Circumcision risks: Difference between revisions
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This article wants to offer a comprehensive overview of risks which can occur by undergoing a [[circumcision]]. This page is a landing page for those who want to find a quick overview about circumcision risks. Chances are that information given here is shown in more detail in other IntactiWiki articles. | This article wants to offer a comprehensive overview of risks which can occur by undergoing a [[circumcision]]. This page is a landing page for those who want to find a quick overview about [[circumcision]] risks. Chances are that information given here is shown in more detail in other IntactiWiki articles. | ||
Please bear in mind that infants are not born with a diseased [[penis]] that requires surgery. There are no medical indications for infant circumcision and few in later life. Infant circumcision is a medically-unnecssary, non-therapeutic amputation of functional tissue that does not treat or prevent disease. It has risks and complications but no upside benefit. | |||
== General risks == | == General risks == | ||
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* Reduction of the [[penis]] | * Reduction of the [[penis]] | ||
* [[Keratinization]] of the [[glans]] | * [[Keratinization]] of the [[glans]] | ||
* Loss of sensation | * Loss of [[Foreskin sensitivity| sensation]] | ||
* [[Financial incentive| Loss of money for a medically not indicated surgery]] | * [[Financial incentive| Loss of money for a medically not indicated surgery]] | ||
* [[Foreskin restoration|Restoration of the foreskin]] not 100% possible and very time-consuming (adults) | * [[Foreskin restoration|Restoration of the foreskin]] not 100% possible and very time-consuming (adults) | ||
* Risk of [[penile frostbite]]<ref>{{REFweb | |||
|url=https://pagesix.com/2023/01/05/prince-harry-reveals-whether-hes-circumcised-in-bombshell-spare-memoir/ | |||
|title=Prince Harry reveals whether he’s circumcised in bombshell ‘Spare’ memoir | |||
|last=Gostin | |||
|first=Nick | |||
|date=2023-01-05 | |||
|accessdate=2023-01-26 | |||
}}</ref> | |||
== Operative risks == | == Operative risks == | ||
* [[Death]] | * [[Death]] | ||
* Amputation of the [[penis]] | * [[Amputation]] of the [[penis]] | ||
* Amputation of the [[glans]] | * [[Amputation]] of the [[glans]] | ||
* [http://www.cirp.org/library/complications/wilson1/ Amputation of excess skin or denudation] | * [http://www.cirp.org/library/complications/wilson1/ Amputation of excess skin or denudation] | ||
* [http://www.cirp.org/library/complications/bradley/ Burn of the penis after usage of electrocautery] | * [http://www.cirp.org/library/complications/bradley/ Burn of the penis after usage of electrocautery] | ||
* Shock or coma due to the extreme pain (newborn circumcision) | * [[Heart attack]] | ||
* [[Shock]] or coma due to the extreme [[pain]] (newborn circumcision) | |||
* Because [[circumcision]] is type of surgery always, it also encompasses all the basic risks of surgery. | * Because [[circumcision]] is type of surgery always, it also encompasses all the basic risks of surgery. | ||
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* Chlamydiaceae infections | * Chlamydiaceae infections | ||
* Chordee | * Chordee | ||
* Deformation of the penis | * Deformation of the [[penis]] | ||
* Early ablactation (weaning) (newborn circumcision) | * Early ablactation (weaning) (newborn circumcision) | ||
* Epispadias | * Epispadias | ||
* Excessive foreskin removed (leads to deformation) | * Excessive [[foreskin]] removed (leads to deformation) | ||
* [Fistulas] | * [Fistulas] | ||
* Genital warts | * Genital warts | ||
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* Meatal ulcer | * Meatal ulcer | ||
* [http://www.cirp.org/library/complications/brennemann1/ Meatitis] | * [http://www.cirp.org/library/complications/brennemann1/ Meatitis] | ||
* Necrosis of the penis | * [[Necrosis]] of the penis | ||
* Oedema of the glans | * Oedema of the glans | ||
