Can I get circumcised for free on the NHS? The NHS only funds therapeutic circumcisions. This means there must be a medical need to qualify such as foreskin problems. The NHS does not fund non-therapeutic circumcisions which are carried out for religious or cultural reasons.
Which conditions qualify for NHS circumcision? You must have a chronic foreskin problem such as the following: · Phimosis – inability to retract the foreskin · Paraphimosis – inability to return foreskin to normal position after retraction · Balanitis – inflammation of the head of the penis (glans) · Balanoposthitis – inflammation of the glans and foreskin How to get an NHS circumcision?
You will need to visit your GP in the first instance to be assessed. If your GP thinks you may need a circumcision, they will refer you to the urology department in the hospital for assessment and circumcision if needed. Is there a long waiting list? Usually there is a long waiting list of several months and from our experience, most patients notice their condition getting worse whilst on the waiting list and opt for a quicker private circumcision. : Can I get circumcised for free on the NHS?
Can I get circumcised with NHS?
Therapeutic circumcision on the NHS – The NHS provides circumcision free of charge when a urologist decides there is a medical reason for the procedure. The most common reasons are:
Phimosis Paraphimosis Recurrent balanitis Balanitis xerotica obliterans
To get this type of circumcision on the NHS, see your GP who will make a referral to a local hospital urology service. There is usually a delay to see the urologist for non-urgent referrals. The urologist will then examine you or your child to decide whether an alternative treatment might be useful.
- If circumcision is offered, a circumcision appointment in theatre will be booked.
- There is usually another delay with this as it’s unlikely to be considered urgent.
- Waiting list times for NHS circumcision can vary from between 8 weekss to 32 weeks, varying greatly between different areas of the United Kingdom and the severity of the condition, however even minor to moderate pain is not usually considered an urgent situation.
Situations where an operation can be arranged quickly include:
Where there is a suspicion of cancer where a 2-week wait referral may be arranged by your GP. The urologist may examine you and decide to operate as soon as possible. Paraphimosis can be a medical emergency and an emergency circumcision may be performed. Paraphimosis is when the foreskin is retracted and cannot be replaced. This results in swelling and colour change of the tip, pain in the penis and may also result in the inability to pass urine. This condition requires immediate attention.
Can I get circumcised for cosmetic reasons?
What are the risks of cosmetic circumcision? – There are many advantages to cosmetic circumcision as oppose to traditional circumcision. One of the main advantages of cosmetic surgery is that the penis maintains it natural image. The surgical scar is less visible and is not as much a sharp transition between skin color at the site of incision.
Second most important advantage of cosmetic circumcision is that there is less chances of penile hyposensitivity after a cosmetic circumcision in compare to the traditional circumcision. Occasionally people complain about sexual sensitivities after the traditional circumcision. With cosmetic circumcision, this risk is less.
In general, the main risks of cosmetic circumcision are risks of bleeding and infection.
How is circumcision done on NHS?
The procedure – Circumcision is usually carried out on a day patient basis. This means you’ll be admitted to hospital on the same day you have surgery and won’t have to stay overnight. You’ll be asked not to eat and drink for 6 hours before surgery if you’re having a general anaesthetic,
After you have been admitted to hospital, you’ll be seen by the members of the medical team carrying out the procedure, including your surgeon and anaesthetist. This is a good opportunity to discuss any concerns you have and ask questions about anything you’re not sure about. You’ll be asked to sign a consent form to confirm you agree to the surgery.
You’ll usually either have a general anaesthetic, which means you’ll be unconscious throughout the procedure, or a local anaesthetic injection, which will numb your penis and the surrounding area. In some cases, a spinal anaesthetic, where you’re unable to feel anything below your waist, will be used.
- Read more about the different types of anaesthesia Circumcision is a relatively simple procedure.
- The foreskin is removed just behind the head of the penis using a scalpel or surgical scissors.
- Any bleeding can be stopped using heat (cauterisation), and the remaining edges of skin will be stitched together using dissolvable stitches.
The British Association of Urological Surgeons (BAUS) has produced a leaflet that outlines the circumcision procedure in more detail
How much does it cost to remove foreskin UK?
The cost of a private circumcision surgery consultation without health insurance typically costs £200-£300 at a private hospital or clinic in the UK. At GoPrivate.com, you can compare prices or get a quote for a private circumcision surgery. We have over 20 years’ experience helping people to make the right choice about private healthcare so why not get on the Fast Track now.
