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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 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. The authors relied on studies of sexual function from Africa which were written by the same group that promotes circumcision in Africa. The authors of those studies were conflicted, so the studies cannot be believed.