@heisenberg - this is for you...
I am having a boy. At my last OB apt, the doctor said that my husband and I need to decide on circumcision. We have discussed a lot and I think we are going to skip it. I found a really good article that explained the benefits and risks from a medical standpoint they pretty much cancel out. So I don't think that there is a wrong decision. Let me see if I can dig up that article...
Re: It's time for the circumcision thread!
This article is a couple years old, but I thought it have some pretty decent unbiased information on the topic.
Article from the children's hospital in my city says "The risks and benefits are both too small to swing the vote either way. This is a parental decision, not a medical decision." - https://www.childrensmercy.org/PediatricAdvisor/Article.aspx?id=466
Watching a video of the procedure sealed the deal for DH & me. (Not a propaganda video either, it was a medical training video from the hospital I worked at, the same hospital linked above.)
My reason: completely personal and subjective.
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I visited with my family last weekend and we briefly discussed it. With my nephew, my brother and his wife didn't put much thought into it. my brother is circumcised so they did it for their son. When I mentioned that we were leaning against it, my family gave us a weird look but didn't say anything...
American Academy of Pediatrics:
https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/Newborn-Male-Circumcision.aspx
Basically what pp posted, the benefits outweigh the risks but not enough to recommend universal circumcision.
For us, DH is circumcised and wanted DS circumcised. He still wants DS2 circumcised. Within the last 3 weeks we've been dealing with this issue - DS is 3 and will need a revision. So I can provide some perspective on this - baby boys have fat pads so it is not uncommon for the provider to not take "enough" off. DS pretty much looks uncircumcised. I've always had an issue with thinking he didn't look circumcised, his pedi said he'd outgrow it as the fat pad thins - many do - but my little guy was not so lucky. Because of this he has some penile adhesions (also very common). Most kids outgrow them, but basically with DS, because they didn't take enough off, this will be unlikely. We had to see a pediatric urologist - he suggested this not be done now (newly potty trained), but in a year or two. So yep, my poor little toddler will need to be placed under anesthesia to have this revised and I do wonder if it was worth it for aesthetic reasons - actually makes me sick we have to put him through this.
I know this probably had nothing to do with it - but the OB practice I did belong to with DS had the NP do this (we didn't find this out until afterwards - they would not let us watch or be there). I really would recommend parents insist on an MD/DO doing it (like your actual OB) and insist on being there. I regret not doing this. Also, research the aftercare, they didn't tell us too much about caring for it - Vaseline until the gauze came-off. The adhesions issue would have been prevented if we did Vaseline or OTC cortisone a few times a week after bath time.
I'm really not sold on doing it again with DS2, we'll have to talk more. DS1 will be circumcised so it makes sense according to DH, but I do sort of wished we skipped it in the first place given the situation. Circumcision doesn't pose risks right out of the gate, but there are risks with anesthesia - so I guess this is a risk people don't discuss - from my research the need for a revision due to the issue above and/or adhesions is quite common and the 2nd time around, they do have to put your child under.
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If we have a boy we will not circumcise him. DH is circumcised but we feel that because it isn't a necessary medical procedure, it is just not something we are prepared to do if we have a son. My husband could not care less if his penis looks the same as his son's or not.
Edit: words
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My midwife even explained a correlation between circumcision and lube. She says Americans are #1 in both circumcisions and sale of personal lubricant. Apparently that extra bit of skin does a good job at making the girl wetter too, then keep that moisture around...it's a bit weird to consider my LO's future sex life with this decision, but hey, why not! Lol
(<--naive)
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However, I'm pretty stubborn about this particular issue because 1) I am against genital cutting generally, male or female. 2) there is no compelling medical reason to do the procedure, 3) I do not want to be the reason my baby suffers pain- circ is painful, it bleeds, it's uncomfortable for them. My friend said holding her son and watching him suffer was the worst moment of her life. I need a really compelling reason to justify it. 4) he can make the decision for himself when he is old enough if it is important to him. It is extremely difficult and often impossible to "undo" a circ. 5) medical complications occur, as pp noted above. 6) it can diminish sexual pleasure.
The only thing that gives me pause is whether my son will feel excluded from the jewish community because of it.
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Having worked on the Peds unit for 9 years I've never seen or heard of this. Not saying it doesn't happen but I'm curious as to the serious side effects you're referring to??
I don't have to make this decision yet because we are having a girl but we did talk this over with some family members before finding out what we were having. I agree that there is zero "need" to circ but I'm sure we would have. I've dated men that were and men that were not circ'd. No difference or preference for me. DH said he would like our possible future son to have it done and I can't see a reason not to let it happen. I know bad things happen and sometimes things can go wrong but I have never seen a case where it has.
To add a little side note: I have actually known several grown men who decided on their own to have it done later in life for various reasons. Even my own grandpa jumped in the convo with us women and exclaimed that I "better get it done for the kid when he is little" because he himself had the procedure done at 18 and said he is happy he did it. lol WAY more than I needed to know about my grandfather but it made me feel a bit better hearing it from a man that lived with it both ways.
To each their own and I would never judge someone who didn't or did want to circ their son. It's a personal choice.
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The article I linked on the first page doesn't have the exact answer to your question, but it states that circumcision has been around for 6,000 years. In the 1950's, about 90% of American baby boys were circumcised. In 1988, it was 61%. Today (the article is dated 2011) it is 65%.
I didn't realize it was so low in 1988 - I was born in 1984 and all the guys I have ever been with a circumsized.
That stat is a bit incorrect. From the article I posted on the first page (https://m.parenting.com/entry/view/id/7165/pn/all/p/0/?KSID=8bd8067d97c855c939907e32abd9f3b7):
"About 1 in 500 boys will have complications from the surgery, most minor and short term, including moderate bleeding, pain, irritation, and infection."
My husband wants him circumcised, but for no other reason than that he is himself and that's just what you do. I told him that we're not having surgery on our son arbitrarily and that I will absolutely respect his opinion once he's done some research.
As for me, none of the guys in my family are circumcised. I have no problem having my son circumcised, if that's what we decide, however it's not this foreign concept like it is to my husband.
So thanks for the links ladies, I'm saving them and we will both be reading them. I just wish that the AAP would tell me what to do instead of being all wishy washy on the subject!
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I am with pp that you need to make sure if you choose to have it done that you express that only a physician do it. No residents, no np's etc... If we decided to I would have our pediatrician perform the procedure.
My mom is an MD and says while it truly is a preference thing, hygiene is a big factor, and she says she does hear of cases where adult men are having to get the procedure done later in life. But she had girls and didn't have to make the decision so ...
"Problems with surgery. Problems that may occur are skin or bloodstream infections, bleeding, gangrene, scarring, and various surgical accidents. One study showed that 1 of every 500 circumcised newborns suffered a serious side effect."
I'm on my phone right now, so can't hunt for the original study.
There are lots of articles on PubMed about circumcision complications.