Can you get circumcised by choice UK?
Circumcision FAQs – Circumcision is a surgical procedure to remove the foreskin from the penis. The foreskin is the retractable skin that covers the glans or head of the penis. Circumcision surgery is sometimes performed on young babies for cultural reasons.
- Medical circumcisions may also be carried out to treat certain conditions in older boys or adult men, but this can be a more serious procedure with a higher risk of side effects.
- There are no medical reasons why a healthy newborn boy would need to be circumcised.
- Circumcision is sometimes recommended in older children if there is a medical issue affecting the foreskin.
For example, if boys experience frequent episodes of balanitis or the foreskin fails to retract by the age of about 6 it may be necessary to consider surgery. Circumcision isn’t common in London or the rest of the UK. Only about 8.5% of boys and men in the UK are circumcised.
- When circumcision is performed on newborn babies, it is mainly for social or religious reasons.
- The procedure is more common in other parts of the world, so parents from these regions may decide that they want their sons to be circumcised.
- British parents may also choose circumcision for cultural or religious reasons.
Some boys are circumcised later for medical reasons if there is an issue with the foreskin. If you want your baby to be circumcised then it is a good idea to arrange the procedure while he is still a baby. The procedure can be less distressing for infants and it will also take less time for the foreskin to drop off when circumcision is performed using the Plastibell ® method.
- It is best to arrange the procedure during the first year, although it is possible to perform circumcisions after this.
- We recommend arranging the circumcision within the first 8 weeks as we will then be able to use the Plastibell ® technique.
- Newborn circumcision is mainly performed for social or cultural reasons as there is no medical need to have the procedure.
However, there is some evidence that circumcision can reduce the risk of developing certain conditions in later life. For example, men who have been circumcised can be less likely to catch certain STIs (including HPV and HIV) from their partners during some kinds of intercourse.
- Circumcision may also make it easier to keep the penis clean, although it is still essential to follow good personal hygiene practices to prevent issues such as inflammation.
- The potential health benefits of the procedure aren’t big enough to justify having your baby circumcised for medical reasons.
- However, you may still choose to have the procedure for social or religious reasons.
Circumcision is a surgical procedure so although it is very safe when performed by an experienced doctor there are still some risks involved. The risks are lower when the procedure is performed at an earlier age. Some bruising and swelling is normal after the procedure, but it should start to go away within a few days.
With the Plastibell ® method used for circumcision in London, the most common complication is that in less than 3% of cases the ring fails to separate as quickly as expected. Other rare complications include infections and bleeding. If you have any concerns after the procedure then you should get in touch with your doctor.
Circumcision can also affect the sensitivity of the penis, but it won’t usually affect a man’s health or sexual function when he grows up. A local anaesthetic is used during the circumcision procedure to numb the penis so that your baby won’t be able to feel what is happening.
- It is usually given as an injection into the base of the penis.
- Some discomfort can occur after the procedure, especially when your baby is urinating.
- The doctor will advise you on how to manage this and will prescribe an anaesthetic gel for you to apply.
- The pain should go away within a few days in most cases, but you may notice that your son appears irritable or uncomfortable for a while.
Newborn circumcision can be performed using several different techniques, including procedures that involve cutting the foreskin off. We use the Plastibell ® technique for circumcision in London to remove the foreskin more gradually, so there isn’t usually a need for any incisions.
Sometimes it may be necessary to clip off a small amount of excess skin after fitting the plastic ring. Other types of circumcision, particularly those performed at later ages, do require incisions to be made to remove the foreskin so it is important to know which method will be used by your doctor. The Plastibell ® technique is a procedure that has been used to perform newborn circumcisions since the 1950s.
A plastic ring is fitted between the glans of the penis and the foreskin. Medical sutures are then tied around the foreskin to cut off the blood supply. The skin of the foreskin won’t be able to survive without this blood supply, so it will drop off within 10 to 12 days.
Sometimes this process can happen a little faster, but it should take at least a few days before the foreskin and ring are ready to fall off. You will get detailed instructions on aftercare from your doctor, but the main priority is to keep the penis clean and dry until the foreskin has dropped off and the area has healed.
You may notice a crusty yellow coating forming over he glans while it is healing. This is known as granulation tissue and it is part of the normal recovery process. You should ensure that you are changing your baby’s nappies regularly. It is also important to rinse the penis clean with lukewarm water then dry it carefully.
