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US Doctors Back Circumcision

ananyo writes "On 27 August, a report by the American Academy of Pediatrics concludes for the first time that, overall, boys will be healthier if circumcised. The report says that although the choice is ultimately up to parents, medical insurance should pay for the procedure. The recommendation, coming from such an influential body, could boost U.S. circumcision rates, which, at 55%, are already higher than much of the developed world. The researchers estimate that each circumcision that is not performed costs the U.S. health-care system $313."

121 of 1,264 comments (clear)

  1. Circumcision by Anonymous Coward · · Score: 5, Funny

    The US has a health care system? This is news to me.

    1. Re:Circumcision by Azaril · · Score: 3, Insightful

      Obviously they aren't spending enough on education because you seem unable to read breakdowns.

      2011:
      DoD budget: 740 billion
      DoHS budget: 48 billion

      The remainder of defense spending is on veteran affairs (141 billion). I think we can treat that as justified, even if you would have chosen there not to be veterans.

      Total tax receipts: 2300 billion
      Of which is for social security: 820 billion
      Total spendable tax reciepts: 1480 billion

      Total spending: 3600 billion
      Of which is for social security: 725 billion
      Total spend: 2875 billion.

      Total deficit :1395 billion

      So we can clearly see that the defense budge comes nowhere near to filling the deficit. We could get rid of it all, sell all of the equipment to the saudis and next year, there would still be a budget deficit of 610 billion dollars. That's two thirds of all income tax raised.

      To cover that we could of course put the federal income tax up on the average income from 23% to 40% (while ignoring the laffer curve). Yeah I'm sure everyone would love that. Use your head. Yes the defense budget is bloated and out of control, but damn it, so is everything else!

    2. Re:Circumcision by ultranova · · Score: 4, Insightful

      To cover that we could of course put the federal income tax up on the average income from 23% to 40% (while ignoring the laffer curve). Yeah I'm sure everyone would love that. Use your head. Yes the defense budget is bloated and out of control, but damn it, so is everything else!

      Not really. According to Wikipedia, 30-50% sounds around right for a first-world country. Advanced civilization is expensive to maintain, and trying to cut corners - for example by cutting social security - tends to increase costs elsewhere more (you need more internal security to keep the people who have nothing to lose but their chains from revolting). The laternative is to descend to third world status, which is unlikely to result in people having more disposable income.

      Perhaps you should think of the society in terms of a corporation: a company which pays most of its profits to its shareholders rather than investing them will be utterly crushed by its competitors and deliver far less value in the long run.

      --

      Forget magic. Any technology distinguishable from divine power is insufficiently advanced.

  2. I call BS by csb · · Score: 5, Insightful

    We were made this way for very good reasons, even if we don't understand them.
    Imagine if somebody proposed the same thing for female infants. What would be the reaction?
    Leave all minors alone. Let them decide when they turn 18.

    --
    We reserve the right to serve refuse to anyone. -management
    1. Re:I call BS by Anonymous Coward · · Score: 4, Funny

      Imagine if somebody proposed the same thing for female infants. What would be the reaction?

      Probably "oh wait, they don't have penises."

    2. Re:I call BS by mwvdlee · · Score: 4, Insightful

      We were made this way for very good reasons, even if we don't understand them.
      Imagine if somebody proposed the same thing for female infants. What would be the reaction?
      Leave all minors alone. Let them decide when they turn 18.

      Paid for by the "Protect the Appendix" campaign.
      Also; evolution doesn't make anything; it just ends up in some not-too-harmful-before-reproductive-age way after lots of mutations.
      Not advocating circumcission, just saying that medical decission should be based on reality, not assumption or belief.

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    3. Re:I call BS by DJRumpy · · Score: 5, Insightful

      Can't agree more. Never understood why parents feel the need to disfigure their children with no input from the child is beyond me. This should be something that an adult decides for his own reasons, not something to be decided for him.

    4. Re:I call BS by guises · · Score: 5, Insightful

      I am also skeptical, though I'm not sure about claiming natural = good. First of all, a savings of US$313 over the life of the patient is trivial given the current US health care system. Really really trivial - I hope they factored the cost of getting the circumcision into that, because that procedure alone is likely to cost double that amount.

      Second, they're citing the African trials again as evidence for this, which... Why would they do that? Those trials took place in some of the poorest parts of Africa, they say nothing about efficacy of circumcision in places were soap is abundant. If there's so much debate around this issue, why don't they just do some trials here in the US?

    5. Re:I call BS by Exitar · · Score: 4, Funny

      Right, and we should not have premarital sex, don't drink alcohol and don't eat pork, beef or shellfish.

    6. Re:I call BS by vakuona · · Score: 3, Insightful

      Unless you were circumcised as an adult, how could you tell the difference?

    7. Re:I call BS by guises · · Score: 4, Insightful

      All right, I skimmed the article and replied in haste so let me correct myself: the cost of getting the circumcision is indeed factored into the $313 cost, and more than that, that cost is averaged over the entire population. So the real cost would be nothing for most people and extremely high for those people who got HIV or some other serious venereal disease or urinary tract infection.

      The actual AAP report also doesn't focus as much on the African trails as the Nature article suggests, what they're really saying is that the cost of getting the circumcision and treating the nominal complications that arise from it is small enough that we should make sure that the option is available (i.e.: not prohibited) even if the benefits are dubious. They also mention some speculative reasons why removing the foreskin may help with infection - the inner surface is thin and susceptible to micro tears, etc. I still think they should do some real trails here before they make recommendations for here, but this is certainly a more reasonable position.

      I personally don't think circumcision is something that should be done to a child who can't fight back, especially since most of the problems that it supposedly helps with don't come up until you're sexually active anyway, but I do recognize that using a condom is much easier for a circumcised person than it is for someone with a foreskin.

    8. Re:I call BS by DJRumpy · · Score: 4, Insightful

      Vaccines have been proven to prevent illness where no other easily available remedy or prevention exists.

      With an intact foreskin, a condom, abstinence, or simple cleanliness will prevent illness depending on the type of contagion, all of which are easily available.

    9. Re:I call BS by Em+Adespoton · · Score: 4, Insightful

      So I take it you're going to have a proactive surgery to remove your prostate? After all, prostate cancer is one of the biggest killers of men in North America, and nobody really needs it... it just gives your sperm an advantage (just like your foreskin).

      While you're at it, why not permanently remove all hair from your body, as a way to reduce the formation of cysts? You could also remove all your teeth, as we don't need to masticate our food these days, we've got machines that can do that for us. Removal of teeth will reduce gum disease, thereby possibly reducing arterial and coronary illnesses.

      Sure, there's reason to remove parts of the body, but the appendix has a useful purpose, as does the gall bladder, the prostate, the teeth and the foreskin. Pre-emptively removing something from someone else that can't be put back seems a bit extreme when lifestyle choices (yes, even the ones you make for your children) have a much larger effect on health.

    10. Re:I call BS by makomk · · Score: 5, Informative

      Not only that, from what I can tell the African trials were an exercise in how not to conduct a reliable scientific study and it's a mystery that everyone takes them so seriously. Some of the screw-ups were pretty spectacular - the circumcised group had additional counselling on condom use and safe sex compared to the control and weren't allowed or able to have sex for a relatively large proportion of the study period. Others were more subtle. For instance, they terminated the trial early and circumcised the control group, supposedly because the benefits were so great that they couldn't ethically leave, and this kind of early termination has been shown to cause researchers to find effects that did not in reality actually exist in trials like this one.

      They also noticed that the rate of HIV infection amongst the members of the study decreased after the end of the trial and somehow concluded that this was the result of circumcision somehow becoming more effective over time, despite the fact that this could just as easily be caused by (for instance) their exposure decreasing as they got older for unrelated reasons and the lack of a plausible mechanism through which this would happen. They then extrapolated out this decrease into the future and quoted this extrapolated figure prominently as evidence of the effectiveness of circumcision. That prominent journals and institutions were willing to buy into this is truely bizarre.

    11. Re:I call BS by vux984 · · Score: 5, Insightful

      Speaking as a circumcised male, I have never felt a loss for a bit of useless skin.

      Meh. I know a girl missing her 4th toe on one foot that says the same thing. The fact that you don't miss it doesn't mean we should go around cutting them off.

      Most of the women I've talked to about it say they find foreskins to be "ooky" anyways, particularly the ones that enjoy fellatio.

      And that constitutes a reason to remove it on all infants across the board? That some girls who sucked a bunch of dicks, who probably got used to circumcised dicks then later found an uncircumcised one's foreskin a bit "ooky". It boggles the mind. You know, some of them find the loose skin around your testicles a bit ooky too...

      If you want a circumcision go for it. As far as I'm concerned its in the same arena as nipple piercing and what not. Your body, your choice.

      But to make it a mandated medical procedure based on this is insanity.

      The rationale they are using for this procedure is roughly on par with extracting your teeth because brushing them and flossing them and caring for them is a lot of work. They get infected a need all kinds of expensive attention if you don't keep them clean... and sometimes even if you do they still break sometimes or come out crooked. What an expensive mess... for something we don't need. All our nutrition requirements can be met by food in pill and shake form anyways.

      And besides some guys who got used to having their dicks sucked and gummed on by toothless whores find chicks with teeth... ooky.

    12. Re:I call BS by kat_skan · · Score: 4, Informative

      Female circumcision is unfortunately a real thing.

