small rehabilitation period.The operation is completely sterile and does not involve the application of pressure bandages and harnesses.
- minimal - remove a small area of the foreskin;
- partial - the opening of the urethra is left open;
- moderate - glans penis is made open;
- tight - excise all the foreskin.
Why do circumcision: medical indications
The attitude of doctors to mass circumcision of newborns is diametrically opposed.Some consider this an atavism, devoid of any scientific justification, others believe that this is a very important measure for the prevention of various diseases .
The operation is the prevention of a number of diseases:
- Infection and inflammation of the urinary tract .Some men suffer from such a congenital disease as phimosis.The vice is accompanied by a partial fusion of the prepuce of the head, which leads to painful sensations when urinating and trying to push the foreskin away.In the preputial sac, the smegma accumulates, which, irritating, causes itching and inflammation of the penis head.Phimosis in children under three years of age is physiological in nature and is diagnosed in 80% of patients.In most cases, this phenomenon passes with age, therefore surgical intervention is required only as a last resort.
- Oncological diseases .Smegma is carcinogenic, so the cancer of the penis head in uncircumcised men is diagnosed much more often.
- Difficulty urinating .The misalignment of the position of the foreskin hole with the external opening of the urethra complicates the urine output, which leads to its retention in the preputial sac and the increase in the volume of the bladder.
- Skin diseases .The risk of skin diseases of the penis in uncircumcised men increases threefold.Smegma is a nutrient medium for various pathogenic viruses and bacteria.
- AIDS prevention .Scientists have proven that circumcision significantly reduces the risk of contracting HIV.WHO considers circumcision as a preventive measure.
Arguments against circumcision
Basic arguments against truncation :
- Pain shock. In the case where the operation is performed without anesthesia, the patient experiences severe pain that can cause painful shock.Especially it concerns newborn children.
- Hygiene. The head of the boy's penis in infancy is self-cleaning.After circumcision, there is an urgent need for careful care of the head of the penis.In the folds and indentations in the frenum area, viruses and bacteria can develop intensively.The foreskin provides protection from them.
- Contradicts ethical standards. A number of environmental and human rights organizations say that the removal of any part of the body should be carried out only with the consent of the person.The infant can not give such consent, which means that the procedure for circumcision of children is anti-human and should be banned.
- Complications and consequences of circumcision. An operation performed by a man who has not reached puberty can cause severe physical injuries: gangrene, retraction of the penis into the body, bleeding, adhesions, bending due to lack of skin, accidental cutting of the glans penis, varicose veins, complete loss of sensitivityetc.
Views from experts
It has been proven that circumcision protects against HIV infection. Cases of infection of uncircumcised men are eight times greater than those circumcised.As suggested, this is due to the fact that after cutting the skin of the head of the penis coarsens, and hence microcracks, through which the virus can enter the body, are formed much less often.
In circumcised boys, the infection of the genitourinary system is much less likely.
Circumcision makes the skin of the penis head denser.This reduces its sensitivity, which increases the time of sexual intercourse and prevents premature ejaculation.
Every man has the right to choose.But in any case it is necessary to consult a specialist, weigh the pros and cons, and only after that make a decision.
To avoid complications, circumcision should be performed only by an experienced doctor.In addition, it is necessary to comply with all the rules of care for the penis after the operation. Especially careful you have to be with babies.Circumcision is performed no earlier than on the eighth day after birth.
Radevich Igor Tadeushevich, a sexually-pathological andrologist of the 1st category