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52 - Circumcision

from Part V - Urology

Published online by Cambridge University Press:  08 January 2010

Peter M. Cuckow
Affiliation:
Department of Paediatric Urology, Great Ormond Street Hospital, London, UK
Mark D. Stringer
Affiliation:
University of Otago, New Zealand
Keith T. Oldham
Affiliation:
Children's Hospital of Wisconsin
Pierre D. E. Mouriquand
Affiliation:
Debrousse Hospital, Lyon
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Summary

Introduction

Circumcision is the most commonly performed operation in males and is among the oldest, with evidence of its practice in Egyptian mummies – long before Abraham's pact with God introduced ritual circumcision to the Jewish nation in 1713 BC. Ritual circumcision is also practiced among Moslems, Aboriginals, and certain African tribes. Hot, dry climates and poor hygiene predispose to balanitis, so circumcision has conferred some medical benefit to these cultures, a fact that did not escape desert troops in the Second World War and led to an increase in circumcision in Western cultures. On the other hand, its identification with Jewish culture has resulted in an avoidance of circumcision in many central European countries since the War. Currently, it is estimated that one-sixth of the world's population is circumcised.

Religious considerations apart, the variable incidence of circumcision betrays marked differences in cultural and medical attitudes towards the foreskin. Currently, in England the majority of circumcisions are performed for medical reasons (about 21000 annually in children), and it is estimated that 1 in 15 boys are circumcised before their fifteenth birthday. This is significantly less than the 24% rate reported in the 1950s, although more stringent criteria for medical circumcision could undoubtedly effect a further reduction. In Scandinavian countries the rate is the lowest amongst Western cultures in contrast to the United States where routine neonatal circumcision has become the norm and 90% of males are circumcised shortly after birth in some areas.

Type
Chapter
Information
Pediatric Surgery and Urology
Long-Term Outcomes
, pp. 664 - 674
Publisher: Cambridge University Press
Print publication year: 2006