    13. Re:I call BS by Johann+Lau · · Score: 4, Insightful

      There's always someone on Slashdot that wants to ignore the facts

      Which is probably the reason why these posts all have zero replies:

      http://science.slashdot.org/comments.pl?sid=3078759&cid=41159295
      http://science.slashdot.org/comments.pl?sid=3078759&cid=41158715
      http://science.slashdot.org/comments.pl?sid=3078759&cid=41158447
      http://science.slashdot.org/comments.pl?sid=3078759&cid=41159125

      This whole thing is transparent as fuck if you ask me. Doctors get money, religious peeps feel better about forcing this on babies instead of making it a voluntary thing. And of course, the people who have no way to get their foreskin back either way rationalize it.

      So, yeah. Whatever makes you feel better *tips hat* haha.

    14. Re:I call BS by Zero__Kelvin · · Score: 3, Funny

      "Imagine if somebody proposed the same thing for female infants. What would be the reaction?"

      I'm guessing it would be something along the lines of: Holy Shit! She's got a dick!

      --
      Guns don't kill people; Physics kills people! - John Lithgow as Dick Solomon on Third Rock From The Sun
    15. Re:I call BS by Maxmin · · Score: 5, Informative

      Imagine if somebody proposed the same thing for female infants. What would be the reaction?

      In certain countries they do that, and the West refers to it as "female genital mutilation"

      FGM involves removal of the clitoris, and the inner and outer labia to varying extents.

      FGM is absolutely intended to deny females sexual pleasure; it's a prophylaxis of sorts against adultery. In actuality, it causes them pain for the rest of their lives.

      In these cultures, the men often demand that their bride be cut in this way, otherwise they're undesirable.

      I'm not sure that FGM and male circumcision are comparable. Circumcision came about during a time when hygiene was lax, awareness of causes of infection nonexistent.

      --
      O lord, bless this thy holy hand grenade, that with it thou mayest blow thine enemies to tiny bits, in thy mercy.
    16. Re:I call BS by sasha328 · · Score: 3, Informative

      I fall into this category, but I wouldn't call myself an adult when I was circumcised. I was somewhere between 11 and 13 years old. I am neither American, nor Muslim or Jew.
      My dad is not circumcised, but for some reason, which I no longer remember I was circumcised in a hospital. I didn't feel any pain as a result. I was sore for a week afterwards. That's all I can remember from that time.

      I am now a happily married man, and we haven't had any problems with stimulation, sensation or anything.
      I don't know what I'd do if I have a son, but as it's not a tradition in our family, we'll talk it through. I think I'm in favour of it, but we'll know closer to the time.

    17. Re:I call BS by GNUALMAFUERTE · · Score: 4, Insightful

      Except circumcision reduces pleasure during sex. It's a stupid religious practice, that people justify as meaning to reduce infection, but it's actually targeted at reducing pleasure and masturbation (I've heard it fails drastically at that). I live in Argentina. Do you know what babies get circumcisions here? None. Well, just the jews, and not all of them, only the actually religious.

      It's an awful and stupid religious practice, and should be BANNED. Parents that do it should be punished with actual jail time. Let the kid decide if he wants to mutilate himself when he turns 18. Same should go for religion (no sex before 18? Fine. No voting? Fine. No religious teaching until 18 years old. Also, punishable with mandatory jail time).

      In case it wasn't clear enough, KEEP YOUR FUCKING RELIGION AWAY FROM MY PENIS.

      --
      WTF am I doing replying to an AC at 5 A.M on a Friday night?
    18. Re:I call BS by mcvos · · Score: 3, Informative

      There are very different levels of female circumcision. The worst cut out the entire clitoris and sow everything shut, the mildest are a small cut in the clitoris without removing anything. But it's still unnecessary mutilation, just like male circumcision.

    19. Re:I call BS by Inda · · Score: 4, Insightful

      I'll add to your post, as the context wouldn't mean much on other posts. Maybe it'll calm some other people's thoughts too.

      UK born and bred, no religion apart from the FSM.

      Cut at 19, a few years after I started my sex life, solely for the reason of my foreskin being too tight [for my enormous...]. Simple operation. In and out in an hour. I walked to a friend's house in the evening. 32 stitches. Back to work a week later, and it could have been earlier but hey, I was being paid whether I went in or not. No wanking for three weeks. Can you imagine that at 19?!?

      Before and after? Obviously better after because that's why I had the operation, but in truth, no real difference. No problems with soreness, dryness, or sensitivety; maybe a little bit more sensitive, and that's a good thing.

      The wife, although I didn't meet her until a couple of years later, prefers the look. She says it looks like a mini erect penis.

      Friends? It's amazing how many blokes in the UK have had it done when someone admits to it. 50% in my circle of friends, all done because of tightness. Half of those performed in adulthood.

      The worst part? In hospital I had a group of students watching the examination. Standing there with my trollies round my ankles being told to pull the foreskin back infront of everyone was not pleasant. The surgeon pointing at my foreskin with his pen, telling all the crowd he'd cut just below the tight point was not something I'd want to repeat ever. I still imagine the students writting reports on the operation and that report still sitting on a hard drive somewhere.

      NB: Post not checked for spelling or puns.

      --
      This post contains benzene, nitrosamines, formaldehyde and hydrogen cyanide.
    20. Re:I call BS by tibit · · Score: 3, Informative

      So, I assume your parents did not pull your foreskin back every day to stretch it when you were a little kid, and did not educate you on doing that yourself later on? That's the only reason I can see for tightness of foreskin. It's stretchy, it's not supposed to bother you if you take care of it when young.

      --
      A successful API design takes a mixture of software design and pedagogy.
  3. $313? by Milharis · · Score: 3, Insightful

    Is that over the price of doing the surgery?
    Because from what I could find, it's in the 2-3k range; so if you have to pay $2000 to save $313, that might not be the best idea.

    1. Re:$313? by stephanruby · · Score: 5, Informative

      Is that over the price of doing the surgery?
      Because from what I could find, it's in the 2-3k range; so if you have to pay $2000 to save $313, that might not be the best idea.

      If you're paying 2 to 3 K, you're probably doing it wrong.

      A remedy for masturbation which is almost always successful in small boys is circumcision. The operation should be performed by a surgeon without administering an anesthetic, as the brief pain attending the operation will have a salutary effect upon the mind, especially if it be connected with the idea of punishment. In females, the author has found the application of pure carbolic acid to the clitoris an excellent means of allaying the abnormal excitement.
      (John Harvey Kellogg, M.D., "Treatment for Self-Abuse and its Effects," Plain Fact for Old and Young. Burlington, Iowa: F. Segner & Co. (1888). P. 295) http://www.cirp.org/pages/whycirc.html

      What's the going price of carbolic acid (phenol) these days? ~ $10. And mind you, this added cost is only for females. For males, if you forego anesthesia and all the hassles that come with it, you could probably get a normal Barber to do it for only twice his going rate.

  4. $313 is worth it by tylernt · · Score: 5, Insightful

    $313 is a small price to pay to not have one's privates butchered.

    --
    DRM 'manages access' in the same way that a prison 'manages freedom'
    1. Re:$313 is worth it by characterZer0 · · Score: 3, Insightful

      I feel butchered. My parents have apologized for it.

      --
      Go green: turn off your refrigerator.
    2. Re:$313 is worth it by yndrd1984 · · Score: 4, Insightful

      The only people I've met who are against circumcision are people who are uncircumcised.
      Hi, nice to meet you! Now you can't say that any more.

      We're not butchered.
      Technically it's 'surgically altered', but 'butchered' evokes my feelings pretty well.

      That I'm circumcised was something I never, ever thought about until...
      That's great! It doesn't seem to have bothered you.

      But that doesn't change my feelings, nor does it change the ethics of the issue: My body, my choice. Right?

    3. Re:$313 is worth it by yndrd1984 · · Score: 4, Informative

      Is anyone going to have the guts to tell me why they think my viewpoint is wrong, rather than simply mod my views into oblivion?

      You're trivializing someone's feelings, making wild assumptions about their personal life, making duplicate posts, and taunting people.

      Don't like the 'Troll' mod? Then don't act like one.

  5. Jesus. by Anonymous Coward · · Score: 5, Insightful

    Just practice good hygiene. How about we don't mutilate anyone's private parts against their will?

    1. Re:Jesus. by jbssm · · Score: 5, Funny

      Guess what. I bet that if you cut your son's penis completely, the risk that they contract HIV or any other disease will drop by a great percentage. More, I absolutely guarantee you, that if you cut your son's penis today, we will not have penile cancer, ever! Guaranteed or your money back!

    2. Re:Jesus. by Seumas · · Score: 3, Insightful

      And yet it's most common in the United States, where circumcision is most prevalent.

      It just absolutely baffles me that "hygiene durp durp" is our justification, here. You can cause a number of significant and even life threatening problems with poor oral hygiene, too, but I don't see anyone suggesting we take a jigsaw to the jaws of infants rather than teaching them proper oral hygiene as they grow up.

      Don't get me wrong, I don't see how there's really any detriment to a grown man who was circumcised when he was like a month old or whatever, but I also would kind of demand a significant amount of legitimate reason behind taking a scalpel to a baby. Especially when so many reasonable solutions are out there. Like telling little Johnny when you teach him how to take a shower "now use some soap and a rag on your balls".

