Frisch, Morten2; Aigrain, Yves3; Barauskas, Vidmantas4; Bjarnason, Ragnar5; Boddy, Su-Anna6; Czauderna, Piotr7; de Gier, Robert P E8; de Jong, Tom P V M9; Fasching, Günter10; Fetter, Willem11; Gahr, Manfred12; Graugaard, Christian2; Greisen, Gorm13; Gunnarsdottir, Anna5; Hartmann, Wolfram14; Havranek, Petr15; Hitchcock, Rowena16; Huddart, Simon17; Janson, Staffan18; Jaszczak, Poul19; Kupferschmid, Christoph20; Lahdes-Vasama, Tuija21; Lindahl, Harry22; MacDonald, Noni23; Markestad, Trond24; Märtson, Matis25; Nordhov, Solveig Marianne26; Pälve, Heikki27; Petersons, Aigars28; Quinn, Feargal29; Qvist, Niels35; Rosmundsson, Thrainn5; Saxen, Harri22; Söder, Olle30; Stehr, Maximilian31; von Loewenich, Volker C H32; Wallander, Johan33; Wijnen, Rene34
1 Surgery, Department of Clinical Research, Det Sundhedsvidenskabelige Fakultet, SDU2 Aalborg Universitet3 Paris Descartes University4 Lithuanian Society of Paediatric Surgeons5 Landspitali University Hospital6 Children's Surgical Forum of the Royal College of Surgeons of England7 Polish Association of Pediatric Surgeons8 Dutch Urological Association9 UMC Utrecht, Netherlands;10 Austrian Society of Pediatric and Adolescent Surgery11 Paediatric Association of the Netherlands12 German Academy of Paediatrics and Adolescent Medicine13 Rigshospitalet14 German Association of Pediatricians15 Charles University16 British Association of Paediatric Urologists17 British Association of Paediatric Surgeons18 Swedish Paediatric Society19 Danish Medical Association20 German Academy of Pediatrics and Adolescent Medicine21 Finnish Association of Pediatric Surgeons22 Helsinki University Hospital23 Dalhousie University24 Norwegian Medical Association25 Estonian Society of Paediatric Surgeons26 Norwegian Paediatric Association27 Finnish Medical Association28 Latvian Association of Pediatric Surgeons29 Our Lady’s Children’s Hospital30 Swedish Pediatric Society31 Ludwigs-Maximilians-Universität32 German Academy of Pediatrics33 Swedish Society of Pediatric Surgery34 Dutch Society of Pediatric Surgery35 Surgery, Department of Clinical Research, Det Sundhedsvidenskabelige Fakultet, SDU
The American Academy of Pediatrics recently released its new Technical Report and Policy Statement on male circumcision, concluding that current evidence indicates that the health benefits of newborn male circumcision outweigh the risks. The technical report is based on the scrutiny of a large number of complex scientific articles. Therefore, while striving for objectivity, the conclusions drawn by the 8 task force members reflect what these individual physicians perceived as trustworthy evidence. Seen from the outside, cultural bias reflecting the normality of nontherapeutic male circumcision in the United States seems obvious, and the report's conclusions are different from those reached by physicians in other parts of the Western world, including Europe, Canada, and Australia. In this commentary, a different view is presented by non-US-based physicians and representatives of general medical associations and societies for pediatrics, pediatric surgery, and pediatric urology in Northern Europe. To these authors, 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. The other claimed health benefits, including protection against HIV/AIDS, genital herpes, genital warts, and penile cancer, are questionable, weak, and likely to have little public health relevance in a Western context, and they do not represent compelling reasons for surgery before boys are old enough to decide for themselves.
Pediatrics (english Edition), 2013, Vol 131, Issue 4, p. 796-800