Table 3.
The advantages of non-therapeutic male circumcision in neonates compared with older boys and men
|
Neonatal non-therapeutic male circumcision
|
Non-therapeutic male circumcision of older boys and men
|
| Is a simple surgical procedure for a well-trained competent medical practitioner | More complex |
| No psychological considerations | Possibility of adverse peer pressure, especially in societies such as the UK where MC is uncommon |
| Quick: Takes several minutes | Takes 30 min or more |
| Cost is lower | Much more expensive and often unaffordable |
| Low risk of adverse events (0.4%), and almost all are minor | Higher risk of adverse events (4%–8%) |
| Any bleeding is minimal and easily stopped | Bleeding is more common, requiring cautery or other interventions |
| Sutures not needed | Sutures or tissue glue are needed |
| Convenient since the baby sleeps most of the day | Inconvenient owing to need for time off school or work |
| Local anesthesia used if the infant is less than 2 mo of age | General anesthesia for age 2 mo to age 9 yr. For men local anesthesia may be used, although general anesthesia is sometimes preferred by the surgeon |
| Healing is fast (less than 2 weeks) | Healing takes 6 weeks or more |
| Cosmetic outcome usually good | If stitches are used, stitch marks may be visible permanently |
| No long-term memory of the procedure, or anxiety in anticipation | May be a source of fear in the boy or man of undergoing an operation |
| Does not disrupt breast-feeding or other activities | Abstinence from sexual intercourse required for the healing period of 6 or more weeks |
MC: Male circumcision; UK: United Kingdom.