- The doctor may also recommend painkillers if your son seems uncomfortable after the procedure.
- If you have any concerns after your baby’s circumcision then you can get in touch with the doctor for advice.
- The main issues to look out for are fever, redness, discharge or a bad smell, which can all be signs of infection.
You should also check that the plastic ring remains in place, without slipping down the penis. If the plastic ring drops off sooner than expected or doesn’t fall off when it should, then you should contact your doctor to have it checked.
Is cosmetic circumcision painful?
How painful is adult circumcision? A prospective, observational cohort study – PubMed Purpose: Men are particularly concerned about pain after circumcision. Concerns about pain can be a reason to refuse surgery. We assessed the severity of postoperative pain and investigated factors that may influence postoperative pain.
- Materials and methods: We performed a prospective, observational cohort study in patients undergoing circumcision.
- Patients were asked to complete a questionnaire using a visual analog scale for pain (severity range 0 to 10) on days 1 to 3, 7 and 21, and record the analgesia used, complications and time off work.
Other data recorded were patient age, clinical indication for surgery, foreskin retractility, presence of adhesions and histology. Results: Of 211 questionnaires 112 were returned (53.1%). Mean patient age was 46.4 years. The most common clinical indication for circumcision was phimosis (75% of patients).
Postoperative pain was scored as mild to moderate, including a mean of 2.4 on days 1 to 3, 2.1 on day 7 and 0.5 on day 21. Patients younger than 35 years (p = 0.025) and patients with wound infection (p = 0.036) had higher pain scores. Only 11 patients (9.8%) had severe pain at any time during recovery, including 8 with wound problems.
Average ± SD time off work in the employed population was 6.6 ± 6.5 days, including 5 days for light work and 11 days for heavy physical activity. Conclusions: Pain is mild to moderate after circumcision in adults under general anesthesia with an intraoperative penile block.
What can I do instead of circumcision?
Surgical treatments –
- Frenuloplasty: This is simply a frenulum releasing operation. An incision is made on frenulum or excised the ridge underneath the surface, thus allowing the frenulum to be detached from the head of the penis. This will let you keep your foreskin free from the connection to the head of the penis and also be able to keep the area beneath clean.
- Preputioplasty : This is the procedure which increases the diameter of the foreskin. An incision is made in front of the foreskin to expand it, thus allowing full retraction.
- Partial circumcision : Partial circumcision leaves part of the foreskin which partially or fully covers the head of the penis (glans). it has a few complications in the long term.
- : Circumcision remains the standard surgical option for tight foreskin, especially BXO phimosis, traumatic injury or penile cancer.
If sexual activity with phimosis is painful or uncomfortable, then you may require urgent treatment. Home treatment for tight foreskin is possible if the foreskin is otherwise healthy, by daily cleansing, washing, controlled stretching exercises and clearing the normal dry pearls (smegma).
Infection with tight foreskin (balanitis) requires treatment like antibiotics or antifungal modification. It is important to be examined for sexually transmitted infections by a GUM clinic or by your GP. In summary, there are many alternatives to full circumcision, such as antibiotics, antifungal medications, steroids cream or ointments, excision of the frenulum, V-Y preputioplasty, frenuloplasty, or combination of treatments.
These are personal preferences and can be discussed further with a specialist or Urologist. Full circumcision should be considered in selected cases but it must be considered seriously as it is irreversible operation. : Does phimosis always require circumcision in men: facts and advice
Why are royal boys circumcised?
Our conclusion is that belief in a royal circumcision tradition derives from the reported circumcision of Prince Charles by the mohel Jacob Snowman in 1948, and the efforts of the British Israelite movement to concoct a ‘lost tribes of Israel’ origin for the British race.
Does circumcision affect size?
Discussion – Male circumcision is a common procedure worldwide, especially in Western Europe, North America, and the Middle East, owing to cultural and religious reasons. Men in these areas usually undergo circumcision as infants; this practice is known as early infant male circumcision.
- Their parents, rather than the patients themselves, have the autonomy to decide whether circumcision should be performed.
- However, the prevalence of early infant male circumcision is low in Eastern Asia; for example, it has been reported that the prevalence of early infant male circumcision is less than 3% in China 5,
Many Eastern Asian men undergo circumcision during childhood, adolescence, or adulthood for various reasons. Children and adolescents may be asked to undergo circumcision by their parents, and they may not be able to understand why they need this surgery.
- However, adolescents and adults might actively seek circumcision because of phimosis or balanitis.