    3. Re:Jesus. by yndrd1984 · · Score: 3, Insightful

      You liken the foreskin to a hairlip and cancer?

      You people are insane.

      What did you expect from Americans? Rational discourse?
      (He he, I like to mock my fellow Americans. :) )

      But seriously, many Americans think that the foreskin is a birth defect. Not like one, but really is one. So no, they aren't insane, they just think that perfectly normal human males are circus freaks that needs to be 'fixed' by modern medicine. Nothing crazy about that.

  6. The problem i see here... by Red_Chaos1 · · Score: 4, Insightful

    ...is that they harp on the issues of UTIs and STDs/STIs. Those are things that are easily avoidable, and not at all the fault of having a foreskin. If baby gets a UTI, mommy and daddy need to do a better job cleaning baby up and cleaning baby sooner. If, as a man, the person has issues with STDs/STIs, well gee stop being a moron having unprotected/risky sex Einstein.

    Trying to lump the added medical costs is the same. The costs brought on are not due to the foreskin, they are due to the creators of the baby, and/or the owner of the penis.

    1. Re:The problem i see here... by pwizard2 · · Score: 3, Informative

      Penile cancer is so rare that the risk is practically insignifigant. Urinary tract infections are not as common in men (unless there is a disease/disability that interferes with normal urination) because our urethras are so long. Circumcision should be outright banned except in cases where it is 100% medically necessary.

      --
      "It is a denial of justice not to stretch out a helping hand to the fallen; that is the common right of humanity."
    2. Re:The problem i see here... by Em+Adespoton · · Score: 5, Informative

      Ditto -- one of our kids had a UTI. The prescription? Drink more water and pee more often. Cleared it up in less than a week. Compare that to trying to stick a foreskin back on.

    3. Re:The problem i see here... by Velex · · Score: 4, Interesting

      You're forgetting to point out the insignificance of the numbers in question. For UTI, if it's a 90% reduction, well, take the existing incidence rate, 1.5%, add 90%, and it's still less than 3%. And how many babies die from UTI? We're talking /infection/ here of a routine infant condition, not mortality.

      It makes me want to throw up.

      Then I watch how people react to allowing US hospitals to perform the "clitoral pin-prick" style female circumcision which fulfills certain religious beliefs. Nothing is removed. Read my other comments, and I would gladly trade 10 years of physical pain (possibly) due to a circumcision a bit too tight for a pin-prick. People lose their shit. Really, I had a comment removed from NPR.org just for mentioning that hospitals (and the AAP) had considered creating a protocol for this pin-prick.

      If I can be 100% serious for a moment, think about it. Girls every year are trafficked to 3rd world countries to be mutilated. US hospitals are offering to do something that will be done anyway in a less severe, much more sterile manner. And people still lose their shit. So, the girls continue to get trafficked to 3rd world countries to have their clitorises pricked with a bacteria-infested knife, resulting in irritation that requires amputation of the entire clitoris. BUT OMG FGM BRAIN LEAKS OUT EAR. But male circumcision, ok, that's cool.

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  7. Why do they do this in the US? by Anonymous Coward · · Score: 5, Insightful

    I'm not American, and I can't quite understand where does the custom in the US comes from. Is it religious in origin? I know muslims, jews and americans practice it, but that's about it. Does anyone know? As far as I know, it's not common at all on other countries.

    1. Re:Why do they do this in the US? by CanHasDIY · · Score: 5, Funny

      I'm not American, and I can't quite understand where does the custom in the US comes from. Is it religious in origin? I know muslims, jews and americans practice it, but that's about it. Does anyone know? As far as I know, it's not common at all on other countries.

      Yea, that's how we distinguish ourselves from you unwashed heathens*.


      * in before the negative mods - That's called a JOKE, you humorless assholes!

      --
      An enigma, wrapped in a riddle, shrouded in bacon and cheese
    2. Re:Why do they do this in the US? by Znork · · Score: 5, Informative

      More or less. Several prominent advocates of circumcision, such as John Harvey Kellog, liked the idea that it would reduce masturbation (especially if the pain was remembered!).

      The medical benefits are dubious, particularly as there are indications that any reduction in male infection rates are outweighed by increased rates of female infection rates. Either way condoms and HPV vaccinations are far, far, far, far more effective and appropriate.

    3. Re:Why do they do this in the US? by Anonymous Coward · · Score: 5, Funny

      Several prominent advocates of circumcision, such as John Harvey Kellog, liked the idea that it would reduce masturbation

      So, I would masturbate even more if I hadn't been circumcised? Is this even possible?!

    4. Re:Why do they do this in the US? by swillden · · Score: 5, Interesting

      my mother did it to me

      I think that's common... in my experience it's actually women who feel most strongly in favor of circumcision. When my boys were born I didn't really care either way that much (sorry, I don't think it's as horrific as some here do, and neither do I think it's hugely beneficial or important), but my wife was quite insistent that they be circumcised. She didn't really have any argument other than "uncircumcised penises look funny". Oh, she also cited hygiene, but the "look funny" argument seemed to be the more important one.

      I've come across the same attitude from nearly every other American woman with whom I've discussed the topic -- which isn't a huge number, penis alteration not being a common lunch conversation topic and all -- but probably a couple dozen or so.

      --
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    5. Re:Why do they do this in the US? by oji-sama · · Score: 5, Informative

      So, I would masturbate even more if I hadn't been circumcised? Is this even possible?!

      Probably not, but you might enjoy it more.

      From the article

      There is fair evidence from a cross-sectional study of Korean men of decreased masturbatory pleasure after adult circumcision

      Or as they say in the referenced article

      There were no differences in sexual drive, erection and ejaculation, but circumcised men reported decreased masturbatory pleasure and sexual enjoyment. We conclude that adult circumcision adversely affects sexual function in a signicant number of men, possibly because of loss of nerve endings.

      --
      It is what it is.
    6. Re:Why do they do this in the US? by stephanruby · · Score: 5, Informative

      I'm not American, and I can't quite understand where does the custom in the US comes from. Is it religious in origin? I know muslims, jews and americans practice it, but that's about it. Does anyone know?

      As far as I know, it's not common at all on other countries.

      Apparently, we can thank our puritan roots

      Routine circumcision as a preventative or cure for masturbation was proposed in Victorian times in America. Masturbation was thought to be the cause of a number of diseases. The procedure of routine circumcision became commonplace between 1870 and 1920, and it consequently spread to all the English-speaking countries (England, Canada, Australia and New Zealand). None of these countries now circumcise the majority of their male children, a distinction reserved today for the United States (in the UK, in fact, nonreligious circumcision has virtually ceased). Yet, there are still those who promote this social surgery, long after the masturbation hysteria of the past century has subsided.

      "By about 1880 the individual... might wish[to]... tie, chain, or infibulate sexually active children... to adorn them with grotesque appliances, encase them in plaster, leather, or rubber, to frighten or even castrate them... masturbation insanity was now real enough--it was affecting the medical profession."
      (B. Berkeley, quoted from _Circumcision: The Painful Dilemma_, by Rosemary Romberg, Bergin & Garvey Publisher, Inc, S. Hadley MA, USA, 1985, ISBN 089789-073-6)

      Dr. E.J. Spratling, who promoted this surgery by telling his colleagues that "...circumcision is undoubtedly the physician's closest friend and ally..." prescribed in 1895 the method of circumcision as it is practiced in hospitals today.

      "To obtain the best results one must cut away enough skin and mucous membrane to rather put it on the stretch when erections come later. There must be no play in the skin after the wound has thoroughly healed, but it must fit tightly over the penis, for should there be any play the patient will be found to readily resume his practice not begrudging the time and extra energy required to produce the orgasm... We may not be sure that we have done away with the possibility of masturbation, but we may feel confident that we have limited it to within the danger lines."
      (E.J. Spratling, MD. Medical Record, Masturbation in the Adult, vol. 48, no. 13, September 28, 1895, pp. 442-443.)

      Here is an example of what another sexaphobic American doctor had to say about masturbation in 1903:

      "It (self abuse) lays the foundation for consumption, paralysis and heart disease. It weakens the memory, makes a boy careless, negligent and listless. It even makes many lose their minds; others, when grown, commit suicide.... Don't think it does no harm to your boy because he does not suffer now, for the effects of this vice come on so slowly that the victim is often very near death before you realize that he has done himself harm. It is worthy of note that many eminent physicians now advocate the custom of circumcision..."
      (Mary R. Melendy, MD, The Ideal Woman - For Maidens, Wives and Mothers, 1903.)
      (The above material is quoted from J. Bigelow, The Joy of Uncircumcising, Hourglass Book Publishing, Aptos, CA, USA. Thanks to Robin Verner.)

      In America, foreskins were not rare at the time circumcision was introduced into widespread practice. Paradoxically, then, the understanding of the intact male organ at that time was somewhat greater than it is today. (In particular, it never would have been possible to promote circumcision on the basis that it was "necessary for hygienic reasons"---this came later, when doctors themselves were mostly circumcised men.)

      [...]

      Oh, and you've got to love this quote, which can be found on the same page:

  8. Re:Lies by pdabbadabba · · Score: 5, Funny

    Yes, because we all know that the American Academy of Pediatrics is in the pocket of Big Circumcision.

