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Circumcision study flaws

20 bytes added, 10:50, 4 August 2020
m
Canada
This statement has very serious omissions that bias it in favor of circumcision. The description of the [[foreskin]] omits important information, including its innervation, its protective functions, its immunological functions, and its sexual functions. The statement claims "potential" benefits, which exist only in someone's imagination.
The CPS statement revives the claims made by circumcision promoter [[Thomas E. Wiswell]]'s discredited studies from the 1980s in an apparent attempt to restart the [[Urinary_tract_infection#The_UTI_scare| UTI scare]]. It fails to mention that UTIS are easily treated with antibiotics,.<ref name="McCracken 1989">{{REFjournal
|last=McCracken
|first=G.H.
The conclusion states that circumcision may be beneficial "for some boys", but fails to state which boys the CPS thinks would benefit by circumcision.
The statement seems amateurish. It seems to have been drafted by a committee of people who had no special knowledge or understanding of the human foreskin, circumcision, or the literature. It seems divorced from the reality in [[Canada]] that the health insurance plans do not pay for non-therapeutic circumcision and hospitals do not allow the performance of the non-therapeutic amputation in [[Canada]].
It appears that the CPS was seeking to do more circumcisions so its members can make more money.
}}
The [http://www.cua.org/en Canadian Urological Association] (2018) issued a 24-page guideline on the care of the normal foreskin and neonatal non-therapeutic 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,<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.
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