- Moreover, some may feel that a “cut penis” looks better (cosmetic reasons), and some believe that circumcision can help resolve the problem of premature ejaculation 6,
- We hypothesised that men with varying reasons for circumcision would have varying expectations of the circumcision outcome, thereby further influencing their satisfaction with the procedure.
Based on univariate analysis, we found that satisfied participants were significantly more likely to undergo circumcision due to phimosis or balanitis than unsatisfied participants. Furthermore, the participants who underwent circumcision for cosmetic reasons or premature ejaculation were more likely to be unsatisfied.
- These findings are compatible with those of previous studies.
- Pathological conditions of the penis or prepuce, such as phimosis and balanitis, have a tremendous impact on the patient’s quality of life.
- Discomfort during erection, dyspareunia and recurrent genital infection greatly affect sexual activity.
Circumcision can resolve these conditions, thus resulting in high satisfaction rates for these patients 7, 8, 9, However, circumcision does not increase the penile size, and a meta-analysis revealed that circumcision does not affect premature ejaculation 10,
Therefore, if patients chose to undergo circumcision because of cosmetic reasons or premature ejaculation, then they were at higher risk for disappointment, resulting in lower satisfaction rates. Moreover, the univariate analysis indicated that involuntary male circumcision (as a result of the forceful insistence of the parents) was significantly associated with dissatisfaction.
Similarly, according to the univariate and multivariate analyses, circumcision during adulthood was significantly associated with participant satisfaction. Therefore, patient autonomy may have an important role in the level of satisfaction experienced by patients.
- Some studies performed in Africa have shown that adults were satisfied with the outcomes of circumcision and had good acceptance levels 11, 12,
- Another study revealed that adolescents experienced better satisfaction than children (98.70% versus 94.70%; P = 0.035); however, the satisfaction of adolescents was similar to that of adults (98.70% versus 100.00%; P = 0.071) circumcised using the Chinese Shang Ring 13,
Boys may not be able to understand the reason for or purpose of circumcision, and they may have a painful experience while undergoing circumcision. Negative emotions and post-traumatic stress disorder have been reported after circumcision performed on children 14,
Other possible factors related to the level of satisfaction are difficulties with wound care and surgical complications that affect the outcomes of circumcision. Childhood circumcision might affect some domains of male sexual function, especially premature ejaculation during adulthood, which may affect the level of satisfaction with circumcision after reaching adulthood 15,
Based on the multivariate analysis, long-term postoperative complaints, especially the presence of skin colour mismatch, hypertrophic scarring, and excessive shortening of the prepuce, were the most significant predictors of participant satisfaction.
- Changes in masturbation methods and redundant prepuce after circumcision did not have an effect on satisfaction.
- Fekete et al,
- Reported that circumcised adults were unsatisfied with the procedure and underwent surgical revisions, most commonly due to hypertrophic scarring (21.4%) and scar wrinkling (13.3%) 16,
The postoperative cosmetic appearance affects patient satisfaction and can motivate patients to undergo revision surgery, even if they underwent circumcision for non-cosmetic reasons. Therefore, surgical techniques to avoid conspicuous scars and colour mismatch have been proposed to improve patient satisfaction 17,
Excessive shortening of the prepuce after the circumcision was infrequent observed during our study (reported by 9% of the participants). Excessive loss of foreskin after circumcision can cause erectile pain or pain during intercourse, thus affecting the sexual life of patients enormously; therefore, further reconstruction surgery is often warranted 18, 19,
However, participants with redundant prepuce after circumcision do not experience dyspareunia, especially if they chose to undergo circumcision because of phimosis or balanitis. Therefore, this outcome does not have a significant effect on participant satisfaction.
- Interestingly, 46.5% of the participants in our study reported penile elongation after circumcision, which was a significant finding among satisfied participants.
- Additionally, 22.9% of the participants reported prolonged ejaculatory latency time.
- Obviously, circumcision does not change penile length, but a previous study reported that circumcision improved the confidence of males regarding erections 20, which may improve the subjective perception of penile size and ejaculatory latency time.
Some studies showed that circumcision can increase ejaculatory latency time and improve sexual activity and satisfaction 18, 21, 22, while others revealed that circumcision increased pain during intercourse, made it difficult to reach orgasm, and decreased satisfaction with the procedure 23, 24, 25, 26,
Other studies indicated no difference in ejaculatory latency time before and after circumcision 20, 27, 28, 29, A meta-analysis performed in 2018 concluded that circumcision did not influence premature ejaculation 10, Nevertheless, we speculated that circumcision might prolong ejaculatory latency time for a specific group of patients who previously had normal ejaculatory latency time.
