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Is Cameron Boyce Circumcised

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HOME This page is called "AAP.html" for historical reasons - it was the first intactivism page to deal with an AAP policy. Now there are four: the others are

 an analysis of the APP's 1999 circumcision policy (AAP-ana.html)
an analysis of the AAP's brochure about circumcision - considerably more pro-circ than its policy (AAP-bro.html)
an analysis of the AAP's brochure about care of the "uncircumcised" penis (AAP-care.html)


Although the exact frequency is unknown, it is estimated that 1.2 million newborn males are circumcised in the United States annually at a cost of between $150 and $270 million. This practice has been advocated for reasons that vary from symbolic ritual to preventive health measure. Until the last half century, there has been limited scientific evidence to support or repudiate the routine practice of male circumcision.


The percentage of male infants circumcised varies by geographic location, by religious affiliation, and, to some extent, by socioeconomic classification. Circumcision is uncommon in Asia, South America, Central America, and most of Europe. In Canada, ~48% of males are circumcised.8 Some groups such as followers of the Jewish and Islamic faiths practice circumcision for religious and cultural reasons.9,10


There are few data to help estimate accurately the number of newborn males circumcised annually in the United States. According to the National Center for Health Statistics (NCHS), 64.1% of male infants were circumcised in the United States during 1995 (unpublished data, 1997). However, data from the NCHS are based on voluntary collection of data from participating hospitals;


More specific data on circumcision rates are >1 decade old. Data obtained from hospital records in metropolitan Atlanta, GA, document circumcision rates of 84% to 89% in the period 1985 to 1986.11 This study demonstrated that hospital discharge data, which rely on medical record face sheet information, underestimate the true incidence of neonatal circumcision. Using such hospital discharge data, it was estimated that 45.5% of male infants born in New York City and 69.6% of male infants born elsewhere in New York State were circumcised at birth during the year 1985.12 In addition, none of these sources included rates for ritual circumcision or subsequent outpatient procedures, thus, these rates of circumcision are even more likely to be underestimated.


Differences in circumcision rates related to demographic variables are not well described. One study, which surveyed adult men, suggested that in the United States, the frequency of circumcision varies directly with maternal education, a marker for socioeconomic status.13 Circumcision rates also vary among racial and ethnic groups, with whites considerably more likely to be circumcised than blacks or Hispanics (81% vs 65% or 54%).13


Embryologically, the penis glans derives from the genital tubercle, which has developed by 4 to 6 weeks' gestation. The primitive urethral folds present in the male human embryo fuse to form the penile urethra. The genital swellings, present early in development, subsequently become the scrotum in males. The skin of the body of the penis begins growing forward at about 8 weeks' gestation and covers the glans eventually. Initially, squamous epithelium has no separation between the glans and the foreskin. Separation of epithelial layers that may be only partially complete at birth progress with the development of desquamated tissue in pockets until the complete separation of tissue layers forms the preputial space. As a result of this incomplete separation, the prepuce or foreskin may not be fully retracTABLE WIDTH=100%until several years after birth. In ~90% of uncircumcised males, the foreskin is retracTABLE WIDTH=100%by age 5 years. Partial adhesions with smegma accumulation may persist in small numbers of uncircumci

New tracks tagged #Circumcised