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editorial
. 2023 Dec 9;12(5):244–262. doi: 10.5409/wjcp.v12.i5.244

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.