Further studies are warranted to determine the characteristics of these patients with prolonged ejaculatory latency time after circumcision. This study had several limitations. First, this study was based on an online survey of circumcised men in Taiwan.
- It was not a randomized sampling from the general population.
- On the other hand, the circumcised adult Taiwanese males could freely access the online questionnaire, and therefore, potential selection bias may existed.
- The circumcised status was reported by participants themselves rather than physical examination by urologists, which might have led to some errors; however, this condition usually occurred when the participants received neonatal circumcision.
The prevalence of neonatal circumcision in Taiwan was quite low, ranging from 0% to 1.4% 30, Moreover, we excluded those who were not sure about their circumcised status from the present study. Second, circumcision was performed by several urologists; therefore, operator-associated factors and factors associated with the patient-physician relationship, which were difficult to evaluate, may have affected patient satisfaction.
- Third, the long-term complaints associated with circumcision were based on subjective reports by the participants rather than objective evaluations.
- Moreover, we did not ask the participants to quantify their ejaculatory latency time and penile size because this was difficult to accomplish through an online survey.
We also did not include dyspareunia as one of the long-term complaints in our questionnaire. However, the subjective perceptions of these long-term conditions, rather than objective measurements, influence participant satisfaction. Fourth, we evaluated the satisfaction experienced by the participants, but not that experienced by their partners.
A partner’s point of view regarding circumcision might be an important part of the patient’s decision-making, and several studies indicated that women prefer circumcised penises 6, 31, Nevertheless, the results of the present study remain noteworthy. To our knowledge, this is the first study to evaluate the effects of the reasons for circumcision on patient satisfaction.
We also showed that circumcision during adulthood, because of patient autonomy, could improve patient satisfaction and that factors affecting the postoperative cosmetic appearance of the penis, especially hypertrophic scarring, and skin colour mismatch, remain important to patient satisfaction.
This information can help improve effective preoperative patient counselling. In conclusion, two-thirds of the circumcised men involved in this study felt satisfied with the procedure, especially those who underwent circumcision for phimosis or balanitis. Circumcision during adulthood, based on patient autonomy, was predictive of satisfaction.
Everything you should know if you’re considering adult circumcision – Online interview
Participants without long-term complaints, such as skin colour mismatch, hypertrophic scarring, and excessive shortening of the prepuce, also reported satisfaction with circumcision. Proper preoperative patient selection and the prevention of postoperative complaints could improve patient satisfaction with circumcision.
What is the best age to be circumcised?
5. Discussion – Most of the debates about the best age at which to perform male circumcision focus on the following age groups: neonatal and infancy period, phallic stage (age 3-4) and school age ( 2, 12, 13 ). We aimed to approach this question from a different viewpoint. Although male circumcision is considered an ethical problem in the world, 30% of all men are circumcised. Except for emergency cases, circumcision is usually performed for religious, medical, or hygienic reasons. Moreover, it has been reported to have socio-sexually positive aspects ( 14 ). The issue male circumcision that it is performed routinely some communities in the world what age should be done and which anesthesia methods should be used are discussed. El Bcheraoui stated that adverse events associated with male circumcision are reduced if the procedure is performed during the first year of life ( 15 ). Circumcision is a painful surgical procedure. Therefore, appropriate anesthesia and postoperative analgesia is required ( 16 ). When circumcision is performed in children older than 6, as is customary for Muslims, sevoflurane general anesthesia and penile block are typically used. For neonatal circumcision, which is implemented more frequently in Jewish societies, local anesthetic pomades are administered. It has been reported that the < 1 age circumcision increased the respiratory problems after the general anesthesia. Thus, the use of general anesthesia during circumcision should be reserved for patients who are older than 1 ( 6 ). The most important ethical issue to be discussed about circumcision is the analgesia and anesthesia. Which analgesia and anesthesia methods should be implemented in which age groups ( 17 )? A combination of midazolam and ketamine is frequently used as sedoanalgesia in children ( 5, 18 ). In our study, general anesthesia was not required for any of the subjects < 1 year old, and sedation was achieved with midazolam alone in 97% of these patients. The rate of complications due to anesthesia was lower for patients who were sedated with midazolam than for those who received both midazolam and ketamine. The highest rate of complications due to anesthesia was observed in children who received general