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Should circumcision of both sexes be outlawed unless medically indicated?
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Should circumcision of both sexes be outlawed unless medically indicated?
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Offence of female genital mutilation & Male Genital Mutilation (1)A person is guilty of an offence if he excises, infibulates or otherwise mutilates the whole or any part of a girl’s labia
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Forums » Open clinical » General clinical » Should circumcision of both sexes be outlawed unless medically indicated?

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Forums  »  Open clinical  »  General clinical  »  Should circumcision of both sexes be outlawed unless medically indicated?

Re: Should circumcision of both sexes be outlawed unless medically indicated?

posted at 9/6/2012 11:07 PM BST on bmj.com
Posts: 18
First: 7/1/2012
Last: 5/2/2013
In Response to Re: Should circumcision of both sexes be outlawed unless medically indicated?:
I am very curious why people want to terminate this discussion. If it has been discussed before that is great. Time moves on, attitudes often change and people like to discuss issues that have contrasting views. I suspect that the reason for wanting to terminate the discussion is because it raises uncomfortable issues for people of certain faiths and they do not want it to be openly discussed. This is a medical issue and clearly people have views about it. I can see no reason to censor the topic because people with religious faith find it uncomfortable to have open discussions about topics that may tend to show up practices that put faith groups in uncomfortable positions. We live in a democracy, we can discuss any issues we wish and this topic has clearly generated great interest. I would be disgusted if this topic was terminated by moderators. I read the link above about the topic of circimcision in 2010. Again yoram you asked the topic to be stopped. Why? Why can a medical site where Doctors can voice their opinions not be allowed to discuss circumcision?.
Posted by kirked

You must have something better to do!!!

Re: Should circumcision of both sexes be outlawed unless medically indicated?

posted at 9/6/2012 11:16 PM BST on bmj.com
Posts: 18
First: 7/1/2012
Last: 5/2/2013
In Response to Re: Should circumcision of both sexes be outlawed unless medically indicated?:
In Response to Re: Should circumcision of both sexes be outlawed unless medically indicated? : religious 'laws'need to be reviewed and changed where necessary. this is 20012
Posted by shane



no it is 2012!!!!!!!!!!!!!!!!!!!!!!!

Re: Should circumcision of both sexes be outlawed unless medically indicated?

posted at 10/6/2012 6:33 AM BST on bmj.com
Posts: 958
First: 15/7/2011
Last: 15/5/2013
In Response to Re: Should circumcision of both sexes be outlawed unless medically indicated?:
In Response to Re: Should circumcision of both sexes be outlawed unless medically indicated? : Best to leave well alone, what one does not know, otherwise a lot will be stirred up which should not be. I won't bother defending something which is scientific, won't simply say it is only related to faith alone, or a practice of billions which makes it right. So please respect others if you want to be respected. Better choose non-controversial topics - especially if they might stir up more hatred in a alreading seething world, it is my advice only - well because otherwise there will be a lot of talk about "RIGHTS"! Note - there is a whole lot needing to be righted, in terms of disease prevention, diabetes, hypertension, cancers etc etc.
Posted by syedmehdi


Why would this topic stir up hatred on a professional medical site amongst intelligent people discussing the issues? In your next post you ask me havent  I got something better to do?. What scientific evidence is that? It is not very convincing. In democratic discussions where people speak freeky why should our differences of views not be worth discussing? There is something very odd where a medical topic is trying to be censored by those who believe in a particular practice, in this case circimcision.  It really gives the impression that some folks do not wish this topic to be aired because it is very difficult to justify circumcising boys or girls when they are too young and unable to consent to it. It must be a very difficult position to defend unless you adopt a faith position. A particular practice may be adopted by billions, it may have been happening for thousands of years but that alone is not a justification for it to continue. Surely any forum that values honest open dialogue, an exchange of views, peacefully without abusing individuals has a duty to allow anyone who wishes to contribute to be allowed to  do so without the demands of some to censor and stop all comment because theire is such difference of opinion. Whatever the topic, isnt the value of such sites that we get to hear opposite views, consider them, take them aboard or reject them based on our own experiences and knowledge - those wishing to censor this should be ashamed. This is free speech which in some parts of the world is non existent and to voice a view is deadly. Here we are free to discuss issues and draw our own conclusions from others comments. My current feeling is that those in favour of circumcision know this practice can not be justified and wish to close any comment. Take a look at the vote at the start, it is fairly close. Fight your corner.