  9. Reminder by Burning1 · · Score: 3, Funny

    Removing the penis completely will provide significant savings in:

    - UTI/STD related treatments
    - Contraceptive costs
    - Pregnancy related expenses

    1. Re:Reminder by ItsJustAPseudonym · · Score: 4, Funny

      Lorena Bobbitt, is that you?

  10. The problem isn't circumcision by sackofdonuts · · Score: 5, Insightful

    The problem is sex education in this country. How about leaving the foreskin and teaching boys how to take care of themselves and what to avoid?

    1. Re:The problem isn't circumcision by Velex · · Score: 4, Informative

      Go read the actual study. It's quite amazing.

      Basically, they took a control group of intact men, and turned them loose on some whorehouses, all expenses paid. And they went wild. Started reporting AIDS and what-have-you from day one.

      So, ok, they had their experiment group. Now, since they had just had a surgery performed, they were ordered to a week of bedrest.

      Now it gets real interesting what happens when they turn the experiment group loose on the whorehouse. They start reporting AIDS from day one. That's not all. After two weeks, their rate of infection begins approaching the control group's rate of infection.

      WHOOOPS! END STUDY! ABORT! ABORT!

      So, now we have a published study that PROVES that fewer men in the experiment (fewer, by head count) had AIDS than in the control group. MALE GENITAL MUTILATION CURES AIDS.

      I hope I adequately answered your suspicitions. Clearly, circumcision is a cure for AIDS. *sigh* and Gah!

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  11. I call bullshit... by wbr1 · · Score: 5, Insightful

    As a man that suffers from sever penile insensitivity, presumably from my circumcision (which became infected due to poor practices at the hospital), I believe it is a useless, barbaric practice, almost akin to clitordectomies. Clitordectomies, by the way, are also known as female circumcisions. Coincidence?
    If you want some of the truth about what a circumcision actually does I suggest reading the following:
    http://www.norm.org/
    http://en.wikipedia.org/wiki/Foreskin_restoration

    --
    Silence is a state of mime.
    1. Re:I call bullshit... by AbRASiON · · Score: 5, Insightful

      Mod this gentleman UP please people.
      I too have damaged genetalia due to a circumcision that I didn't want, had no say in and didn't need, fortunately the damage isn't too severe in my case. (turkey neck)

      Please take a look at this, it's not for the squeemish, nor is it work safe.
      http://www.circumstitions.com/Complic.html
      That is a rare occurance just like myself and wbr1, however NONE of them needed to fucking well occur in the first place.

      Oh and can I just say, politically correct or not - women do not have any say in this topic of discussion, NONE, NADA, their opinion is utterly worthless on this topic - be it for or against. I've seen too many articles on this topic with facebook or twitter posts by women who think they have a right to comment on it.
      The one I saw yesterday which got me fired up by a woman "your son, your decision" ugh.

      This practice should be banned.

  12. Bad research reporting is worth forfeiting mod by BMOC · · Score: 5, Informative

    I'm forfeiting a mod point for this, sorry to whoever I modded up... The actual abstract of the actual paper backing up this claim (BOLD IS MINE):

    ABSTRACT. Existing scientific evidence demonstrates potential medical benefits of newborn male circumcision; however, these data are not sufficient to recommend routine neonatal circumcision. In circumstances in which there are potential benefits and risks, yet the procedure is not essential to the child’s current well-being, parents should determine what is in the best interest of the child. To make an informed choice, parents of all male infants should be given accurate and unbiased information and be provided the opportunity to discuss this decision. If a decision for circumcision is made, procedural analgesia should be provided.

    IOW, no, we're not recommending anything, we're simply saying there are POTENTIAL medical benefits. Well there are potential medical benefits to getting my appendix removed, or my tonsils cut out, it doesn't mean I should be forced to make that decision.

    Stupid journalists, we need to seriously trim the fat in that industry and start with these jackasses who misrepresent science for political gain.

    --
    I swear they give me mod points to shut me up.
    1. Re:Bad research reporting is worth forfeiting mod by BMOC · · Score: 4, Funny

      appendix removed, or my tonsils cut out

      There's no religion who asks for that. At least not one with major influence on the elections...

      Flying Spaghetti Monster demands your tonsils in sacrifice.

      --
      I swear they give me mod points to shut me up.
    2. Re:Bad research reporting is worth forfeiting mod by Velex · · Score: 4, Interesting

      I was in physical pain for roughly 10 years from when my male puberty started (yay, facial hair, oddly I never got crackly voice) and when my female puberty started (yay, boobs, goodbye morning wood).

      When I started HRT, I didn't even know I was circumcised. I thought pain along with wood was the normal thing for a guy. Apparently, my doctor didn't think twice about my reporting feelings that I should have been a different gender with different body parts and experiencing pain at the normal functioning of the male genitalia. It wasn't until I met my intact ex-boyfriend that I learned I had been mutilated. It turns out that the feelings I experience of the skin tearing were abnormal, even for a circumcised man.

      Also, no trans woman I've ever asked has once reported the same pain I reported. Therefore, eliminate my doctor's theory that the pain was caused by some mysterious brain-genital mismatch.

      The question that digs at me is this: was my doctor right in dismissing circumcision as a cause or am I right in blaming circumcision as the cause? Because of all the disinformation surrounding male genital mutilation, my doctor may not have been aware of a case presented in The Joy of Uncircumcising by Jim Bigelow (an intereting read regardless of standpoint) worse than mine. Instead of just pain because the skin felt like it might tear, there's a story of a man whose skin DID tear, every night.

      At any rate, because I can never return to my natural, unmutilated state, I'll never know. And, if I may since this is slashdot, since estrogen HRT solved my problem, the worst part, being a geek, is not knowing lol.

      Cheers

      --
      Join the Slashcott! Stay away entirely Feb 10 thru Feb 17! Close all tabs to prevent autorefresh!
  13. Re:Lies by G1369311007 · · Score: 5, Funny

    I for one would like to think they make pockets out of the leftover skin.

    --
    "Don't blink. Don't even blink. Blink and you're dead."
  14. Re:Lies by Anonymous Coward · · Score: 5, Insightful

    Pediatrics - Only concerned with the health of kids, not adults.

    You may be physically healthier, on average, without your foreskin. Only if you're not taught about how to properly take care of it. (So the data, framed in this way, will say that circumcised boys are healthier because improperly cared for un-circumcised boys)

    The real problem is a social phobia about teaching little boys how they are supposed to wash and care for their penis. Instead, we just cut off the foreskin so we don't have to deal with it. Touching your "penis" is bad, after all.

    Later in life it leads to abnormal masturbation, reduced sexual pleasure, and reduced pleasure of your female partner. - This study conveniently ignores these issues because they're not about children.

  15. Re:US women prefer circumcised penises by slapyslapslap · · Score: 4, Informative

    http://en.wikipedia.org/wiki/Sexual_effects_of_circumcision Read down to the female preference and response section. 79% to 89% prefer circumcised based on the research quoted. So yes, they actually do.

  16. Re:Lies by CelticWhisper · · Score: 5, Funny

    We really need a "-1 Trying Desperately to Get That Image Out of My Head"

    --
    Help protect civil rights from abuse by the TSA - visit TSA News Blog.
    http://www.tsanewsblog.com
  17. Re:Lies by nattt · · Score: 5, Informative

    Penile cancer rates are not zero among circumcised and it's such a none issue as it's also incredibly rare among the un-circumcised too. The recent HIV studies are very poor, and quite frankly, bad science (the circed men were given condoms and extra counciling the others did not, and the study was cut short, thus skewing the data as there was a good period where the circed men had to heal up before engaging in sexual activity).

    --
    -- oldthinkers unbellyfeel ingsoc
  18. Re:Lies by Anonymous Coward · · Score: 5, Informative

    It depends on whom's facts you read:

    The British Medical Association said it had no policy on the issue because of the “absence of unambiguously clear and consistent medical data on the implications of the intervention."

    As far as I'm concerned if the evidence is so ambiguous after all this time then there's no necessity for the operation. Look at it this way if it prevents the spread of HIV then why is the infection level in the UK a third of that in the US in percentage terms yet circumcision in the UK is very tiny.

  19. The appendix is not useless by Chemisor · · Score: 5, Informative

    > Paid for by the "Protect the Appendix" campaign.

    Educate yourself: the appendix serves as a haven for useful bacteria when illness flushes those bacteria from the rest of the intestines, and thereby helps maintain normal intestinal flora.

    1. Re:The appendix is not useless by geekoid · · Score: 4, Insightful

      The science is out on that. There is research, and I look forward to the results. But it is a hypothesis at this point, nothing more.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    2. Re:The appendix is not useless by Anonymous Coward · · Score: 5, Insightful

      Tonsils are not necessary part of the body either. Neither is the gall bladder. Hell, you can go on quite fine with one lung and no stomach either.

      That do NOT mean you remove things.

      Hell, you can cut transmission of STDs by just cutting everyone's dicks off. They are 100% not necessary for anything. We can bypass natural insemination with a syringe and tube, you know, like cattle and other farm animals. Would you pay the price??

      The recommendations are retarded. 1 in 1,000,000 vs. 3 in 1,000,000 chance of cancer. They are saying uncircumcised result in $300+ extra costs per person, that means each penile cancer costs $150,000,000 dollars in costs. I'm sorry, but someone can't count. Or maybe they hope no one else does either.

