Adolescent and adult circumcision: Difference between revisions

 
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[[Rosemary Romberg]] commented on adult circumcision in the [[United States]]:
[[Rosemary Romberg]] commented on adult circumcision in the [[United States]]:
<blockquote>
<blockquote>
<i>In the United States doctors tend to consider the [[foreskin]] as something "dispensible."
<i>In the [[United States]], where many medical doctors are themselves victims of [[child circumcision]], doctors tend to consider the [[foreskin]] as something "dispensible."
It is difficult to ascertain the true percentage of actual need for adult circumcision among [[intact]] males. In a circumcision-oriented society such as ours many doctors prescribe the operation for conditions which could be resolved, often easily, without resort to surgery.…</i><ref>{{REFbook
It is difficult to ascertain the true percentage of actual need for adult circumcision among [[intact]] males. In a circumcision-oriented society such as ours many doctors prescribe the operation for conditions which could be resolved, often easily, without resort to surgery.…</i><ref>{{REFbook
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}}</ref>
}}</ref>
</blockquote>
</blockquote>
[[Posthectomy]] is the proper medical term of [[excision]] and [[amputation]] of the [[foreskin]], but is seldom used. Males who are considering adult circumcision should be aware that irreversible [[amputation]] of the [[foreskin]] is disabling in many ways.<ref name="andersen2025">{{REFjournal
|last=Andersen-Giberson
|init=D
|author-link=Dale Andersen
|url=https://cdd.journals.yorku.ca/index.php/cdd/article/view/39786/36016
|title=Circumcision and forced disability: Routine male neonatal circumcision and the consequences of amputation within a critical disability studies framework
|journal=Critical Disability Discourses
|date=2025-12
|volume=10
|issue=2
|pages=1-37
|URL=https://cdd.journals.yorku.ca/index.php/cdd/article/view/39786/36016
|DOI=https://doi.org/10.25071/1918-6215.39786
|quote=In a critical disability studies framework, it is argued that the act of amputating healthy erogenous tissue and the consequences of that amputation cause disability, particularly from a counter-hegemonic lens.
|format=PDF
|accessdate=2026-03-14
}}</ref>
<big><b>Circumcision is an [[amputation]] that cannot be reversed or undone. Circumcision is forever.</b></big>
==Considerations before consent is granted==
==Considerations before consent is granted==
[[Alfonso Cepeda-Emiliani| Cepeda-Emiliani[[ et al. (2025) have provided this warning to men who are considering an adult circumcision.
[[Alfonso Cepeda-Emiliani| Cepeda-Emiliani]] et al. (2025) have provided this warning to men who are considering an adult circumcision.
<blockquote>
<blockquote>
Regarding adult circumcision, the current knowledge of preputial
Regarding adult circumcision, the current knowledge of preputial
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==Consent==
==Consent==


Male [[circumcision]] is an ''elective'' surgical [[amputation]] of the [[foreskin]] part of the [[penis]]. Legally, the patient or his surrogate must grant [[Informed consent| ''informed'' consent]] before the surgery can be performed. A surrogate's powers are limited to granting consent for medically-indicated and necessary diagnosis and treatment of existing disease.<ref name="myers2020">{{REFjournal
Male [[circumcision]] is <i>not</i> mandatory. It is an ''elective'', irreversible, surgical [[amputation]] of the [[foreskin]] part of the [[penis]]. Legally, the patient or his surrogate must grant [[Informed consent| ''informed'' consent]] before the surgery can be performed. A surrogate's powers are limited to granting consent for medically-indicated and necessary diagnosis and treatment of existing disease.<ref name="myers2020">{{REFjournal
  |last=Myers
  |last=Myers
  |first=
  |first=
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}}</ref>
}}</ref>


The surgeon most provide all material information to the patient before [[informed consent]] can be granted. There is a strong tendency for the surgeon to omit telling the patient anything about the nature and [http://www.intactaus.org/information/functionsoftheforeskin/ functions of the foreskin],<ref name="masood2005">{{REFjournal
The surgeon must provide all material information to the patient before [[informed consent]] can be granted. There is a strong tendency for the surgeon to omit telling the patient anything about the nature and [http://www.intactaus.org/information/functionsoftheforeskin/ functions of the foreskin],<ref name="masood2005">{{REFjournal
  |last=Masood
  |last=Masood
  |init=S
  |init=S
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}}</ref> which would be lost through [[amputation]] if consent should be granted.
}}</ref> which would be lost through [[amputation]] if consent should be granted.