anesthesia. This may explain why group 1, which did not include any patients who underwent general anesthesia, experienced significantly fewer complications related to anesthesia than group 2, and group 3 experienced significantly less complications related to anesthesia than group 2 (P < 0.001). Analgesia was achieved via a penile block. The shortest post-anesthesia recovery period was observed in group 1 (1.1 minutes), and the longest period was observed in group 2 (7.2 minutes) (P < 0.001). It has been reported in the literature that neonatal circumcision is less painful and is associated with fewer complications, but it requires more experience on the part of the surgeon. However, there are reports of increasing surgical complications associated with neonatal circumcision ( 19 - 21 ). The youngest child in our series was 1 month old, while the oldest patient was 14 years old; thus, no neonatal circumcision was performed. With respect to surgical complications, no statistically significant difference was found among the groups (P > 0.05). For boys in the phallic period experiencing phimosis, topical steroid treatment is recommended as a nonsurgical alternative to circumcision to avoid castration anxiety ( 22 ). Armagan et al. reported that circumcision in the phallic period doesn’t affect psychosexual functions ( 13 ). Cuceloglu et al. found that the risk of premature ejaculation is higher in children circumcised after age 7 ( 23 ). Children who are under the 1 year old are excluded in these discussions. These findings suggest that it is better to perform circumcision when boys are < 1 year old, when the anesthesia complications are also at a minimum. A longer hospitalization is associated with an increased risk of infection as well as increased costs ( 24 ). Although the cost per circumcision in a comprehensive series in Florida was $6.263, it can reach as high as $15 in other countries ( 12, 25 ). The cost of neonatal circumcision have been an average $38 in Canada ( 26 ). In our study, Group 1 had the shortest mean time until discharge (1.00 hours), and Group 2 had the longest time until discharge (3.00 hours). Similarly, the lowest cost was found in Group 1 ($13.01), whereas the highest cost was found in Group 2 ($15.80). With respect to the time until discharge and cost, Group 1 was found to be lower than Group 2, and Group 3 was found to be lower than Group 2 (P 9 years old, Sedation or administration of anesthesia was required for 2 of 3 children. The use of midazolam alone ensured the lowest complication rate, fastest post-anesthesia recovery time and shortest time to discharge. Midazolam by itself provided effective sedation in 97% of the children in Group 1, 6% of the children in Group 2, and 28% of the children in Group 3. One limitation of this study is that the youngest child in our series was 1 month old, while the oldest one was 14 years old. This study would also have benefitted from having an equal number of patients in each group to provide a diffuse statistical distribution. One of the strengths of this study was that it revealed that most people in Turkish society want male circumcision to be performed when boys are under one year of age, as evidenced by the fact that 62% of the circumcisions in this series were performed on children less than 1 year old. In conclusion, adequate analgesia for circumcision can be provided via pudendal block. It is important to ensure a child is not scared or crying during circumcision. This can be accomplished with the use of midazolam for children younger than 1 year old. Compared with performing circumcision on older children, performing circumcision when a child is < 1 year old is associated with minimal anesthetic complications, a shorter time until discharge and lower cost. Moreover, these young children are not at risk of being affected psychologically by the procedure.
Is circumcision free in UK NHS?
A suitably qualified and trained health professional should perform the procedure to modern standards of sterility and expertise. The NHS does not fund male circumcision unless your GP decides there is a medical reason. You will need to approach a private healthcare professional who will charge a fee.
Is it healthier to remove foreskin?
What are the medical benefits of circumcision? – The possible medical benefits of circumcision include:
A lower risk of HIV A slightly lower risk of other sexually transmitted diseases A slightly lower risk of urinary tract infections and penile cancer. However, these are both rare in all males.
Is it better to keep or remove foreskin?
Medical reasons for circumcision – Recent research suggests that circumcision may bring medical benefits such as:
a 10 times lower risk of a baby getting a urinary tract infection (UTI) in his first year of life (remembering that only one per cent of babies are at risk of a UTI, so 1,000 circumcisions are needed to prevent one UTI) no risk of infants and children getting infections under the foreskin easier genital hygiene much lower risk of getting cancer of the penis (although this is a very rare condition and good genital hygiene also seems to reduce the risk. More than 10,000 circumcisions are needed to prevent one case of penile cancer) a possibly lower risk of men getting sexually transmissible infections (STIs) than men who are not circumcised (although these studies have not been scientifically confirmed and safe sex practices are far more effective in preventing these infections).