  20. Re:Lies by Anonymous Coward · · Score: 5, Insightful

    The article is also very light on numbers. It mentions a reduction in STIs and whatnot, but provides absolutely no quantitative data. How much are these infections and disorders decreased by? Are we talking a couple percentage points? Or dozens of percentage points? Furthermore, I don't see any definitive causes described. What I see is a correlation with some hypothesizing as to the cause but nothing which has actually been verified by scientific inquiry.

  21. Mechanics by slim · · Score: 3, Interesting

    (Speaking as a man with a foreskin, who can't quite imagine what it would be like not to have one... uncomfortable?)

    I occasionally see reports about circumcision affecting cancer outcomes, AIDS transmission, things like that.

    What completely mystifies me, is the mechanics of these effects. Perhaps a foreskin can lead to increased transmission of AIDS. How? By what mechanism?

    1. Re:Mechanics by obarthelemy · · Score: 4, Interesting

      Take a group of men
      Circumcize some of them. Those circumcized can't do anything much sexually for a few weeks, maybe longer
      Observe that circumcision lowers STDs
      Pat yourself on the back, and go maim a few hundred thousands kids. Don't forget to bill them for it.

      --
      The Cloud - because you don't care if your apps and data are up in the air.
  22. Re:Lies by Anonymous Coward · · Score: 5, Insightful

    Which studies? Proponents of circumcision continuously invent a new reason circumcision is useful whenever the previous one is debunked. First it was to fight masturbation, then it was because it prevented penile cancer, then it was to prevent genital cancer among women, then it was because men would be too stupid to clean themselves if they were uncut, then it was to protect against AIDS. What will be the next reason, who knows but I'm sure they will invent one then say "prove me wrong".

  23. Re:Lies by TorrentFox · · Score: 5, Interesting

    Doctors pay dues to the AAP, not babies. Doctors make money off of cutting babies. You joke, but it is a HUGE industry - not just the operation, but afterwards the tissue is sold to make cosmetics and pharmaceuticals.

  24. Re:Lies by 6ULDV8 · · Score: 5, Funny

    They're only in it for the tips.

    --
    Pull my finger for my public key.
  25. why not give the kid a choice? by loshwomp · · Score: 4, Insightful

    I decided STDs weren't likely to be a significant threat to my infant son. If he wants to have part of himself chopped off when he turns sixteen, I'll give him all the info and support his choice. I think I can predict how it'll turn out, but I'm not kidding--I'll drive him to the hospital myself.

    (And before anyone starts, the entire rest of the pro-circumcision argument revolves around an additional 9-per-thousand UTI infection rate. Yawn.)

  26. Re:Lies by Baloroth · · Score: 4, Insightful

    The real problem is a social phobia about teaching little boys how they are supposed to wash and care for their penis. Instead, we just cut off the foreskin so we don't have to deal with it. Touching your "penis" is bad, after all.

    Later in life it leads to abnormal masturbation, reduced sexual pleasure, and reduced pleasure of your female partner. - This study conveniently ignores these issues because they're not about children.

    From TFA:

    Perhaps the most powerful evidence in favour of circumcision comes from randomized controlled trials in South Africa, Kenya and Uganda. These found that, for men who have sex with women, circumcision reduced the risk of infection with HIV. (No protection was observed for men who have sex with men.) The South African and Ugandan trials also found that circumcision reduced infection rates for human papillomavirus (HPV) and herpes. The World Health Organization has already made circumcision part of its HIV-prevention strategy in sub-Saharan Africa, with a goal to circumcise 20 million men by 2015.

    The AAP found that, in addition to preventing sexually transmitted infections, circumcision could reduce the rates of urinary tract infections and penile cancer, probably because the foreskin harbours infectious microbes as well as the immune cells targeted by HIV.... The task force also found no strong evidence that circumcised babies grew up with more urinary difficulties or sexual problems.

    So... yeah. Reduced infection rates in children and adults, and no strong evidence of sexual problems at all. It doesn't matter if you could stop infection through education on how to properly clean the penis. Hell, HIV could be stopped dead in a few generations if people stopped having sex with multiple partners and/or used condoms. But guess what? The world doesn't work like that, and a measure that can help prevent disease with very few side effects can and should be used to help stop disease. Hence, the recommendation.

    --
    "None can love freedom heartily, but good men; the rest love not freedom, but license." --John Milton
  27. Re:Lies by oji-sama · · Score: 5, Informative

    Gah, another one. "Take away your studies and facts, I'm not listening, la la la la, I can't hear you..."

    Go read it

    From the 'Task Force' article:

    There is fair evidence that men circumcised as adults demonstrate a higher threshold for light touch sensitivity with a static mono lament compared with uncircumcised men; these ndings failed to attain statistical signicance for most locations on the penis, however, and it is unclear that sensitivity to static monolament (as opposed to dynamic stimulus) has any relevance to sexual satisfaction.

    And what does the actual article marked as source for this say:

    The glans of the circumcised penis is less sensitive to fine touch than the glans of the uncircumcised penis. The transitional region from the external to the internal prepuce is the most sensitive region of the uncircumcised penis and more sensitive than the most sensitive region of the circumcised penis. Circumcision ablates the most sensitive parts of the penis..

    I've never read 'an article' that as blatantly cherrypicks things supporting their view...

    --
    It is what it is.
  28. In a nutshell. by Arancaytar · · Score: 5, Insightful

    US healthcare will pay for religious mutilation, but not for planned parenthood.

    I think we've identified the core of what is wrong here.

  29. Re:US women prefer circumcised penises by Anonymous Coward · · Score: 5, Insightful

    http://en.wikipedia.org/wiki/Sexual_effects_of_circumcision

    Read down to the female preference and response section. 79% to 89% prefer circumcised based on the research quoted.

    So yes, they actually do.

    in Georgia and Iowa (US)...not exactly a widespread study

  30. Why the AAP is Wrong by Anonymous Coward · · Score: 5, Informative

    1) The AAP omitted the fact that the foreskin is an important part of male anatomy with specific sexual, sensory, and protective functions. How can the AAP possibly recommend removing part of the body when they won't even discuss its functions? (Google functions of the foreskin)

    2) The AAP failed to address the ethical problems with amputating healthy tissue from a child without that child's consent. Doing so without absolute medical necessity is a violation of the child's basic human right to an intact body and the right to choose for himself when he is an adult.

    3) HIV prevention is not a valid reason for circumcising an infant who is not sexually active. HIV is easily prevented in other, less invasive ways. Other modern nations are not endorsing circumcision as an HIV prevention method. To learn more see this handout from Intact America. Also, a recent study from Puerto Rico shows that circumcised men in that area have higher rates of HIV and other STDs than intact men.

    4) The AAP cannot credibly say the benefits outweigh the risks since they don't have good data on what the risks are. Few good studies have been done on the risks of circumcision, and no state or national system exists for collecting adverse event reports. Further, very little data is available on long-term complications. Without solid data on the risks and long-term complications of circumcision, any conclusion which weighs benefits vs. risks, or benefits vs. cost, is fundamentally flawed.

    5) The AAP is out of step with the statements from other countries. Other nations are moving away from newborn circumcision, even to the point of considering bans on newborn circumcision in some areas, but the AAP is moving in the opposite direction. This shows just now biased the AAP has become and that they are really just trying to justify an outdated practice rather than view the situation objectively. I hope that the AAP comes under international pressure to retract this new statement, as occurred with their ill-conceived female genital cutting statement a few years ago.

  31. Re:Lies by Space+cowboy · · Score: 5, Insightful

    Mutilation of children's bodies is generally considered to be harmful, yes.

    When you're talking about physically cutting into a baby's body, the burden of proof lies with those who would cut, not those who would not. Quoting from an above post:

    The British Medical Association said it had no policy on the issue because of the “absence of unambiguously clear and consistent medical data on the implications of the intervention."

    As far as I'm concerned if the evidence is so ambiguous after all this time then there's no necessity for the operation. Look at it this way if it prevents the spread of HIV then why is the infection level in the UK a third of that in the US in percentage terms yet circumcision in the UK is very tiny

    In the UK, there is no financial incentive for doctors to mutilate children. I tend to trust their version of affairs, rather than those with a financial incentive (the doctor is paid for his time, and the hospital sells the tissue).

    Simon

    --
    Physicists get Hadrons!
  32. Re:Lies by Stickerboy · · Score: 5, Insightful

    Just because there isn't a proven causal relationship, doesn't mean that there isn't one.

    More to the point... has circumcision ever been shown to be linked to something harmful?

    Yes.

    Circumcision is an unnecessary and mainly cosmetic surgery picked by parents because of tradition and/or religion. Recent attempts to find medical justification for its existence are both new and almost laughable. It's a penile "nose job" for a baby so the baby isn't potentially made fun of for being "different" later on.

    Unfortunately, circumcision is a surgical procedure. And no matter how "routine" and "minor" a surgical procedure is, it's only "routine" and "minor" until something inevitably goes wrong. Rare, but horrible when it happens.

    Promoting circumcisions to prevent STD transmission is the worst sort of self-serving justification. Why not promote mastectomies at puberty for girls to avoid the 1 in 7 chance of getting breast cancer during their lifetime? Or appendectomies for everyone? If your STD prevention strategy consists of promoting circumcision, instead of promoting safe sex education and prophylactic barrier distribution, your priorities are wildly skewed.

    You really want your baby circumcised? Wait until he's 18, and give him the choice.

