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AAP Issues New Circumcision Recommendations
Should It Be a Routine Procedure?
Penile Cancer
Studies conclude that the risk of an uncircumcised man developing penile cancer is more than three-fold that of a circumcised man. However, the AAP policy notes that in the United States only nine to 10 cases of this rare disease are diagnosed per year per one million men, indicating that while the risk is higher for uncircumcised men, their overall risk is extremely low. Sexually Transmitted Diseases
Research suggests that circumcised men may be at a reduced risk for developing syphilis and HIV infections. However, the AAP policy states that behavioral factors continue to be far more important in determining a person's risk of contracting sexually transmitted diseases than circumcision status. Analgesia
New evidence shows that newborns circumcised without analgesia experience pain and stress measured by changes in heart rate, blood pressure, oxygen saturation and cortisol levels. Other studies suggest that the circumcision experience may cause infants to respond more strongly to pain of future immunization than those who are uncircumcised. In response to this data, the AAP policy states that analgesia has been found to be safe and effective in reducing the pain associated with circumcision, and should be provided if the procedure is performed. Analgesic methods include EMLA cream (a topical mixture of local anesthetics), the dorsal penile nerve block and the subcutaneous ring block. Complications
Research suggests that circumcision is generally a safe procedure. Complications occur in one in 200 to one in 500 circumcised newborn males and are most often minor; the two most common are mild bleeding and local infection. Pages: 1 2
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