Ask a Beaumont Doctor: What Are the Pros and Cons of Circumcision?
Dr. Marlene Roth, a Beaumont pediatrician, answers questions about a decision parents make for their sons.
Few Patch blogs have generated more comments than guest blogger Jenn D'Jamoos' post on circumcision. "The Circumcision Decision" to date has generated more than 100 comments.
The sometimes volatile discussion has raised a lot of questions regarding the choice to circumcise baby boys, so Patch asked Marlene Roth, a Beaumont Health System pediatrician, about the decision parents make for their sons.
Patch: What are the pros/cons of circumcision?
Roth: The pros and cons of circumcision continue to be debated without a definite conclusion. Studies from various countries have shown a decreased incidence of infection, including sexually transmitted diseases, a decreased incidence of penile cancer – a very rare cancer – but none of these studies are considered significant enough for the American Academy of Pediatrics to issue a policy regarding circumcision. Circumcised males have more visits to the pediatrician in their first year of life for issue related to penile problems, but after that uncircumcised males have a higher incidence of visits. The issue of decreased penile sensitivity in circumcised male is still a matter of debate.
Patch: Can a circumcision ever be reversed?
Roth: No.
Patch: Do doctors ever advise for or against, or is it strictly a parent's choice?
Roth: It is purely the choice of the parents, but persuasion can go a long way.
Patch: Are there any trends compared to 10 years ago? Is the choice to circumcise happening more or less?
Roth: In the United States, the trend is toward fewer males being circumcised, especially in the last 10 years.
Patch: What is the percentage of male babies circumcised?
No accurate statistics exist and the ones we have vary greatly from country to country, but in the United States the rate is approximately 80 percent. The debate continues because the research remains inconclusive and so many variables exist.
More information
The Center for Disease Control (CDC) has not yet determined if male circumcision should be recommended for any population, ultimately leaving the decision to rest with individuals and parents. For more information, please see the CDC Fact Sheet on male circumcision.
Do you have a question for a Beaumont doctor? Send it to judy.davids@patch.com or text to 248-231-4667.
Paul D
9:02 am on Sunday, July 15, 2012
The 80% rate given for the percentage of male babies being circumcised in the US is a little misleading. According to the Center For Disease Control (CDC) the rate has dropped to 32.5%. That means over half baby boys in the US are growing up intact.
George Hill
9:37 am on Sunday, July 15, 2012
The 80 percent circumcision rate in the U. S. that Dr. Roth cites has not been valid for decades. A the present time, most boys in Texas and Louisiana (just a few miles east of Beaumont) are not circumcised according to U. S. government statistics.
Leslie Ellis
11:50 am on Sunday, July 15, 2012
FYI, George: The Beaumont hospital referenced in this article is located in Michigan.
Leslie Ellis
11:55 am on Sunday, July 15, 2012
Another important factor in this decision, which the doctor does not address, is families' religious beliefs. Faith and tradition have a strong influence for many who circumcise their sons.
Stan Barnes
7:44 pm on Wednesday, July 18, 2012
Only Muslims and Jews believe male circumcision is a religious requirement. Male circumcision is not a requirement for Christians. Chapter 15 in the Book of Acts in the New Testament states very clearly that male circumcision is not a Christian practice.
Mark Lyndon
12:38 pm on Sunday, July 15, 2012
According to the AMA, only about 55% of US baby boys are circumcised, and the rate is dropping.
The USA and Israel are the only two countries in the world where more than half of baby boys are circumcised. Other countries circumcise, but usually anywhere from around the age of seven to adolescence.
Drops in male circumcision since 1950:
USA: from 90% to 55%
Canada: from 48% to 17%
UK: from 35% to about 5% (about 1-2% among non-Muslims)
Australia: 90% to 12.4% ("routine" circumcision has recently been *banned* in public hospitals in all states)
New Zealand: 95% to below 3% (mostly Samoans and Tongans)
South America and Europe: never above 5%
It's worth remembering that no-one except for Muslim and Jewish people would even be having this discussion if it weren't for the fact that 19th century doctors thought that :
a) masturbation caused various physical and mental problems (including epilepsy, convulsions, paralysis, tuberculosis etc), and
b) circumcision stopped masturbation.