[[Issues_with_American_urologists_and_the_practice_of_male_circumcision| Urologic surgeons]] in the [[United States]] derive a substantial fee from the performance of a [[circumcision]], so some may have a [[bias]] in favor of circumcision and may inappropriately recommend adult circumcision to patients when a conservative treatment would be satisfactory or even when no treatment is necessary. Patients should be wary and do their own research before granting consent for an <u>irreversible</u> [[circumcision]].
[[Issues_with_American_urologists_and_the_practice_of_male_circumcision| Urologic surgeons]] in the [[United States]] derive a substantial fee from the performance of a [[circumcision]], so some urologists may have a [[bias]] in favor of circumcision and may inappropriately recommend adult circumcision to patients when a conservative treatment would be satisfactory or even when no treatment is necessary. Patients should be wary and do their own research before granting consent for an <u>irreversible</u> [[circumcision]].


Milos (2022) advises:
[[Marilyn Fayre Milos| Milos]] (2022) advises:
<blockquote>   
<blockquote>   
* A penis without a foreskin doesn’t work as nature intended for its owner or his sexual partner.
* A penis without a foreskin doesn’t work as nature intended for its owner or his sexual partner.
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All circumcisions are injurious because they amputate a [http://www.intactaus.org/information/functionsoftheforeskin/ multi-functional body part], but in rare cases the benefit obtained by removing a deformed, diseased, or damaged foreskin may be of more value than the amputated [[foreskin]].
All circumcisions are injurious because they amputate a [http://www.intactaus.org/information/functionsoftheforeskin/ multi-functional body part], but in rare cases the benefit obtained by removing a deformed, diseased, or damaged foreskin may be of more value than the amputated [[foreskin]].


* Deformed foreskins — The common type of deformed foreskin is the narrow non-retractable foreskin of [[phimosis]]. Circumcision was the traditional treatment for phimosis, however circumcision is less performed today because newer conservative treatments are now available that preserve the [[foreskin]] and its many useful functions. There is a wide range of normal in foreskin length. Longer foreskins are not deformed, so do ''not'' justify circumcision.
* Deformed foreskins — The common type of deformed foreskin is the narrow non-retractable foreskin of [[phimosis]]. Circumcision was the traditional treatment for phimosis, however circumcision is less performed today because newer conservative treatments are now available that preserve the [[foreskin]] and its many useful functions. There is a wide range of normal in foreskin length. [[Long foreskin| Longer foreskins]] are not deformed, so do ''not'' justify circumcision.


* Diseased foreskins — Diseases for which circumcision may be indicated include [[Penile cancer|malignant tumor]],[[Balanitis xerotica obliterans| lichen sclerosis]], recurrent yeast infection in diabetic males (after conservative treatment fails),<ref name="verma2011">{{REFjournal
* Diseased foreskins — Diseases for which circumcision may be indicated include [[Penile cancer|malignant tumor]],[[Balanitis xerotica obliterans| lichen sclerosis]], recurrent [[balanoposthitis]], [[gangrene]], and recurrent yeast infection in diabetic males (after conservative treatment fails),<ref name="verma2011">{{REFjournal
  |last=Verma
  |last=Verma
  |first=Shyam B.
  |first=Shyam B.
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  |DOI=10.2147/IJGM.S17875
  |DOI=10.2147/IJGM.S17875
  |accessdate=2020-12-19
  |accessdate=2020-12-19
}}</ref> recurrent [[balanoposthitis]], and gangrene.
}}</ref>


* Damaged foreskins — This includes any type of physical [[trauma]] and injury that is beyond surgical repair. Zipper injury does not require circumcision.<ref name="flowerdew1977">{{REFjournal
* Damaged foreskins — This includes any type of physical [[trauma]] and injury that is beyond surgical repair. Zipper injury does not require circumcision.<ref name="flowerdew1977">{{REFjournal
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  |DOI=
  |DOI=
  |accessed=2020-12-20}}</ref>
  |accessed=2020-12-20}}</ref>
Many men who elect an irreversible non-therapeutic circumcision later express regret.


