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JAMA Patient Page
August 21, 2013

Male Infant Circumcision

JAMA. 2013;310(7):759. doi:10.1001/jama.2013.75616

Male circumcision is a surgical procedure in which the foreskin is removed from the penis.

Most often, infant boys are circumcised soon after birth. The procedure dates back to prehistoric times and today is both a Jewish and a Muslim religious ritual. People worldwide continue to circumcise their sons for hygienic, cultural, and religious reasons.

Procedure and Healing

Usually, infants are circumcised during the first few days of life, either while still in the hospital or shortly thereafter. The procedure takes only 15 to 30 minutes. Doctors recommend that babies be given pain medicine beforehand.

After the procedure, the caregiver should cover the tip of the penis with lubricated gauze. After 24 hours, only the lubricant is needed. Clean the area using a cotton ball and warm water. A soft yellow scab will form and then fall off. At first, there is likely to be some minor redness, swelling, bleeding, and discharge, but if any of these get worse or do not disappear, contact a doctor.

Risks and Benefits

Circumcision in infancy is very safe. When it is performed by a trained professional under sterile conditions, few babies have complications and these (bleeding, infection, scarring) are typically minor. There are no long-term studies of the health benefits of children who have been circumcised. Recent large studies of adults undergoing circumcision in the United States and Africa have provided important new data about circumcision. The findings support existing knowledge that male circumcision provides substantial medical benefits.

The American Academy of Pediatrics (AAP) in 2012 reviewed all the evidence about male infant circumcision and concluded that the health benefits of circumcision are not great enough to recommend routine circumcision. The procedure’s benefits are sufficient to justify access to the procedure for families choosing it. The benefits of circumcision are greater than the risks and families should receive information about circumcision early in pregnancies. Benefits include helping to prevent the following:

  • Urinary tract infection

  • Human immunodeficiency virus (HIV) infection

  • Transmission of some sexually transmitted infections

  • Penile cancer

Male circumcision does not appear to affect sexual function, sensitivity, or sexual satisfaction. Female sexual partners of circumcised men also gain some protection from disease.

The latest studies led the AAP to state that

  • Families should have access to circumcision.

  • Health insurance should pay for circumcision.

The AAP also recommends that

  • Doctors talk to parents about the health risks and benefits.

  • Parents weigh this information together with their religious, ethical, and cultural beliefs and practices.

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To find this and previous JAMA Patient Pages, go to the Patient Page link on JAMA’s website at jama.com. Many are published in English and Spanish.

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Article Information
The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, call 312/464-0776.

Conflict of Interest Disclosures: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

Sources: National Library of Medicine. Centers for Disease Control and Prevention. American Academy of Pediatrics Task Force on Circumcision. Pediatrics. 2012;130:e756-785

Topic: Circumcision

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