* [http://www.cirp.org/library/complications/blalock1/ Phimosis] | * [http://www.cirp.org/library/complications/blalock1/ Phimosis] | ||
* Pain in erected state of the penis | * [[Erection| Pain in erected state of the penis]] | ||
* Risk of required re-surgery | * Risk of required re-surgery | ||
* [http://www.cirp.org/library/complications/stinson/ Sexual dysfunction] | * [http://www.cirp.org/library/complications/stinson/ Sexual dysfunction] | ||
* [[Skin bridges]] between the shaft and the glans | * [[Skin bridges]] between the shaft and the glans | ||
* Sudden Infant Death Syndrome<ref>{{REFweb | * [[Sudden Infant Death Syndrome]]<ref>{{REFweb | ||
|url=https://medicalxpress.com/news/2019-01-neonatal-circumcision-sudden-infant-death.html | |url=https://medicalxpress.com/news/2019-01-neonatal-circumcision-sudden-infant-death.html | ||
|title=Neonatal circumcision could increase the risk of sudden infant death syndrome in babies – new research | |title=Neonatal circumcision could increase the risk of sudden infant death syndrome in babies – new research | ||
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== Psychological risks == | == Psychological risks == | ||
=== Immediate risks === | === Immediate risks === | ||
* [[PTSD]] due to newborn trauma | * [[PTSD]] due to newborn [[trauma]] | ||
* [http://www.cirp.org/library/pain/fitzgerald2/ Brain damage due to the extreme pain] (newborn circumcision without effective anesthesia) | * [http://www.cirp.org/library/pain/fitzgerald2/ Brain damage due to the extreme pain] (newborn circumcision without effective anesthesia) | ||
* Loss of bonding and trust to parents | * Loss of bonding and trust to parents | ||
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* Impotence due to psychological bad feelings of being inferior | * Impotence due to psychological bad feelings of being inferior | ||
* Depression | * Depression | ||
* Suicide | * [[Suicide]] | ||
* Altered adult socio-affective processing<ref>{{REFjournal | * Altered adult socio-affective processing<ref>{{REFjournal | ||
|url=https://vbn.aau.dk/en/publications/neonatal-male-circumcision-is-associated-with-altered-adult-socio | |url=https://vbn.aau.dk/en/publications/neonatal-male-circumcision-is-associated-with-altered-adult-socio | ||
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* 8 will suffer infection at the surgical site. | * 8 will suffer infection at the surgical site. | ||
* 3 will develop post-operative [[phimosis]]. | * 3 will develop post-operative [[phimosis]]. | ||
* 2 will have more serious complications (seizure, heart attack, stroke, loss of penis, [[death]]). | * 2 will have more serious complications (seizure, [[heart attack]], stroke, loss of [[penis]], [[death]]). | ||
* 1 will require additional immediate surgery and sutures to stop hemorrhage. | * 1 will require additional immediate surgery and sutures to stop hemorrhage. | ||
* 1 will develop fibrosis. | * 1 will develop fibrosis. | ||
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Out of 100 intact boys:<ref name="DrMomma2010"/> | Out of 100 intact boys:<ref name="DrMomma2010"/> | ||
* 2 will be treated with antibiotics for a [[UTI]] (fewer if the foreskin is never forcibly retracted). | * 2 will be treated with antibiotics for a [[UTI]] (fewer if the [[foreskin]] is never forcibly retracted). | ||
* 1 will be told to get circumcised later in life for one reason or another (fewer if the foreskin is never forcibly retracted). | * 1 will be told to get [[circumcised]] later in life for one reason or another (fewer if the foreskin is never forcibly retracted). | ||
== AAP confirms complications == | == AAP confirms complications == | ||
The [[AAP]] offers a coding newsletter for those who encode medical diagnoses in ICD codes. They offer a "Subspecialty Corner: Coding for Complications of Neonatal Circumcision"<ref>{{REFjournal | The [[AAP]] offers a coding newsletter for those who encode medical diagnoses in ICD codes. They offer a "[https://publications.aap.org/codingnews/article-abstract/12/9/3/27080/Subspecialty-Corner-Coding-for-Complications-of?redirectedFrom=fulltext Subspecialty Corner: Coding for Complications of Neonatal Circumcision]"<ref>{{REFjournal | ||