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References

Speert, H.Circumcision of the newborn: appraisal of its current status. Obstet. Gynecol. 1953; 2:164–172.Google Scholar
Leitch, I. O. W.Circumcision: a continuing enigma. Austral. Pediatr. J. 1970; 6:59.Google ScholarPubMed
Williams, N. & Kapila, L.Complications of circumcision. Br. J. Surg. 1993; 80:1231–1236.CrossRefGoogle ScholarPubMed
McCarthy, D., Douglas, J. W. B., & Mogford, C.Circumcision in a national sample of 4-year-old childrenBr. Med. J. 1952; :755–756.CrossRefGoogle Scholar
Rickwood, A. M. K. & Walker, J.Is phimosis overdiagnosed and are too many circumcisions performed in consequence? Ann. Roy. Coll. Surg. Engl. 1989; 71:275–277.Google ScholarPubMed
Stenram, A., Malmfors, G., & Okiman, L.Circumcision for phimosis: a follow-up study. Scand. J. Urol. Nephrol. 1986; 20:89–92.CrossRefGoogle ScholarPubMed
O'Brien, T. R., Calle, E. E., & Poole, W. K.Incidence of neonatal circumcision in Atlanta, 1985–1986. South. Med. J. 1995; 88:411–415.CrossRefGoogle Scholar
Gairdner, D.The fate of the foreskin. Br. Med. J. 1949; 2:1433–1437.CrossRefGoogle ScholarPubMed
Øster, J.Further rate of the foreskin. Arch. Dis. Child. 1986; 43:200–203.Google Scholar
Rickwood, A. M. K., Hemalthala, V., Batcup, G., & Spitz, L.Phimosis in boys. Br. J. Urol. 1980; 52:147–150.CrossRefGoogle ScholarPubMed
Harnes, J. R.The foreskin saga. J. Am. Med. Assoc. 1971; 217:1241–1242.CrossRefGoogle ScholarPubMed
Escala, J. M. & Rickwood, A. M. K.Balanitis. Br. J. Urol. 1989; 63:196–197.CrossRefGoogle ScholarPubMed
Anonymous. Medical indications for childhood circumcision. Drug Ther. Bull. 1993; 31:99–100.
Mueli, M., Briner, J., Hanniman, B., & Sacher, P.Lichen sclerosus et atrophicus causing phimosis in boys: a prospective study with 5-year follow-up after complete circumcision. J. Urol. 1994; 152:987–989.CrossRefGoogle Scholar
Kaplan, G. W.Complications of circumcision. Urol. Clin. N. Amer. 1983; 10:543–549.Google ScholarPubMed
Alter, G. J., Horton, C. E., & Horton, C. E. Jr.Buried penis as a contraindication for circumcision. J. Am. Coll. Surg. 1994; 178:487–490.Google ScholarPubMed
Koo, H. P. & Duckett, J. W. Circumcision quo vadis? In: Williams, D. I., & Etker, S. (eds), Contemporary Issues in Paediatric Urology, in Memoriam Herbert B. Eckstein. Istanbul: Logos, 1996: 149–154.Google Scholar
Schoen, E. J.Report of the task force on circumcision. Pediatrics 1990; 84:388.Google Scholar
Winberg, J., Bollgren, I., Gothefors, L., Herthelius, M., & Tullus, K.The prepuce: a mistake of nature? Lancet 1989; :598–599.CrossRefGoogle Scholar
Ginsberg, C. M. & McCracken, G. H.Urinary tract infections in young infants. Pediatrics 1982; 69:409–412.Google Scholar
Wiswell, T. E. & Roscelli, J. D.Corroborative evidence for the decreased incidence of urinary tract infections in circumcised male infants. Pediatrics 1986; 78:96–99.Google ScholarPubMed
Craig, J. C., Knight, J. F., Sureshkumar, P., Mantz, E., & Roy, L. P.Effect of circumcision on incidence of urinary tract infection in preschool boys. J. Pediatr. 1996; 128:23–27.CrossRefGoogle ScholarPubMed
Herzog, L. W. & Alvarez, S. R.The frequency of foreskin problems in uncircumcised children. Am. J. Dis. Child. 1986; 140:254–256.Google ScholarPubMed
Fergusson, D. M., Lawton, J. M., & Shannon, F. T.Neonatal circumcision and penile problems: an 8 year longitudinal study. Pediatrics 1985; 75:901–903.Google Scholar
Wiswell, T. E., Smith, F. R., & Bass, J. W.Decreased incidence of urinary tract infections in circumcised male infants. Pediatrics 1985; 75:901–903.Google ScholarPubMed
Patel, H.The problem of routine circumcision. Can. Med. Assoc. J. 1966; 95:576–581.Google ScholarPubMed
Wiswell, T. E. & Geschke, D. W.Risks from circumcision during the first month of life compared with those of uncircumcised boys. Pediatrics 1989; 83:1011–1015.Google ScholarPubMed
Fraser, I. A., Allen, M. J., Bagshaw, P. F., & Johnstone, M. A.randomised trial of childhood circumcision with the Plastibel device compared to a conventional dissection technique. Br. J. Surg. 1981; 68:593–595.CrossRefGoogle Scholar
Shulman, J., Ben-Hur, N., & Neuman, Z.Surgical complications of circumcision. Am. J. Dis. Child. 1964; 107:149–154.Google ScholarPubMed
