Circumcision study flaws: Difference between revisions

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The [http://www.cua.org/en Canadian Urological Association] (2018) issued a 24-page guideline on the care of the normal foreskin and neonatal circumcision. The statement is very comprehensive and covers treatment of various diseases and deformities as well as discussing non-therapeutic circumcision of boys in Canada. Our comments are restricted to the discussion of circumcision.

The [http://www.cua.org/en Canadian Urological Association] (2018) issued a 24-page guideline on the care of the normal foreskin and neonatal circumcision. The statement is very comprehensive and covers treatment of various diseases and deformities as well as discussing non-therapeutic circumcision of boys in Canada. Our comments are restricted to the discussion of non-therapeutic circumcision.

While the discussion of the medical evidence is very good, the authors were unaware of the methodological and statistical errors in the three African RCTs, so they gave the RCTs excessive and undeserved weight. Although the authors recognized the loss of sensation caused by circumcision, they seemed to lack understanding of the full range of sexual injury caused by circumcision. They apparently had no knowledge of the psychological impact as that is not discussed at all.

While the discussion of the medical evidence is very good, the authors were unaware of the methodological and statistical errors in the three African RCTs,<ref name="boyle-hill2011" /> so they gave the RCTs excessive and undeserved weight. Although the authors recognized the loss of sensation caused by circumcision, they seemed to lack understanding of the full range of [[Sexual_effects_of_circumcision| sexual injury]] caused by circumcision. They apparently had no knowledge of the [[Psychological issues of male circumcision| psychological impact]] as that is not discussed at all.

The authors show no understanding that an infant is a person with [[human rights]], that non-therapeutic circumcision violate those rights, or that the practice may be unethical or unlawful under the ''right to security of the person'' granted by Article Seven of the [http://www.efc.ca/pages/law/charter/charter.text.html Canadian Charter or Rights and Freedoms].

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The [https://www.bma.org.uk/ British Medical Association] 28-page statement (2019) focuses on legal and ethical advice to its fellows to help keep them out of trouble in a regulatory environment that is unfriendly to practitioners of non-therapeutic male circumcision. It has little to say about the medical aspects of non-therapeutic circumcision.

The [https://www.bma.org.uk/ British Medical Association] 28-page statement (2019) focuses on legal and ethical advice to its fellows to help keep them out of trouble in a legal and regulatory environment that is increasingly unfriendly to practitioners of non-therapeutic male circumcision. It has little to say about the medical aspects of non-therapeutic circumcision.

* {{REFweb

@@ Line 191: / Line 191: @@
-The [http://www.cua.org/en Canadian Urological Association] (2018) issued a 24-page guideline on the care of the normal foreskin and neonatal circumcision. The statement is very comprehensive and covers treatment of various diseases and deformities as well as discussing non-therapeutic circumcision of boys in Canada. Our comments are restricted to the discussion of circumcision.
+The [http://www.cua.org/en Canadian Urological Association] (2018) issued a 24-page guideline on the care of the normal foreskin and neonatal circumcision. The statement is very comprehensive and covers treatment of various diseases and deformities as well as discussing non-therapeutic circumcision of boys in Canada. Our comments are restricted to the discussion of non-therapeutic circumcision.
-While the discussion of the medical evidence is very good, the authors were unaware of the methodological and statistical errors in the three African RCTs, so they gave the RCTs excessive and undeserved weight. Although the authors recognized the loss of sensation caused by circumcision, they seemed to lack understanding of the full range of sexual injury caused by circumcision. They apparently had no knowledge of the psychological impact as that is not discussed at all.
+While the discussion of the medical evidence is very good, the authors were unaware of the methodological and statistical errors in the three African RCTs,<ref name="boyle-hill2011" /> so they gave the RCTs excessive and undeserved weight. Although the authors recognized the loss of sensation caused by circumcision, they seemed to lack understanding of the full range of [[Sexual_effects_of_circumcision| sexual injury]] caused by circumcision. They apparently had no knowledge of the [[Psychological issues of male circumcision| psychological impact]] as that is not discussed at all.
 The authors show no understanding that an infant is a person with [[human rights]], that non-therapeutic circumcision violate those rights, or that the practice may be unethical or unlawful under the ''right to security of the person'' granted by Article Seven of the [http://www.efc.ca/pages/law/charter/charter.text.html Canadian Charter or Rights and Freedoms].
@@ Line 233: / Line 233: @@
-The [https://www.bma.org.uk/ British Medical Association] 28-page statement (2019) focuses on legal and ethical advice to its fellows to help keep them out of trouble in a regulatory environment that is unfriendly to practitioners of non-therapeutic male circumcision. It has little to say about the medical aspects of non-therapeutic circumcision.
+The [https://www.bma.org.uk/ British Medical Association] 28-page statement (2019) focuses on legal and ethical advice to its fellows to help keep them out of trouble in a legal and regulatory environment that is increasingly unfriendly to practitioners of non-therapeutic male circumcision. It has little to say about the medical aspects of non-therapeutic circumcision.
 * {{REFweb