Long foreskin obstructing urine flow

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Long foreskin obstructing urine flow is a bizarre complication reported in a test of the Prepex circumcision device.[1]

The Prepex device works by clamping the foreskin so that it is starved for blood, dies and falls off. In two cases observed during testing in Kenya the necrotic foreskin interfered with urination.

Circumcision has been promoted by the World Health Organization to prevent female to male HIV infection, however two large scale population studies have found circumcision to be totally ineffective at preventing HIV infection.

ayan et al. (2021) carried out a massive empirical study of the male population of the province of Ontario, Canada (569,950 males), of whom 203,588 (35.7%) were circumcised between 1991 and 2017. The study concluded that circumcision status is not related to risk of HIV infection.[2]

Morten Frisch & Jacob Simonsen (2021) carried out a large scale empirical population study in Denmark of 855,654 males regarding the alleged value of male circumcision in preventing HIV and other sexually transmitted infections in men. They found that circumcised men have a higher rate of STI and HIV infection overall than intact men.[3]

No association between circumcision status and risk of HIV infection was found.

References

  1. REFjournal Odoyo-June E, Feldblum J, Fischer S, Bailey RC, et al. Unexpected complications following adult male circumcision using the Prepex Device. Urol Int. 2015; 96(2): 188-93. PMID. DOI. Retrieved 16 January 2022.
  2. REFjournal Mayan M, Hamilton RJ, Juurlink DN, Austin PC, Jarvi KA. Circumcision and Risk of HIV Among Males From Ontario, Canada. J Urol. 23 September 2021; PMID. DOI. Retrieved 16 January 2022.
    Quote: We found that circumcision was not independently associated with the risk of acquiring HIV among men from Ontario, Canada.
  3. REFjournal Frisch M, Simonsen J. Non-therapeutic male circumcision in infancy or childhood and risk of human immunodeficiency virus and other sexually transmitted infections: national cohort study in Denmark. Eur J Epidemiol. 26 September 2021; Published online ahead of print PMID. DOI. Retrieved 16 January 2022.

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