    --
    Light a fire for a man and he'll be warm for a day. Light a man on fire and he'll be warm for the rest of his life.
  33. Re:Lies by hkmwbz · · Score: 4, Informative

    What are the lies?

    This? "Male circumcision does not appear to adversely affect penile sexual function/sensitivity or sexual satisfaction."

    This study seems to contradict that claim.

    --
    Clever signature text goes here.
  34. Re:Lies by Gorobei · · Score: 4, Insightful

    Yep, one problem with the major African studies was the variation in follow-up support given. Another problem is the difficultly of doing randomized trials (anyone who can be convinced to have his penis surgically modified can probably also be convinced to follow your safe-sex directions.) Thirdly, double-blind trials concerning STDs are a little difficult to do when circumcision is visible to all.

    The US studies have similar problems: when a circumcision has an average cost of around $350, the parents opting for the child's surgery tend to be richer and more able/willing to spend on health care for the child. You would expect circumcision to be correlated with benefits to every treatable medical condition.

  35. Re:Lies by Anonymous Coward · · Score: 4, Interesting

    The world doesn't work like that, and a measure that can help prevent disease with very few side effects can and should be used to help stop disease.

    Wow, nice. So because people act foolishly, everyone (that doesn't approve of it) must suffer? Please. The people dealing with HIV are usually dealing with the consequences of their own actions, but if we remove all foreskins, we punish everyone for their actions. Furthermore, plenty of people without foreskins do have HIV. A small increase in the chance of getting HIV/penile cancer is not worth punishing everyone over.

  36. Re:Lies by cpu6502 · · Score: 5, Insightful

    >>>my circumcised penis has been greeted with relief by a partner who found the natural look repulsive.

    Interesting. If my "partner" said that my natural penis was repulsive, I would tell her that I'll circumcize my dick if she trims those ugly lips off her pussy (female circumcision). Fucking bitch. If the penis didn't need a foreskin, evolution would not have put it there.

    For that matter why does God make his followers cut it off? Did God make a mistake when he put the foreskin on the male? Hmmm. But he's supposed to be flawless.

    --
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  37. Re:Lies by Anonymous Coward · · Score: 5, Insightful

    THE STUPID. IT HURTS!

    You mean the same “studies” that called the spleen or even the tonsils “useless” for decades, just because they didn't know the use? Until they realized that the spleen is the standing army (!) of the immune system. (And the tonsils are your front entry guards.)
    The place where white blood cells reside, that learned to defend your body against past threats.
    Yeeeah, totally useless. Let's remove it. We're totally not arrogant dicks with a god complex for acting like that...

    Hell, how stupid do you have to be, to not see that obviously, there’s a reason we have the foreskin, since otherwise those without it would have long won natural selection.

    All the arguments here are complete bullshit.

    The "disease hazard" one: How the hell is it expecting to much, to pull back your foreskin and wash your dick once, every 1-2 days?? How is that a disease hazard and a justification in the first place?? And how, going by that logic, don't they also recommend removing your asshole, bowels, mouth and nose? Those are even more prone to be full of bad germs.

    The uselessness one: I guess you never had one, and weren’t even given a choice to experience it. Because otherwise you'd know, that at least 1. it keep the glans lightly humid... which is its natural healthy state, and 2. protects it.
    It's the same thing as a vagina, which also has a special humid fauna/climate as the normal state. Hell, it even is the same damn fucking tissue! What's so hard about this??

    What kind of fucked up mind do you have to have, to go: "Well, considering it's a integral part of your body, evolved over millions of years, it clearly must be completely useless."?

    So shut the fuck up with your blatant thought-terminating chlichees, if you can't even bring up actual arguments! Only idiots life FOX news pound on "facts" and "fair and balanced". Because he has no fucking idea of the difference between a observation, a hypothesis, a theory, and communication of bullshit.

    I wish your whole damn backwards wasteland would just go ahead, and cut the Internet, so you can live your dream of The Dark Ages 2.0!

  38. Re:Lies by MightyMartian · · Score: 5, Insightful

    Is there some evidence that Muslim and Christian men are less promiscuous? I would be very surprised to learn if that were true.

    --
    The world's burning. Moped Jesus spotted on I50. Details at 11.
  39. Re:Lies by Carewolf · · Score: 4, Interesting

    A very large recent study in Europe found 1/10 having short term complications with circumcision and 1/1000 having suffering serious permanent problems. 1/1000 is not large enough to forbid adults from getting it if they want to, but it is large enough that it has been forbidden on children in Germany and under evaluation for being forbidden in several other countries.

  40. Re:Lies by John+Bokma · · Score: 5, Informative

    Three studies in Africa several years ago that claimed that circumcision prevented AIDS and that circumcision was as effective as a 60% effective vaccine (Auvert 2005, 2006). These studies had many flaws, including that they were stopped before all the results came in. There have also been several studies that show that circumcision does not prevent HIV (Connolly 2008). There are many issues at play in the spread of STDs which make it very hard to generalize results from one population to another.

    In Africa, where the recent studies have been done, most HIV transmission is through male-female sex, but in the USA, it is mainly transmitted through blood exposure (like needle sharing) and male-male sex. Male circumcision does not protect women from acquiring HIV, nor does it protect men who have sex with men (Wawer 2009, Jameson 2009).

    What's worse, because of the publicity surrounding the African studies, men in Africa are now starting to believe that if they are circumcised, they do not need to wear condoms, which will increase the spread of HIV (Westercamp 2010). Even in the study with the most favorable effects of circumcision, the protective effect was only 60% - men would still have to wear condoms to protect themselves and their partners from HIV.

    In the USA, during the AIDS epidemic of the 1980s and 90s, about 85% of adult men were circumcised (much higher rates of circumcision than in Africa), and yet HIV still spread.

    It is important to understand, too, that the men in the African studies were adults and they volunteered for circumcision. Babies undergoing circumcision were not given the choice to decide for themselves.

    Source: http://www.psychologytoday.com/blog/moral-landscapes/201109/more-circumcision-myths-you-may-believe-hygiene-and-stds

    See also: http://www.psychologytoday.com/blog/moral-landscapes/201109/myths-about-circumcision-you-likely-believe http://www.psychologytoday.com/blog/moral-landscapes/201109/more-circumcision-myths-you-may-believe-hygiene-and-stds http://www.psychologytoday.com/blog/moral-landscapes/201109/circumcision-social-sexual-psychological-realities http://www.psychologytoday.com/blog/moral-landscapes/201109/the-ethics-and-economics-circumcision http://www.psychologytoday.com/blog/moral-landscapes/201110/what-is-the-greatest-danger-uncircumcised-boy http://www.psychologytoday.com/blog/moral-landscapes/201110/why-continue-harm-boys-ignorance-male-anatomy

  41. Re:Lies by John+Bokma · · Score: 5, Informative

    Three studies in Africa several years ago that claimed that circumcision prevented AIDS and that circumcision was as effective as a 60% effective vaccine (Auvert 2005, 2006). These studies had many flaws, including that they were stopped before all the results came in.

    See http://www.psychologytoday.com/blog/moral-landscapes/201109/more-circumcision-myths-you-may-believe-hygiene-and-stds

  42. Re:Lies by makomk · · Score: 4, Informative

    The task force also found no strong evidence that circumcised babies grew up with more urinary difficulties or sexual problems.

    Did they actually bother to ask them about this properly? Because an awful lot of the studies which proponents of systematic circumcision have come up with to prove that circumcised men have managed to screw this up. (For instance, the African studies asked men about their level of satisfaction with their sex life - something like 99% of all men rated their sex lives as "very good", which doesn't exactly make for a terribly sensitive measure of how it affected them.) Meanwhile, a very clever Danish study found that not only did circumcised men have more difficulty orgasming, their female partners had a whole bunch more problems than the partners of uncircumcised men.

  43. Re:Circumcision or healthy lifestyle, which's bett by euroq · · Score: 4, Interesting

    The "less AIDS argument" actually holds up in third world countries where there is no access to health care, less hygienic practices, and less education.

    It doesn't hold up here in America. There may be like 1-5 cases of the extra foreskin actually causing HIV to be contracted when without it the virus didn't contract - there may be none at all. In all seriousness, the studies cited were not done in the developed world.

    --
    Just because the U.S. is a republic does not mean it is not a democracy. Democracy/republic are not mutually exclusive.
  44. Re:Lies by minvaren · · Score: 4, Funny

    "...but when you rub it, it becomes a suitcase."

    --
    Big! Strong! Wow! Tada-O!
  45. Re:Lies by Golddess · · Score: 3, Informative

    trims those ugly lips off her pussy (female circumcision).

    You're thinking of labiaplasty. Female "circumcision" involves the removal of the clitoris.

    --
    "I'm not sure I like the fugnutish tone you used in your post!" -RogL (608926)-
  46. As a parent... by OldSport · · Score: 4, Insightful

    I am a parent. Holding my newborn daughter in the hospital room, singing to her some of the songs we had played for her when she was in my wife's belly, trying unsuccessfully to choke back the tears of joy and amazement as I gazed into her eyes -- it was without a doubt the most amazing experience of my life. The idea of subjecting that beautiful, fragile, and innocent baby to the kind of trauma and pain that circumcision entails is something I could never dream of doing. Honestly, I'd rather walk into traffic or jump off a building.