Both of those sound ridiculous today I know, but that's how they thought back then, and that's how non-religious circumcision got started. Both of those sound ridiculous today I know, but that's how they thought back then, and that's how non-religious circumcision got started. If you don't believe me, then google this: "A Short History of Circumcision in North America In the Physicians' Own Words". Heck, they even passed laws against "self-pollution" as it was called.
Ronald Goldman, Ph.D.
2:00 pm on Sunday, July 15, 2012
Studies show that circumcision causes significant pain and trauma, behavioral and neurological changes in infants, potential parental stress from persistent crying (colic) of infants, disrupted bonding between parent and child, and risk of surgical complications. Other consequences of circumcision include loss of a natural, healthy, functioning body part, reduced sexual pleasure, potential psychological problems, and unknown negative effects that have not been studied.
Some circumcised men resent that they are circumcised. Sexual anxieties, reduced emotional expression, low self-esteem, avoidance of intimacy, and depression are also reported. Some doctors refuse to perform circumcisions because of ethical reasons. Relying on the presumed authorities (e.g., American Academy of Pediatrics or doctors who echo AAP views) is not sufficient. For more information see http://www.circumcision.org.
Anthony Losquadro
2:07 am on Monday, July 16, 2012
Wow, Dr. Roth really messed up. The CDC stated that the circumcision rate in America was 35%, and other studies place it at 50%. The rate is dropping due to more and more parents realizing that babies are born perfectly intact, and they don't need painful, risky, and harmful cosmetic surgery.
Incidentally, no professional medical association in the world recommends routine infant circumcision, including the American Medical Association and the American Academy of Pediatrics. The Royal Dutch Medical Association, The Royal Australasian Medical Association, and The Canadian Paediatric Society, have all said circumcision of newborns should not be routinely performed.
Victoria A
7:38 am on Monday, July 16, 2012
Indoctrinating your child into YOUR chosen religion, should never excuse mutilating their genitals. This article could have been REALLY short. There is no argument when you realize, IT'S ONLY THE OWNER OF THE PENIS WHO GETS TO DECIDE. Mutilating someone else's genitals is NEVER OK! End of story.
Tora Spigner
8:56 am on Monday, July 16, 2012
Fact: Circumcision Removes the Most Sensitive Parts of the Penis. A sensitivity study of the adult penis in circumcised and uncircumcised men shows that the uncircumcised penis is significantly more sensitive. The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface. Five locations on the uncircumcised penis that are routinely removed at circumcision are significantly more sensitive than the most sensitive location on the circumcised penis.
In addition, the glans (head) of the circumcised penis is less sensitive to fine touch than the glans of the uncircumcised penis. The tip of the foreskin is the most sensitive region of the uncircumcised penis, and it is significantly more sensitive than the most sensitive area of the circumcised penis. Circumcision removes the most sensitive parts of the penis.
This study presents the first extensive testing of fine touch pressure thresholds of the adult penis. The monofiliment testing instruments are calibrated and have been used to test female genital sensitivity.
Sorrells, M. et al., Fine-Touch Pressure Thresholds in the Adult Penis, BJU International 99 (2007): 864-869.
Stan Barnes
7:53 pm on Wednesday, July 18, 2012
Why is the circumcision rate in Michigan so much higher than the national average? Nationwide the infant circumcision rate is about 55%. In the west coast states the infant circumcision rate is below 30%.
When are Dr. Roth and her colleagues going to find the moral courage to end the practice of non-religious, non-therapeutic circumcision of boys?
Amanda M
9:35 am on Thursday, September 13, 2012
Not all Beaumont doctors are as ignorant as she is. Our family physician is a Beaumont doctor and told us straight up that it is purely a cosmetic procedure with no medical benefits. It's a shame that doctors like Roth continue to perpetuate the lies and spread misinformation.