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==Lack of experience with a normal body part==
American male urologists are drawn from the general population in which the great majority of males have received a medically-unnecessary, non-therapeutic infant [[circumcision]], so they have no personal experience of the functions and sensations from the natural [[intact]] [[foreskin]].
American female urologists don't have male body parts so they have no experience at all of the functions and sensations of the natural intact foreskin.
This abysmal state of ignorance cannot serve the patients well.