    And that's not even touching the logical arguments against circumcision, which are pretty much airtight.

  47. Re:Lies by SomeKDEUser · · Score: 5, Insightful

    In fact good sex ed works: Europe has lower HIV infection rates than the US.

    This whole thing is basically "genital mutilation of children is fine because we can cut on education". Amusing fact: female circumcision will similarly risk rates. Will you support it?

    The benefits are tiny (and only for adults), and the risks significant (for the kids). Also, what about the right of children to bodily integrity? If an adult wants to be circumcised, this is fine, of course, but this decision, so soon on the back of the German court decision? That reeks of religious lobbying.

  48. Taken apart by niceworkthere · · Score: 5, Informative

    The three WHO Africa studies did not survive review:

    http://blog.practicalethics.ox.ac.uk/2012/05/when-bad-science-kills-or-how-to-spread-aids/

    http://www.publichealthinafrica.org/index.php/jphia/article/view/jphia.2011.e4/html_9

    Not application:

    http://www.theafricareport.com/index.php/20120711501815186/southern-africa/zimbabwe-concern-over-high-hiv-rates-among-circumcised-males-501815186.html

    http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf (botton of p135)

    Also, infection of men by heterosexual sex is the least important transmission vector in the West, nor does circumcision apparently influence the infection of women by men:

    http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract

    Besides, how rational is it to tell men that they must be circumcised to prevent HIV, but afterwards they still need condoms to be protected from STDs?

  49. Interesting / relevant data from the CDC by Darth_brooks · · Score: 3, Informative

    http://www.cdc.gov/cancer/hpv/statistics/penile.htm

    The rate of HPV assisted Penile Cancer in the US among the various demographics of men ranges from .4 per 100,000 for Asian / Pacific Islander to .8 per 100,000 white males, up to 1.3 per 100,000 for Hispanic males. If that's your justification for circumcision (and it's totally fine if it is) you're taking some strong proactive steps against a fairly slight risk.

    http://www.cancer.org/Cancer/PenileCancer/DetailedGuide/penile-cancer-key-statistics

    Per year, 1570 *cases* are diagnosed, and roughly 310 men die of penile cancer. You quite literally have a 99.9999% chance of never being diagnosed with penile cancer.

    So, aside from the cancer part, the overall message re: Penis isn't much different from owning a gun "Take care of it, keep it clean, and use it safely." (also, don't point it at your eye, it might go off.) It hurts me a bit to see people running around like Thomas Dolby with Echolalia yelling "SCIENCE!" in every instance of X > Y. You're right, the numbers certainly side with science. But the data provided also says that, in the Western world where things like soap and running water aren't privileges, you're pretty much (as in 99%+) OK either way, at least until the boy hits an age where a responsible parent can instill care and handling procedures to prevent later issues like STD's.

    (as an aside, there is at least the smallest shred of financial incentive for Doctors to perform circumcisions in the US, but that isn't part of a grand "strip 'em and clip 'em" conspiracy, it's a fundamental flaw in the system. Somewhere along the line it was determined that insurance will pay for it, ergo it gets done. My 84 year old grandmother with cmphysema and congestive heart failure was put on Lipitor the last time she was admitted. Her cholesterol wasn't the problem, Smoking for 70+ years was. As the Doctor bluntly put it, the main reason was "Medicare will pay for it." There was was slight medical benefit. But, for the most part, it was a money move. If you try and break that cycle, though, people start screaming about "Death Panels." Sigh....)

    This isn't in the same ballpark as say, not getting your kids a whooping cough vaccine. So help me if I find those fuckers at daycare who sent their little outbreak monkeys in....

    --
    There are some people that if they don't know, you can't tell 'em.
  50. Re:Lies by makomk · · Score: 4, Interesting

    Unless I'm entirely mistaken, the specific studies in question are the African studies which your links rely on as proof that circumcision reduces HIV infection. (All three studies were conducted by the same group over the same time period and use the same methodology; I suspect that if they didn't get good enough results they were planning to pool them in one study.) The circumcised men were instructed not to have sex for the first two months of the 12-month study period whereas the control group were allowed to; in addition, because all men were given free condoms and advice on safer sex at every visit but the circumcised men had more follow-up visits the circumcised group had better access to both condoms and advice.

    The APA article your links bases their claims on is also misleading in other ways. For example, the 3 randomised trials were not exactly " consistent with previous ecological and observational studies in Africa, Europe, and the United States" - as I recall the observational studies showed much larger benefits (and in fact the more robust the studies are, the smaller the effect seems to be). The Ugandan trial also couldn't actually show that "the protective effect of circumcision increased with longer time from surgery" as they claim because there was no control group after 12 months and therefore not a sliver of evidence that the decrease in HIV infection rates over time had anything to do with circumcision whatsoever; while didn't stop the researchers from claiming it as a benefit from circumcision and even extrapolating the decrease out into the distant future and prominently quoting the extrapolated figures in their abstract, they had no basis for those claims whatsoever.

    Also, the bit about "Male circumcision and HIV protection among MSM have not been studied as well as heterosexual transmission" is weasel-worded bullshit - we've studied this to death even after study after study showed no benefit, and subsequent studies have still shown no benefit. The lack of evidence for it working has nothing to do with lack of research - we've researched it plenty and it just doesn't work. Furthermore, notice how they dismiss all the studies showing that circumcision doesn't affect the risk of men transmitting HIV to their female partners and cherry-pick some that do; in practice things may be even worse because studies that were showing early signs of concluding that it actually increased the risk to female partners have been terminated early for getting undesirable results!

  51. Re:Lies by hairyfeet · · Score: 3, Interesting

    Not to mention correlation does not equal causation so we have no idea if the men they chose had other factors that weren't considered.

    Hell the wiki on correlation has a medical study that said women that take birth control were at less risk for heart disease but a further study showed those women actually had a HIGHER risk but since they were from a higher socioeconomic group than the women without birth control it was the much better diet and exercise habits that skewed the results.So I'd say before we can give an answer either way further more controlled studies should be done.

    And finally I have to wonder how much of the problem isn't western taboos about talking to kids about their genitals. Lets face it like any other part of the body children need to be taught to clean the area correctly and thoroughly but we here in the west are so hung on the idea that little John or Jane may actually play with themselves I seriously doubt any of the kids were being givern a proper education in such matters.

    --
    ACs don't waste your time replying, your posts are never seen by me.
  52. Re:Lies by makomk · · Score: 3, Interesting

    Same way as you'd explain the health benefits of male circumcision. Observational studies using the same methodology as the ones on male circumcision found that female circumcision was similarly effective at preventing HIV infection amongst women as male circumcision was amongst men. The research community has just chosen not to believe or act on this for reasons that are entirely political and have nothing to do with the evidence. (On the other hand, studies have found that male circumcision is totally ineffective at preventing HIV infection amongst men's female partners, but the scientific community has ignored this and chosen to proceed with it as a method of preventing HIV infection amongst women anyway.)

  53. WITHOUT A TURTLENECK by Jeremiah+Cornelius · · Score: 3, Insightful

    You get dick blisters.

    --
    "Flyin' in just a sweet place,
    Never been known to fail..."
  54. Re:Lies by makomk · · Score: 4, Informative

    It does have the same "benefits". There were observational studies in African countries of female circumcision just like the ones of male circumcision, and they found that female circumcision caused roughly the same reduction in HIV infection amongst women as male circumcision did amongst men. It's just that the researchers chose to assume that reduction was due to confounding factors and should be ignored rather than charging in and launching a badly-conducted RCT. There was no reason to conclude that confounding factors were any more likely for female than male circumcision, except distaste for one that didn't apply to the other.

  55. Re:Lies by psiclops · · Score: 4, Insightful

    how many infants agreed to be circumsised?

    --
    i spent five minutes thinking and all i got was this crappy sig
  56. Re:Lies by Anonymous Coward · · Score: 3, Informative

    men with adult circumcisions report that sex is BETTER afterwards

    I had it done later in life and that is bullshit. The majority of sensation is on either side of the scar and the tip is greatly reduced after the skin roughens.

  57. Re:Lies by oldmac31310 · · Score: 5, Insightful

    Uh, washing anyone? Those of you without foreskins seem to be desperately defending circumcision to justify the decision your parents or their pediatrician made, but the foreskin is just a bit of skin. It is not some impenetrable barrier! It's like saying, I can't get at my teeth to clean them so i must have my lips surgically removed. Jeez, some of you smart people are devilish stupid at times. Glad my kids still have their foreskins. They are whole and unscarred and know how to clean themselves. How about you? When did you last have a shower?

    --
    http://www.acetonestudio.com
  58. Re:Y]Are you green with envy, or is it fungus? by Stormwatch · · Score: 3, Interesting

    I am circumcised, and I say with no hesitation that circumcised penises look grotesque, abnormal, and defective. To be circumcised is to live in an antinatural state.

  59. Re:US women prefer circumcised penises by yndrd1984 · · Score: 3, Funny

    My wife works at a rehabilitation/ nursing home and the women there all agree uncircumcised is gross

    If I'm ever desperate enough to bang your wife, maybe I'll start caring what she thinks.

  60. Re:Lies by cpu6502 · · Score: 4, Insightful

    >>>How dare you call their health choice "mutilation"?

    If I remove my breasts myself, it's an elective choice and perfectly legal. If it's done by somebody who holds me down and carves up my breasts with a knife, the law calls it "mutilation" because it was an involuntary act.