I also ask this question for the third time because it has yet to be answered. What is the significance in religious faith of circumcising a boy? What does it do? What is its relationship to faith? What is its purpose?

Re: Should circumcision of both sexes be outlawed unless medically indicated?

posted at 10/6/2012 10:08 AM BST on bmj.com
Posts: 27
First: 25/9/2011
Last: 13/2/2013
What a fascinating debate and it is good to see passions stirred as there clearly are some strongly held views out there. My personal opinion is that circumcision like FGM is barbaric and I do not support it however I respect that a significant number of people with strong religious views support the practice and I don't believe it is my role to prevent them following their religious teachings. It will be for future generations of well-informed Islamic followers to decide for themselves whether the practice should continue as it clearly will continue in an unregulated way without their support.
We are all allowed to hold and defend our own opinions and I agree with Kirked that this debate should be allowed to continue.

Re: Should circumcision of both sexes be outlawed unless medically indicated?

posted at 10/6/2012 6:34 PM BST on bmj.com
Posts: 1784
First: 7/3/2009
Last: 18/5/2013
Kirked, have you read the previous threads aout this topic?
I will say I have no problem with male circumcision but I do have a problem with what is called female circumcision, which is a completely differnt issue.
About "mutilating the tender baby male", that means all  who went through it should be in some people opinions mentally compromised by the trauma... Of course not.
Male circumcision has its health merits concerning almost negligible penis cancer rates and lower rates of STD's. not to talk about such "pleasant" conditions as ballanitis and phymosis.
Now, are you happy?

Re: Should circumcision of both sexes be outlawed unless medically indicated?

posted at 10/6/2012 8:52 PM BST on bmj.com
Posts: 1784
First: 7/3/2009
Last: 18/5/2013
In Response to Re: Should circumcision of both sexes be outlawed unless medically indicated?:
yoram chaiter, are you one of those who do not wish to look at the evidence.?
Posted by rmtracey

As a founding member of this site, do you think I don't have opinions? Well, you better take a good look at similar past very long debates where I wrote in length about this issue  and  my answer to Kirked.

Re: Should circumcision of both sexes be outlawed unless medically indicated?

posted at 10/6/2012 8:55 PM BST on bmj.com
Posts: 1784
First: 7/3/2009
Last: 18/5/2013
In Response to Re: Should circumcision of both sexes be outlawed unless medically indicated?:
Exactly Yoram, we had intense and a very long discussion on the topic. The doc2doc forum admin should be aware of this and link them here if users are not aware of them. It was such a discussion that the thread had to be stopped for anymore posting: Termination or censorship of discussion on doc2doc? [ http://doc2doc.bmj.com/forums/bmj_doc2doc-feedback_termination-censorship-of-discussion-doc2doc_.0] Later, one of the editors from BMJ started it and we all agreed that was all well discussed topic! Circumcision to be recommended for all infant boys? [ http://doc2doc.bmj.com/forums/off-duty_news-media_circumcision-recommended-infant-boys?plckFindPostKey=Cat:OffDutyForum:NewsMediaDiscussion:c963ea28-ccf7-461a-92c6-cd72bc2096d4Post:424bfb6c-4de2-4f10-8702-3758e3f9848a] I'm not sure what happened to the original discussion posts though : http://doc2doc.bmj.com/forums/?plckForumPage=ForumDiscussion&plckCurrentView=Discussion&plckDiscussionId=Cat:OffDutyForum:GeneralDiscussion:13eeaa3f-fb2f-4880-91a4-0b1a404320cf#forumPostTitle_1 This is something doc2doc admin or moderator has to tell us. I would actually suggest to do little bit of search on it before starting discussion and start linking it if there is need for discussion.  Redundancy in discussion with similar fashion and no conclusion cannot be worth.
Posted by Matiram Pun
The funniest. Mati, is that some people are so curious,yet they are not curiuos enough to take a look at what you provided......Wink.

