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View Full Version : 2008-07-27 Wacky World of Circumcision - Medical Policy Statements


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October 8th, 2008, 08:56
American Academy of Pediatrics
http://aappolicy.aappublications.org/cgi/content/full/pediatrics%3b103/3/686
"Existing scientific evidence demonstrates potential medical benefits of newborn male circumcision; however, these data are not sufficient to recommend routine neonatal circumcision."

Canadian Paediatric Society
http://www.cps.ca/english/statements/fn/fn96-01.htm
Recommendation: Circumcision of newborns should not be routinely performed...

Caring for Kids (CPS) http://www.caringforkids.cps.ca/pregnancy&babies/circumcision.htm
Circumcision is a "non-therapeutic" procedure, which means it is not medically necessary. Parents who decide to circumcise their newborns often do so for religious, social or cultural reasons. To help make the decision about circumcision, parents should have information about risks and benefits. It is helpful to speak with your baby’s doctor.

After reviewing the scientific evidence for and against circumcision, the CPS does not recommend routine circumcision for newborn boys. Many paediatricians no longer perform circumcisions.

Royal Australasian College of Physicians
RACP Policy Statement on Circumcision
http://www.racp.edu.au/download.cfm?DownloadFile=A453CFA1-2A57-5487-DF36DF59A1BAF527
"After extensive review of the literature the Royal Australasian College of Physicians reaffirms that there is no medical indication for routine neonatal circumcision." (those last nine words are in bold on their website, and almost all the men responsible for this statement will be circumcised themselves, as the male circumcision in Australia in 1950 was about 90%. "Routine" circumcision is now *banned* in public hospitals in Australia in all states except one.)

British Medical Association:
The law and ethics of male circumcision - guidance for doctors
http://www.bma.org.uk/ap.nsf/Content/malecircumcision2006?OpenDocument&Highlight=2,circumcision#Circumcisionformedicalpur poses

Circumcision for medical purposes:
"to circumcise for therapeutic reasons where medical research has shown other techniques to be at least as effective and less invasive would be unethical and inappropriate."

National Health Service (UK)
http://www.nhsdirect.nhs.uk/articles/article.aspx?articleId=649
”Many people have strong views about whether circumcision should be carried out or not. It is not routinely performed in the UK because there is no clear clinical evidence to suggest that it is has any medical benefit.”

The College of Physicians Surgeons of British Columbia
https://www.cpsbc.ca/cps/physician_resources/publications/resource_manual/malecircum
"Circumcision is painful, and puts the patient at risk for complications ranging from minor, as in mild local infections, to more serious such as injury to the penis, meatal stenosis, urinary retention, urinary tract infection and, rarely, even haemorrhage leading to death. The benefits of infant male circumcision that have been promoted over time include the prevention of urinary tract infections and sexually transmitted diseases, and the reduction in risk of penile and cervical cancer. Current consensus of medical opinion, including that of the Canadian and American Paediatric Societies and the American Urological Society, is that there is insufficient evidence that these benefits outweigh the potential risks. That is, routine infant male circumcision, i.e. routine removal of normal tissue in a healthy infant, is not recommended."

See also: Canadian Children's Rights Council
http://www.canadiancrc.com/Circumcision_Genital_Mutilation_Male-Female_Children.aspx
"It is the position of the Canadian Children's Rights Council that "circumcision" of male or female children is genital mutilation of children.
...
The Canadian Children's Rights Council position is that there is no medical benefit to the routine genital mutilation (circumcision) of any children (defined by U.N. as those under 18 years of age). Further, all Canadian children, both male and female, should be protected by the criminal laws of Canada with regards to this aggravated assault. Currently, the protection provided by the Criminal Code of Canada includes only genital mutilation (circumcision) of female children."

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http://health.groups.yahoo.com/group/Wacky_World_of_Circumcision/