    We should not be cutting off little boy's penis tips or little girl's breast buds, and I don't care if doing so would prevent penile cancer or breast cancer. The decision should wait until they are old enough to make the decision as legal adults.

    --
    My AC stalker: " I personally agree with your posts most of the time, but that won't keep me from modding you troll"
  61. Re:Lies by ShieldW0lf · · Score: 3, Insightful

    They're sexually mutilating children. Children are incapable of giving consent.

    I find it so ironic that when Arabs do it to little girls, they're evil monsters, but when Jews do it to little boys, it's considered perfectly acceptable.

    Sick, sick people.

    --
    -1 Uncomfortable Truth
  62. Re:Lies by ShieldW0lf · · Score: 3, Interesting

    Where's the punishment? The research shows that there is no punishment. There's no loss of sensation -- in fact, men with adult circumcisions report that sex is BETTER afterwards. (RTFS). Its all upside and no real downside other than complications in the procedure itself, which are rare in infants.

    You truly believe that taking skin that used to be protected at all times against friction except during the sexual act and having it rub continuously against the fabric of your clothes isn't going to reduce sensation?

    Are you retarded?

    --
    -1 Uncomfortable Truth
  63. Re:Circumcision or healthy lifestyle, which's bett by Tough+Love · · Score: 5, Insightful

    Not to be cynical or anything, but the studies were done by a group with a vested interested in promoting this lucrative surgical procedure.

    --
    When all you have is a hammer, every problem starts to look like a thumb.
  64. Re:Circumcision or healthy lifestyle, which's bett by Smallpond · · Score: 4, Funny

    A lot of us depend on tips to get by.

  65. Re:Lies by mosb1000 · · Score: 3, Insightful

    Infants become adults later in life. Adults who may have opted not to have an irreversible procedure to remove part of their genetals if it were up to them. What kind of parents would opt for something like that? Bad ones. That a board of pediatricians would recommend circumcision over a supposed savings of $300 or so in health costs is outrageous! Especially as the procedure has horrible side-effects. It just goes to show how little we value individual sovereignty these days. Apparently it's worth less than $300.

  66. Re:Lies by Richard+Dick+Head · · Score: 5, Interesting

    Here's some numbers for you:

    If we circumcise 100 infants, at a cost of $33,000, we prevent 1 case of urinary tract infection, at a cost of $100 for a doctor's visit and penicillin regimen.

    Obviously we can see which of the doctors and patients benefit from this arrangement...

  67. Re:Circumcision or healthy lifestyle, which's bett by TorrentFox · · Score: 5, Interesting

    Post-hoc rationalization.

    A few points:

    - I would rather have the penis I was born with, which would now include not a 'small ribbon' but an area of skin with the approximate surface area of an index card
    - There are far less invasive treatments for penile cancer than the removal of the entire penis

    But... becoming a girl because you have cancer and lose your penis? Are you for real? It's funny you mention that though, because there's a notable case where circumcision itself did destroy the penis of an infant, and in attempt to fix things they performed gender reassignment surgery (though doomed sexually for life), put the kid on hormones and raised him as a girl. Problem was, he never identified as a girl, and some decades after learning the truth about what happened to him, killed himself.

    http://en.wikipedia.org/wiki/David_Reimer

    But yep, the science behind the procedure is bulletproof. Except when it isn't.

    And to your assertion of cognitive dissonance, I have not experienced this. To the contrary I have found that people will go to any length to convince themselves that they have not been harmed when it's very obvious they have.

    http://en.wikipedia.org/wiki/Cognitive_dissonance

  68. "Wash your hands" is so obsolete! by Pastis · · Score: 4, Insightful
    Everybody knows that nails get dirty. So instead of educating my kids to wash their hands before they eat, I nail-circumcised their nails when they were born. That way, no more diseases. And you know, 10 years later, they feel OK with that. They never remember having nails. And they didn't get a disease at all. Proof!

    Some naysayers mention that the kids on the other side of the fence did get some disease one day, even though they are nail nail-circumcised. That's because their parents let them play everywhere. They should practice playground-abstinence like my kids, and put on their preservahand gloves when they go to school.

  69. Re:Circumcision or healthy lifestyle, which's bett by Wild_dog! · · Score: 5, Informative

    From Nicework there above who did some nice work in bringing some other info to this discussion:
    ------------------

    There already have been two longer replies to the AAP's statement:

    http://www.circumcision.org/aap.htm [circumcision.org]
    http://www.doctorsopposingcircumcision.org/pdf/2012-08-26A_Commentary.pdf [doctorsopp...cision.org]

    Their most important points:

    1. The AAP chose to overblow purported benefits by cherry-picking studies and advertising their results past their proportionality, misleading the public with doublespeak of "pro" while admitting circumcision still does not qualify as routine amputation.

    2. The AAP omitted both contradicting studies and objections to those it used, such as to the three WHO HIV studies.

    3. The AAP omitted any discussion of the foreskin's functionality and notice of possible complications after circumcision (incl. death, an estimated 117 boys in the US per year).

  70. Re:Circumcision or healthy lifestyle, which's bett by Anonymous Coward · · Score: 3, Interesting

    I'm circumcised and I FUCKING HATE IT. It was done when I was aged two and I remember the pain after the operation. I have so little sensitivity that sex with a condom is a total waste of time for me. If anyone suggested that females have their clitoral hood removed and their clitoris exposed there would be an outrage. LEAVE THE KIDS ALONE and let them choose when they are 18.

  71. Re:Circumcision or healthy lifestyle, which's bett by Joce640k · · Score: 4, Insightful

    a) The chances of your circumcision being botched leaving serious, permanent dysfunction are higher than the reduction in AIDS risk.

    b) Your risk of AIDS is highly lifestyle dependent. The western world isn't Uganda, most people simply aren't at risk. Why can't people who chose risky lifestyles also choose to be circumcised, as adults? Why do we presume all babies are guilty...?

    c) All the medical studies in favor of circumcision are written by people who make money from it. The only study you need is the observation that Europe isn't some aids infested den of rotting, cancerous dicks.

    d) Masturbation with/without foreskin? Foreskin is best, no contest. Modern circumcision was actually started by the anti-masturbation movements in the 1900s to remove the pleasure from wanking (headed by Doctor Kellogg no less - the guy who invented cornflakes). Think about that before chopping.

    --
    No sig today...
  72. Re:Lies by Savage-Rabbit · · Score: 3, Informative

    The article is also very light on numbers. It mentions a reduction in STIs and whatnot, but provides absolutely no quantitative data. How much are these infections and disorders decreased by? Are we talking a couple percentage points? Or dozens of percentage points? Furthermore, I don't see any definitive causes described. What I see is a correlation with some hypothesizing as to the cause but nothing which has actually been verified by scientific inquiry.

    From my POW this issue is rather simple. Evolution put foreskins on the human male for a reason. If foreskins were really an evolutionary handicap and men with foreskins suffer from health problems one would expect this feature to have evolved out of the human gene-pool a long time ago if only because proto-human females would presumably have selected for males with smaller foreskins hundreds of thousands of years ago in Africa way before the invention of loincloths. I don't give a damn about statistics, religious commandments or studies illustrating the 'hygienic benefits' of circumcision. Mutilating the genitals of children, both male and female, is wrong and let's face it that is all that circumcision really is, genital mutilation. If a child then then grows up to be an adult and decides it wants to go to a surgeon and have its genitals circumcised for cultural, religions, psychological or legitimate medical reasons such a decision is that persons own business.

    --
    Only to idiots, are orders laws.
    -- Henning von Tresckow
  73. Re:Circumcision or healthy lifestyle, which's bett by fearofcarpet · · Score: 3, Insightful

    a) The chances of your circumcision being botched leaving serious, permanent dysfunction are higher than the reduction in AIDS risk.

    b) Your risk of AIDS is highly lifestyle dependent. The western world isn't Uganda, most people simply aren't at risk. Why can't people who chose risky lifestyles also choose to be circumcised, as adults? Why do we presume all babies are guilty...?

    c) All the medical studies in favor of circumcision are written by people who make money from it. The only study you need is the observation that Europe isn't some aids infested den of rotting, cancerous dicks.

    d) Masturbation with/without foreskin? Foreskin is best, no contest. Modern circumcision was actually started by the anti-masturbation movements in the 1900s to remove the pleasure from wanking (headed by Doctor Kellogg no less - the guy who invented cornflakes). Think about that before chopping.

    Thank you! The existence of Europe (and possibly South America and Asia--not sure what their policies are) alone trivializes TFA. But a country full of fat people arguing for mandatory circumcision to save a few bucks on health care (while ensuring an extra $500 or so in medical costs for 1/2 of all births) is like pushing your car to work to save on gas. If you want to save money on healthcare, put a $5 flat tax on all fast food items like many states have done with cigarettes. This circumcision nonsense is the male mirror of the HPV vaccine/cervical cancer debate from a few years ago. Shockingly, the manufacturer of the vaccine thought it was absolutely crucial to vaccinate all girls... because it (might) lower their chances of getting cervical cancer... and save money or whatever... think of the children!

    --
    Actually, I wrote my thesis on life experience.
  74. Re:Circumcision or healthy lifestyle, which's bett by simplexion · · Score: 3, Informative

    The less AIDS argument does not hold up. Full fucking stop.