Re: Should circumcision of both sexes be outlawed unless medically indicated?

posted at 11/6/2012 2:45 AM BST on bmj.com
Posts: 2947
First: 10/3/2009
Last: 29/4/2013
Some cutting remarks as one who has not indulged in any verbal blood letting.

Religion is generally divisive. It is rarely unifying. History is replete with examples. 

This discussion reminds me on Gulliver's Travels and the disagreement which started a war; which end of the egg to cut when eating one.

Think not that I am come to send peace on earth: I came not to send peace, but a sword. 
Matthew 10:34.

Man is so obsessed with his little appendage; women for a while fascinated by it but the fascination soon wears thin. 

Australian aboriginal peoples practiced male circumcision long before Abraham was born and probably have the longest tradition dating back about 80,000 years (maybe 100,000 ?) starting on the first Thursday after the Queen's Birthday long weekend. 

I believe coastal people used sharp shells in the initiation ritual (secret men's business and no Medicare then) but I could be wrong. Flint is uncommon in Australia and they didn't have metal until Europeans arrived with their razor blades and beer bottle openers. 

Re: Should circumcision of both sexes be outlawed unless medically indicated?

posted at 13/6/2012 2:28 PM BST on bmj.com
Posts: 3
First: 6/7/2011
Last: 14/6/2012
As ever, where strongly-held religioius practices are being defended, there are those who seek to conflate and confuse and those who seek to silence debate. There are also those who seek to distort the evidence and abandon basic medical and ethical principles of treating one's fellow human beings. This is a shame and shameful.

How about we use existing medical principles and evidence.

Normal children, normal bodies, with someone else wishing to surgically impose their beliefs on a child = a child safeguarding issue IMHO. Of course, one must seek to listen to parents' views but as doctors we must never collude with harmful traditional practices- so we don't always have to do what parents demand! Sometimes to do so, is professionally indefensible.
To suggest that religious freedoms extend to someone's 'right' to cut someone else's body is ludicrous.

Conflation of therapeutic surgery on abnormalities such as bat ears or hypospadias and non-therapeutic surgery on normal bodies suggests wilful distortion of principles.

For most 'cosmetic' abnormalities, in any case, good practice is to wait until the child is old enough to consent or dissent to the procedure. Why abandon that principle? Unless you're worried the child might dissent. Wink

Justifying infantile surgery to reduce the risk of penile cancer is scientifically and ethically incontinent. Penile cancer affects 1:100,000 men and almost exclusively affects men over 40 with poor foreskin hygiene. There is no science behind forcing this on a child.

As for STI's or protection of their presumed female partner from cervical cancer, these children aren't having sex, there is no evidence of infantile circumcision reducing STI's - the contested evidence from Africa (where South Africa, one of the countries involved, has since criminalised infant circumcision) was on consenting adult African men many of whom were lost to follow-up and whose partners were not studied. Extrapolating such poor-quality research on adults to children in other countries smacks of desperation, not science. And if there is evidence for cutting boys' normal genitals is it ethical to try this on girls as recommended recently by a Zimbabwean minister- it's logical, Cap'n- trouble is it's unethical so shouldn't be done- on boys or girls.