|url=https://coding.solutions.aap.org/article.aspx?articleid=2629478 | |url=https://coding.solutions.aap.org/article.aspx?articleid=2629478 | ||
|title=Subspecialty Corner: Coding for Complications of Neonatal Circumcision | |title=Subspecialty Corner: Coding for Complications of Neonatal Circumcision | ||
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== Complication rates == | == Complication rates == | ||
In fact, of course, not all possible [[complication]] rates have the same frequency and therefore not the same relevance. It is necessary to collect statistics on which complications are serious. Basically, however, it should be noted that circumcision without a medical indication is the most unnecessary complication in itself, with a '''100% rate'''. | In fact, of course, not all possible [[complication]] rates have the same frequency and therefore not the same relevance. It is necessary to collect statistics on which complications are serious. Basically, however, it should be noted that circumcision without a [[medical indication]] is the most unnecessary complication in itself, with a '''100% rate'''. | ||
The German Academy of Children and Youth Medicine (DAKJ) (2012) conducted an internet survey of medical practices and determined a serious complication rate of '''approx. 6%''' based on the reported data.<ref>{{REFweb | The German Academy of Children and Youth Medicine (DAKJ) (2012) conducted an internet survey of medical practices and determined a serious complication rate of '''approx. 6%''' based on the reported data.<ref>{{REFweb | ||
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|date=2016-12-21 | |date=2016-12-21 | ||
|accessdate=2020-11-24 | |accessdate=2020-11-24 | ||
}}</ref> Thorup | }}</ref> Thorup et al. (2013) report that '''about 5.1%''' of the recorded complications were significant complications.<ref>{{REFjournal | ||
|last=Thorup | |last=Thorup | ||
|init=J | |init=J | ||
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|pubmedID=23905566 | |pubmedID=23905566 | ||
|accessdate=2020-11-24 | |accessdate=2020-11-24 | ||
}}</ref> Zöller | }}</ref> Zöller et al. (2014) analyzed patient data in a retrospective and find that '''the complication rate after male circumcision is relevant'''.<ref>{{REFjournal | ||
|last=Zöller | |last=Zöller | ||
|init=C | |init=C | ||
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}}</ref> | }}</ref> | ||
Okeke | Okeke et al. (2006) investigated the incidence of circumcision complications in Ibadan, Nigeria. They reported a complication rate of '''20.2 percent'''<ref ="okeke2006">{{REFjournal | ||
|last=Okeke | |last=Okeke | ||
|first=Linus | |first=Linus | ||
| Line 296: | Line 308: | ||
}}</ref> | }}</ref> | ||
Lau | Lau et al. (2018) used the Utah [http://stats.health.utah.gov/about-the-data/ All-Payer Claims Database] to determine the incidence of circumcision and the percentage of complications for the state of Utah. The authors reported an incidence of neonatal circumcision of in Utah of '''29 percent''' and an incidence of complications of '''11.5 percent'''.<ref name="lau2018">{{REFjournal | ||
|last=Lau | |last=Lau | ||
|first=Glen | |first=Glen | ||
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|url=https://med.stanford.edu/newborns/professional-education/circumcision/complications.html | |url=https://med.stanford.edu/newborns/professional-education/circumcision/complications.html | ||
|title=Complications of Circumcision | |title=Complications of Circumcision | ||
|publisher=Stanford University | |publisher={{UNI|Stanford University|SU}} | ||
|accessdate=2020-02-20 | |accessdate=2020-02-20 | ||
}} | }} | ||
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{{REF}} | {{REF}} | ||
[[Category:Parental information]] | [[Category:Parental information]] | ||
[[Category:Circumcision risk]] | [[Category:Circumcision risk]] | ||
[[Category:Complication]] | |||
[[de:Beschneidungsrisiken]] | [[de:Beschneidungsrisiken]] | ||