For more information see,
What is foreskin worth?
Fibroblast your wrinkles? What is the value of human parts? I am at the Body Worlds 3 exhibit with my six-year-old, and what I thought was going to be an interesting medical lesson for my daughter is turning into a strange art show and commentary on our varying degrees of values around human flesh.
- We are standing in front of a body called “Skin Man.” Once a living, breathing human, he now stands with a thoughtful expression on his face, holding one skinned arm outstretched with his entire human dermis aloft, like a coat to be hung.
- I’m trying to think of some interesting ethical discussions around the value of human bodies with my child, but all I can think of is how much money his skin is worth.
In an article for The Tyee, Dr. Paul Tinari estimated that a single male foreskin can be worth upwards of $100,000. He argued that men who are circumcised have a right to the revenue made off the resale of their foreskins (just as someone who sells their hair for wigs would, for example).
- But that’s not the only issue in the debate over how people use and profit from foreskins.
- Many people are challenging the ethics and medical necessity of male circumcision, which means that any use of the foreskins after that is also in question.
- Then there’s the fact that foreskins aren’t just being sold for the medical flesh trade; rather, they’re joining a few other body parts being sold in the service of vanity.
And if the ethics of using human body parts, skin and stem cells for medical research and treatments are contentious, the ethics of using them for vanity’s sake is a whole other conundrum. Shopping carts for skin The flesh trade isn’t as elusive as people might think.
- Like porn, human body parts are easily available online, for the right price.
- The Coriell Institute is only one of dozens of websites that offer foreskin fibroblast for sale.
- On their website, I put a foreskin fibroblast in a shopping cart and called their office, where a perky customer representative informs me that I can buy the flakes for a cost of $85.00 US – plus shipping and handling.
“We send them up to Canada all the time,” she chirps. In the end, I didn’t buy, but it surprised me to find out how easily I could have. That’s because foreskin fibroblasts are big business. A fibroblast is a piece of human skin that is used as a culture to grow other skin or cells – like human yogurt kits.
Human foreskin fibroblast is used in all kinds of medical procedures from growing skin for burn victims and for eyelid replacement, to growing skin for those with diabetic ulcers (who need replacement skin to cover ulcers that won’t heal), to making creams and collagens in the cosmetics industry (yes, the product that is injected into puffy movie-starlet lips).
Foreskin-derived skin, sourced from circumcisions (now considered by many experts to be painful and also unnecessary) is still often considered the “cruelty free” alternative to testing cosmetic products on animals. One foreskin can be used for decades to produce miles of skin, much of which helps people in genuine medical need.
- And that’s the reason one foreskin can generate as much as $100,000: that’s not the fee from a one-time sale, but the fees from the fibroblasts that are created from those original skin cells.
- But not all uses of foreskin fibroblast are “medical” in nature.
- One of the most publicized examples of the foreskin-for-sale trend involves a skin cream that has been promoted by none other than Oprah Winfrey.
SkinMedica’s a face cream, which costs over $100 US for a 0.63 oz bottle, is used by many high-profile celebrities (such as Winfrey and Barbara Walters) as an alternative to cosmetic surgery. Winfrey has promoted the SkinMedica product several times on her show, and her website, which raves, there’s “a new product that boosts collagen production and can rejuvenate skin called TNS Recovery Complex.
TNS is comprised from six natural human growth factors found in normal healthy skin.the factors are engineered from human foreskin!” During the show, the doctor promoting SkinMedica cream warned that some people may have ethical questions regarding using a product that is made from the derivative of foreskins (to which Winfrey made no response).
Why ethical questions? The foreskins come from circumcisions, and male circumcision is now a controversial topic, In a discussion on Mothering.com, one querent asked, “If the cream was made from the bi-product of baby afro-American clitoral skin, would Oprah still be promoting it?” There’s no answer to that question on Mothering or Winfrey’s site, and Winfrey declined The Tyee’s request for an interview.
Beauty engineering Using foreskin fibroblast for medically necessary procedures generates less controversy than using it for optional “beauty” treatments. So how does Dr. Fitzpatrick, who invented SkinMedica, defend his company? To start with, he argues that using foreskin fibroblast to make cream is ethical, because the company does not put any actual human tissue in their products – only the growth hormone left over from growing artificial skin (not actual tissue or skin cells).
