There are some medicolegal discussion about elective male circumcision(EMC). Ac-cording to the report of the American Aca-demy of Pediatrics (AAP) in 2012, the health benefits of newborn MC outweigh the risks. This report of the AAP has given a new di-mension to the discussion about MC. This report has been criticized by circles who say circumcision is not an ethical and legal in-tervention. However, the current literature confirms this report of the AAP. While MC significantly reduces the risks of urinary tract infections, phimosis, balanitis, candidiasis, high-risk HPV infection, HIV, genital ul-cer disease, syphilis, trichomonas vaginalis, mycoplasma genitalium, herpes simplex vi-rus type 2, shancroid, penile cancer, prostate cancer and cervical cancer, it does not nega-tively affect on sexual functions. MC also af-fects mental health positively in populations where circumcision is prevalent because of traditions and beliefs. The recommended age for MC is 0-1 years. Because, the complicati-ons are less, the healing is faster, and the cost is more advantageous in infantile MC. There is also no risk of circumcision in this period in terms of mental health. MC complications in infancy are around 0,2-0,3% and most of them are usually prevented with minimal intervention. If MC is not performed betwe-en 0-1 age it should be avoided between 3-6 years of age due to castration phobia and the boy should be expected to reach the age of 7-10 years.
Keywords: Male circumcision, infection, cancer, sexual function, mental health, com-plication
Abstract
There are some medicolegal discussion about elective male circumcision(EMC). Ac-cording to the report of the American Aca-demy of Pediatrics (AAP) in 2012, the health benefits of newborn MC outweigh the risks. This report of the AAP has given a new di-mension to the discussion about MC. This report has been criticized by circles who say circumcision is not an ethical and legal in-tervention. However, the current literature confirms this report of the AAP. While MC significantly reduces the risks of urinary tract infections, phimosis, balanitis, candidiasis, high-risk HPV infection, HIV, genital ul-cer disease, syphilis, trichomonas vaginalis, mycoplasma genitalium, herpes simplex vi-rus type 2, shancroid, penile cancer, prostate cancer and cervical cancer, it does not nega-tively affect on sexual functions. MC also af-fects mental health positively in populations where circumcision is prevalent because of traditions and beliefs. The recommended age for MC is 0-1 years. Because, the complicati-ons are less, the healing is faster, and the cost is more advantageous in infantile MC. There is also no risk of circumcision in this period in terms of mental health. MC complications in infancy are around 0,2-0,3% and most of them are usually prevented with minimal intervention. If MC is not performed betwe-en 0-1 age it should be avoided between 3-6 years of age due to castration phobia and the boy should be expected to reach the age of 7-10 years.
Keywords: Male circumcision, infection, cancer, sexual function, mental health, com-plication