===A word to intact teens===
===A word to intact teens===
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Recovery from an adult circumcision is frequently said to be six weeks. Recovery does not include restoration of permanently lost functions.
Recovery from an adult circumcision is frequently said to be six weeks. Recovery does not include restoration of permanently lost functions.
===Complications===
===Complications===
Erections tend to be painful and may cause [[wound dehiscence]].<ref name="wang2023">{{REFjournal
Circumcision is a surgical operation. Like all surgical operations, there is risk of [[bleeding| hemorrhage]],  [[infection]], and surgical mishap, including, rarely, loss of the [[penis]].
[[Erection]] tends to be painful and may cause [[wound dehiscence]].<ref name="wang2023">{{REFjournal
  |last=Wang
  |last=Wang
  |first=
  |first=
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===Other adverse effects===
===Other adverse effects===
# Circumicision causes loss of [[body pleasure]].
# Circumcision causes both physical and psychic [[trauma]].
# Circumcision causes both physical and psychic [[trauma]].
# Circumcision severs blood vessels and disrupts blood circulation in the [[penis]]. This frequently causes [[lymphoedema]] and [[erection]] difficulties.
# Circumcision severs blood vessels and disrupts lymph and blood circulation in the [[penis]]. This frequently causes [[lymphoedema]] and [[erection]] difficulties.
# Circumcision invariably excises the [[ridged band]], resulting in partial loss of sensation.
# Circumcision invariably excises the [[ridged band]], resulting in partial loss of sensation.
# Circumcision is a surgical [[amputation]] of functional tissue. The various [https://foreskinfunction.org/ functions] cease to operate. If the patient does not like the results, it cannot be reversed or undone.
# Circumcision is a surgical [[amputation]] of functional tissue. The various [https://foreskinfunction.org/ functions] cease to operate. <b>If the patient does not like the results, it cannot be reversed or undone.</b>
# Recovery from adolescent or adult circumcision is slow and painful. [[Erection]]s are painful because the [[skin]] is stretched and the sutures are stressed. [[Wound dehiscence]] may occur.
# Recovery from adolescent or adult circumcision is slow and painful. [[Erection]]s are painful because the [[skin]] is stretched and the sutures are stressed. [[Wound dehiscence]] may occur.
# The [[foreskin]] is protective of the [[glans penis]]. After the foreskin is amputated, the [[glans penis]] is exposed so that it touches clothing and other things. Some men report this causes extreme pain so that they cannot wear pants for an extended time. Some circumcised men complain of discomfort due to the head being permanently exposed.
# The [[foreskin]] is protective of the [[glans penis]]. After the foreskin is amputated, the [[glans penis]] is exposed so that it touches clothing and other things. Some men report this causes extreme pain so that they cannot wear pants for an extended time. Some circumcised men complain of discomfort due to the head being permanently exposed.
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===Videos===
===Videos===
Here are five videos in which [[regret men]] who had an adult circumcision express their regret.
Here are seven videos in which [[regret men]] who had an adult circumcision express their regret.


==== Circumcised at 18 ====
==== Circumcised at 18 ====
<youtube>v=NAHGFx95D80</youtube>
<youtube>v=NAHGFx95D80</youtube>
====Circumcised at 46====
====Circumcised at 46====
<youtube>v=pZ3n8CtcmRY</youtube>
<youtube>v=pZ3n8CtcmRY</youtube>
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<youtube>v=g2CwHbCDiAU</youtube>
<youtube>v=g2CwHbCDiAU</youtube>