No medical association in the world recommends routine infant circumcision; there's a reason for that. There is no convincing evidence that the risks justify the procedure. Here's a comprehensive 2010 summary of the evidence from the Royal Dutch Medical Association and associated dutch colleges http://knmg.artsennet.nl/Over-KNMG/English.htm

The BAPS have stated that there are practically no medical reasons to circumcise a child under the age of 5. The only reason to do it to someone so young is that they can't resist, they can't do anything about it once it's done and the adults hope their sons will live a life without ever knowing what they're missing, just as they have.

To those who would silence discussion, by all means let's stop talking about it. First stop harming children- stop removing the most sensitive part of their body http://www.ncbi.nlm.nih.gov/pubmed/17378847 without their consent and for pseudoscientific reasons and then we'll all stop talking about it.

Re: Should circumcision of both sexes be outlawed unless medically indicated?

posted at 13/6/2012 4:39 PM BST on bmj.com
Posts: 1784
First: 7/3/2009
Last: 18/5/2013
In Response to Re: Should circumcision of both sexes be outlawed unless medically indicated?:
As ever, where strongly-held religioius practices are being defended, there are those who seek to conflate and confuse and those who seek to silence debate. There are also those who seek to distort the evidence and abandon basic medical and ethical principles of treating one's fellow human beings. This is a shame and shameful. How about we use existing medical principles and evidence. Normal children, normal bodies, with someone else wishing to surgically impose their beliefs on a child = a child safeguarding issue IMHO. Of course, one must seek to listen to parents' views but as doctors we must never collude with harmful traditional practices- so we don't always have to do what parents demand! Sometimes to do so, is professionally indefensible. To suggest that religious freedoms extend to someone's 'right' to cut someone else's body is ludicrous. Conflation of therapeutic surgery on abnormalities such as bat ears or hypospadias and non-therapeutic surgery on normal bodies suggests wilful distortion of principles. For most 'cosmetic' abnormalities, in any case, good practice is to wait until the child is old enough to consent or dissent to the procedure. Why abandon that principle? Unless you're worried the child might dissent. Justifying infantile surgery to reduce the risk of penile cancer is scientifically and ethically incontinent. Penile cancer affects 1:100,000 men and almost exclusively affects men over 40 with poor foreskin hygiene. There is no science behind forcing this on a child. As for STI's or protection of their presumed female partner from cervical cancer, these children aren't having sex, there is no evidence of infantile circumcision reducing STI's - the contested evidence from Africa (where South Africa, one of the countries involved, has since criminalised infant circumcision) was on consenting adult African men many of whom were lost to follow-up and whose partners were not studied. Extrapolating such poor-quality research on adults to children in other countries smacks of desperation, not science. And if there is evidence for cutting boys' normal genitals is it ethical to try this on girls as recommended recently by a Zimbabwean minister- it's logical, Cap'n- trouble is it's unethical so shouldn't be done- on boys or girls. No medical association in the world recommends routine infant circumcision; there's a reason for that. There is no convincing evidence that the risks justify the procedure. Here's a comprehensive 2010 summary of the evidence from the Royal Dutch Medical Association and associated dutch colleges http://knmg.artsennet.nl/Over-KNMG/English.htm The BAPS have stated that there are practically no medical reasons to circumcise a child under the age of 5. The only reason to do it to someone so young is that they can't resist, they can't do anything about it once it's done and the adults hope their sons will live a life without ever knowing what they're missing, just as they have. To those who would silence discussion, by all means let's stop talking about it. First stop harming children- stop removing the most sensitive part of their body http://www.ncbi.nlm.nih.gov/pubmed/17378847 without their consent and for pseudoscientific reasons and then we'll all stop talking about it.
Posted by Lempead
Typical approach that says it all. We will never agree and it is pointless, that is why I see no point in this whole discussion.Even worse, I sense here something I will call the "R" letter. 
As one of the "victims" and as one not performing the procedure I am happy to learn that even in the 21st century we are referred to as "you" and that general "you" are urged to stop doing it, as if we all had knives prepared in our hands just for that....Very impressive Lempead, indeed.

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