Griffiths, D. M., Atwell, J. D., & Freeman, N. V.A prospective study of the indications and morbidity of circumcision in children. Eur. Urol. 1985; 11:184–187.CrossRefGoogle ScholarPubMed
Crowley, I. P. & Kessner, K. M.Ritual circumcision (Umkhwetha) amongst the Xhosa of the Ciskei. Br. J. Urol. 1990; 66:318–321.CrossRefGoogle ScholarPubMed
Wiswell, T. E., Tencer, H. L., Welch, C. A., & Chamberlain, J. L.Circumcision in children beyond the neonatal period. Pediatrics 1993; 92:791–793.Google ScholarPubMed
Gee, W. F. & Ansell, J. S.Neonatal circumcision: a ten-year overview with comparison of the Gomco clamp and Plastibel devices. Pediatrics 1976; 58:824.Google Scholar
Cuckow, P. M. & Mouriquand, P. D. E.Saving the normal foreskin. Br. Med. J. 1993; 306:459–460.CrossRefGoogle ScholarPubMed
Fredman, R. M.Neonatal circumcision: a general practitioner survey. Med. J. Austral. 1969; 1:117–120.Google ScholarPubMed
Cleary, T. G. & Kohl, S.Overwhelming infection with group B beta haemolytic streptococcus associated with circumcision. Pediatrics 1979; 64:301–303.Google Scholar
Redman, J. F., Scriber, L. J., & Bissada, N. K.Postcircumcision phimosis and its management. Clin. Pediatr. 1975; 14:407–409.CrossRefGoogle ScholarPubMed
Sotolongo, J. R., Hoffman, S., & Gribetz, M. E.Penile denudation injuries after circumcision. J. Urol. 1985; 133:102–103.CrossRefGoogle ScholarPubMed
Horrowitz, S. J. & Glassberg, K. I. Circumcision: successful glanular reconstruction and survival following traumatic amputation (abstract). American Academy of Pediatrics Annual Meeting, New Orleans, 1995.
Gluckman, G. R., Stoller, M. L., Jacobs, M. M., & Kogan, B. A.Newborn penile glans amputation during circumcision and successful reattachment. J. Urol. 1995; 153:778–779.CrossRefGoogle ScholarPubMed
Menahem, S.Complications arising from ritual circumcision: pathogenesis and possible prevention. Israeli J. Med. Sci. 1981; 17:45–48.Google ScholarPubMed
Gearhart, J. P. & Rock, J. A.Total ablation of the penis after circumcision with electrocautery: a method of management and long term follow-up. J. Urol. 1989; 142:799–801.CrossRefGoogle Scholar
Azmy, A., Boddy, S. A., & Ransley, P. G.Successful reconstruction following circumcision with diathermy. Br. J. Urol. 1985; 57:587–588.CrossRefGoogle ScholarPubMed
Stefan, H.Reconstruction of the penis after necrosis due to circumcision burn. Eur. J. Pediatr. Surg. 1995; 4:40–43.CrossRefGoogle Scholar
Duckett, J. W. & Keating, M. A.Technical challenge of the megameatus intact prepuce hypospadias variant: the pyramid procedure. J. Urol. 1989; 141:1407.CrossRefGoogle ScholarPubMed
Joseph, V. T.A new approach to the surgical correction of buried penis. J. Pediatr. Surg. 1995; 30:727–729.CrossRefGoogle ScholarPubMed
MacKenzie, A. R.Meatal ulceration following circumcision. Obstet. Gynecol. 1966; 28:221–223.Google ScholarPubMed
Persad, R., Sharma, S., McTavish, J., Imber, C., & Mouriquand, P. D. E.Clinical presentation and pathophysiology of meatal stenosis following circumcision. Br. J. Urol. 1995; 75:91–93.CrossRefGoogle ScholarPubMed
Berry, C. D. & Cross, R. R.Urethral meatal calibre in circumcised and uncircumcised males. Am. Med. Assoc. J. Dis. Child. 1956; 92:152–156.Google Scholar
Frank, J. D., Pocock, R. D., & Stower, M. J.Urethral strictures in childhood. Br. J. Urol. 1998; 62:590–592.CrossRefGoogle Scholar
Schlosberg, C.Thirty years of ritual circumcision. Clin. Pediatr. 1971; 10:205–209.CrossRefGoogle Scholar
Cohen, H. A., Drucker, M. M., Vainer, S.et al.Postcircumcision urinary tract infection. Clin. Pediatr. 1992; 31:322–324.CrossRefGoogle ScholarPubMed
Ponsky, L. E., Ross, J. H., Knippper, N., & Kay, R.Penile adhesions after neonatal circumcision. J. Urol. 2001; 165(3):915.CrossRefGoogle Scholar
Baskin, L. S., Canning, D. A., Snyder, H. M. III & Duckett, J. W. Jr.Surgical repair of urethral circumcision injuries. J. Urol. 1997; 158(6): 2269–2271.CrossRefGoogle ScholarPubMed
Smeulders, N., Wilcox, D. T., & Cuckow, P. M.Surgical correction of the buried penis – an anatomical approach. BJU Int. 2000; 86:523–526.CrossRefGoogle Scholar

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