==== Got Circumcised as an Adult (Just saw the Penn & Teller episode) ====
<youtube>v=QtN7JmMUfZE</youtube>
==== Circumcision Care - After Circumcision - 5 Post Circumcision Surgery Recovery Tips!====
==== Circumcision Care - After Circumcision - 5 Post Circumcision Surgery Recovery Tips!====
<youtube>v=xdrvq_10vTM</youtube>
<youtube>v=xdrvq_10vTM</youtube>
====Why can’t I sleep after my circumcision operation?? Day 12 ====
====Why can’t I sleep after my circumcision operation?? Day 12 ====
<youtube>v=CLmxdbV3Uyc</youtube>
<youtube>v=CLmxdbV3Uyc</youtube>
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{{SEEALSO}}
{{SEEALSO}}
* [[Autocircumcision]]
* [[Circumcision: Effect upon erectile function]]
* [[Circumcision: Effect upon erectile function]]
* [[Circumcision methods]]
* [[Circumcision methods]]
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* [[Ethics of non-therapeutic child circumcision]]
* [[Ethics of non-therapeutic child circumcision]]
* [[Foreskin]]
* [[Foreskin]]
* [[Foreskin comment]]
* [[Foreskin sensitivity]]
* [[Foreskin sensitivity]]
* [[Frenectomy]]
* [[Frenectomy]]
* [[Frenuloplasty]]
* [[Frenuloplasty]]
* [[Fusions and adhesions]]
* [[Ischemia of the glans penis]]
* [[Ischemia of the glans penis]]
* [[Issues with American urologists and the practice of male circumcision]]
* [[American urologists and the practice of male circumcision]]
* [[Neurotomy]]
* [[Penis]]
* [[Penis]]
* [[Phimosis]]
* [[Phimosis]]
* [[Phimosis#Preputioplasty| Preputioplasty]]
* [[Phimosis#Preputioplasty| Preputioplasty]]
* [[Posthectomy]]
* [[The recovery after an adult circumcision]]
* [[The recovery after an adult circumcision]]
* [[Regret men]]
* [[Regret men]]
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  |DOI=10.1080/13691058.2021.1879272
  |DOI=10.1080/13691058.2021.1879272
  |accessdate=2022-10-14
  |accessdate=2022-10-14
}}
* {{REFweb
|url=https://www.reddit.com/r/CircumcisionGrief/comments/wemjzy/got_circumcised_4_months_ago/
|title=Got circumcised 4 months ago
|last=Anonymous
|first=
|init=
|author-link=
|publisher=REDDIT
|date=2022
|accessdate=2025-12-26
}}
* {{REFweb
|url=https://www.reddit.com/r/FriendsOfTheFrenulum/comments/128dvgq/for_adults_contemplating_circumcision_what/
|title=For adults contemplating circumcision, what essential questions should they ponder to guarantee their decision is genuinely rooted in an informed choice — made autonomously and for their own well-being?
|last=Anonymous
|first=
|init=
|author-link=
|publisher=REDDIT
|date=2022
|accessdate=2025-12-26
}}
}}
* {{REFweb
* {{REFweb
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  |date=2025-06-17
  |date=2025-06-17
  |accessdate=2025-06-24
  |accessdate=2025-06-24
}}
* {{REFweb
|url=https://www.reddit.com/r/foreskin_restoration/comments/1p67xlp/circumcision_ended_my_life/
|title=Circumcision ended my life
|last=Anonymous
|publisher=REDDIT
|date=12-11-27
|accessdate=2025-12-11
}}
* {{REFweb
|url=https://www.reddit.com/r/foreskin_restoration/comments/1ptxzrh/i_regret_getting_an_adult_circumcision/?chainedPosts=t3_1p67xlp
|title=I regret getting an adult circumcision
|last=Anonymous
|publisher=REDDIT
|date=12-12-23
|accessdate=2025-12-29
}}
* {{REFweb
|url=https://www.reddit.com/r/intactinfo/comments/1qe1kkl/the_neurological_cost_of_circumcision_a_breakdown/
|title=The Neurological Cost of Circumcision, A Breakdown of What's Removed
|last=Anonymous
|first=
|init=
|author-link=
|publisher=REDDIT
|date=2026-01-15
|accessdate=2026-01-16
}}
* {{REFweb
|url=https://www.reddit.com/r/uncircumcised_talk/comments/1qgb86l/uncircumcised_easier_to_climax/
|title=Uncircumcised = easier to climax?
|last=Anonymous
|publisher=REDDIT
|date=2026-01-18
|accessdate=2026-01-31
}}
}}