Circumcision Policy Statement

@article{Circumcision2012CircumcisionPS,
  title={Circumcision Policy Statement},
  author={Task Force on Circumcision},
  journal={Pediatrics},
  year={2012},
  volume={130},
  pages={585 - 586}
}
Male circumcision is a common procedure, generally performed during the newborn period in the United States. In 2007, the American Academy of Pediatrics (AAP) formed a multidisciplinary task force of AAP members and other stakeholders to evaluate the recent evidence on male circumcision and update the Academy’s 1999 recommendations in this area. Evaluation of current evidence indicates that the health benefits of newborn male circumcision outweigh the risks and that the procedure’s benefits… 
Circumcision in the United States: where are we?
TLDR
There is a lack of evidence both in favor of and against recommending routine neonatal circumcisions in the United States.
Newborn male circumcision.
TLDR
There may be a benefit for some boys in high-risk populations and circumstances where the procedure could be considered for disease reduction or treatment, but the Canadian Paediatric Society does not recommend the routine circumcision of every newborn male.
Medical Risks and Benefits of Newborn Male Circumcision in the United States
TLDR
Only about one-third of the physicians surveyed thought that the benefits of male circumcision outweighed the risks and recommended it to parents of newborn sons in 2008, which may be relevant to the declining circumcision rates in the United States.
Circumcision benefits outweigh risks, but parents should choose according to revised AAP policy.
  • D. McBride
  • Medicine
    Journal of pediatric nursing
  • 2013
TLDR
The data consistently show that neonatal circumcision reduced risk for urinary tract infection in males, especially in those younger than 2 years, and provide clear evidence of protection against acquisition of HIV, herpes simplex virus, and human papillomavirus after circumcision.
The medical benefits of male circumcision.
TLDR
Observational data of men predominantly circumcised during childhood support the findings of the 3 randomized trials conducted in Africa and the long-term medical benefits of male circumcision, and one concern is that the trials of male circumcised in Africa may not be applicable to the United States.
The Circumcision Debate: Beyond Benefits and Risks
In 2007, following a flurry of reports describing a benefit of circumcision in the fight against HIV, the American Academy of Pediatrics reconvened the task force on circumcision to update its policy
Should routine neonatal circumcision be a policy to prevent penile cancer? | Opinion: No
TLDR
With the rarity of penile cancer and conflicting evidence in the literature, it is hard to justify routine neonatal circumcision for all healthy males, including those without any preputial abnormalities, solely for the prevention ofPenile cancer.
Male circumcision: risk versus benefit
TLDR
There remains considerable controversy about the medical indications for circumcision, particularly when it is used as a preventive measure, and within the National Health Service (NHS) in the UK, it is becoming increasingly common for providers to seek prior approval for therapeutic circumcision.
Cultural Bias in the AAP’s 2012 Technical Report and Policy Statement on Male Circumcision
TLDR
Only 1 of the arguments put forward by the American Academy of Pediatrics has some theoretical relevance in relation to infant male circumcision; namely, the possible protection against urinary tract infections in infant boys, which can easily be treated with antibiotics without tissue loss.
Routine Infant Circumcision: Vital Issues that the Circumcision Proponents may be Overlooking
TLDR
The purpose of this chapter is to address the issues that the CPs have failed to mention, such as bioethics, human rights, the function of the foreskin, and conflicting information, to present the information their bibliographies selected out, and to itemize the barriers to making a convincing case for universal circumcision.
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References

SHOWING 1-10 OF 108 REFERENCES
Report of the ad hoc task force on circumcision.
TLDR
It is recommended that this discussion take place before the birth of the infant, so the parental consent to the surgical procedure, if given, will be truly informed.
Report of the Task Force on Circumcision
TLDR
Newborn circumcision has potential medical benefits and advantages as well as disadvantages and risks and the benefits and risks should be explained to the parents and informed consent obtained.
Circumcision in children beyond the neonatal period.
TLDR
An increasing number of boys are circumcised beyond the neonatal period, and the procedure performed at this time can be associated with substantial complications.
Circumcision in the United States. Prevalence, prophylactic effects, and sexual practice.
TLDR
The National Health and Social Life Survey evidence indicates a slight benefit of circumcision but a negligible association with most outcomes, which supports the view that physicians and parents be informed of the potential benefits and risks before circumcising newborns.
Current trends in routine newborn male circumcision in New York State.
TLDR
It is concluded that circumcision rates vary depending on a variety of factors, some of which may be attributable to the physician and others to family and society.
Care of the Foreskin
TLDR
The pediatrician should be prepared to summarize for parents the evidence that may affect their decision and to provide the appropriate information and support to those who decide against the operation.
An argument for circumcision. Prevention of balanitis in the adult.
TLDR
Balanitis did occur with increased frequency in the diabetic population (16%), regardless of circumcision status, compared with the nondiabetic population (5.8%) and in patients with diabetes mellitus (34.8%), but was more frequent in diabetic than in nondi diabetic uncircumcised men (50% vs 15.4%).
Circumcision--an overview.
  • G. Kaplan
  • Medicine
    Current problems in pediatrics
  • 1977
TLDR
The rationale and nonrationale for routine neonatal circumcision have been discussed without a great deal of bias and by recounting the various complications of circumcision many of these complications will, in the future, become medical oddities rather than frequent occurrences.
Cohort study on circumcision of newborn boys and subsequent risk of urinary-tract infection
TLDR
The notion that circumcision may protect boys from UTI, the magnitude of this effect may be less than previously estimated is supported.
Male circumcision and common sexually transmissible diseases in a developed nation setting.
TLDR
Circumcision of men has no significant effect on the incidence of common STDs in this developed nation setting, however, these findings may not necessarily extend to other setting where hygiene is poorer and the spectrum of commonSTDs is different.
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