And he adds that the original company that supplied SkinMedica with the hormone grew cultures from a single foreskin donated 15 years earlier. That company made artificial skin for wound healing. But that company went bankrupt. And Dr. Fitzpatrick, whose invention of this cream earned him the dubious honour of being named Allure magazine’s “physician who has most influenced beauty,” now works with a supplier that uses foreskin fibroblast to make injectable collagen.
So the foreskins used to make the cream have only ever been used for “vanity” purposes. Further in his defence, Fitzpatrick says that using foreskins in the first place was simply a matter of convenience. Fitzpatrick told The Tyee, “It doesn’t matter if you get a fibroblast from the eyelid, the cheek, the foot or the foreskin.
That cell is still a fibroblast; it does the same thing. Foreskins were used because that is a common surgery and the skin is thrown away, so why not use it for benefits? Twelve years ago when this was done there would have been no objection to using foreskin tissue.” But Fitzpatrick acknowledges that using foreskins now is about more than convenience.
- Circumcision rates in Canada have dropped below 10 per cent and they are dropping in the U.S.
- As well, which means that it will be more difficult to source them.
- And foreskin samples do eventually run out and need to be replaced.
- But Fitzpatrick says that although you can use technology to make the cell cultures from scratch, without foreskins, the process is “much more expensive.” Sourcing foreskins Things have changed from the time when using foreskins was an objection-free endeavour.
In fact, many websites are now dedicated to the preservation of baby foreskins, and long streams of discussion on mothering websites argue against the use of baby skin for cosmetics purposes. Vancouver is home to the Association for Genital Integrity whose mandate is to end male circumcision.
- I asked Dr.
- Fitzpatrick about using foreskins from older men instead who want to earn the purported $100,000 windfall.
- Apparently, it’s a no-go.
- Fibroblasts that are made from young skin are more active than fibroblast from a 60- or 70-year-old.
- The skin reproduces better in young tissue; you are using that cell as a factory.eventually the tissue samples need to be refreshed.a young cell produces more and lasts longer.” Newborn tissue is particularly valuable, not only because of its vitality, but also because it is usually guaranteed to be healthy.
Tissue for medical use obviously needs to be free from disease. Ethical pain Fitzpatrick adds that foreskin tissue has been the easiest tissue to access – ethically – up till now “because you are not having to use stem cells or fetal tissue in order to still get young tissue.” Neocutis is another face cream – but this one uses cells grown from a terminated fetus to make their product, something they document on their website.
- Neocutis declined The Tyee’s request for an interview. Dr.
- Nikhil Mehta, the director of product development for SkinMedica, talked to The Tyee about his opinion of Neocutis, their competitor.
- They are actually taking cells, literally chopping up the cells, and putting them in cream.” Another page on the Neocutis website describes how they harvested the tissue of a terminated two-month-old fetus, “in the period of scarless wound healing.” It is out of this tissue that they developed the cell culture used in creating their special “bio restorative skin cream” with their patented secret ingredient.
Myth of scarlessness Dr. Fitzpatrick explains why they would want to use fetal tissue: there is a period during neo-natal development where wounds will heal without scarring. He says no one really understands why the cells are scar-free at that time, but that even so, there are no scar reduction benefits to be gained by using them – those properties aren’t transferable: “To take cells at that age, and imply that you can have that happen to an adult is incorrect.
- No one has shown that to be correct; if there was some reason to believe that could occur it would be a very hot topic.” The Tyee asked Dr.
- Mehta how much tissue Neocutis would need to “harvest” from a two-month-old fetus in order to develop a cell culture, since this kind of skin can grow for years.
“You don’t need very much. Think of how small a baby foreskin is. Maybe the amount of skin that is on the tip of a finger.” This doesn’t sound so bad, until I am standing in front of the plastinated fetuses at Science World. They are the only dead humans at the exhibit with skin, and their tiny features are drawn into expressions one might imagine on a puppy having a bad dream.
Is Circumcision Child Abuse? The New Lobotomy Private Surgery, Runaway Costs
Do they put foreskin in makeup?
Read all about the latest gym openings, healthy events, and fitness trends in our twice weekly Wellness newsletter. – Hydrafacial machine image provided The billion dollar beauty industry keeps coming up with new, innovative facial treatments that promise to banish fine lines, smooth out wrinkles, and even out skin tone. From stem cell face creams to prescription strength retinoids, the possibilities are endless.
- That’s why we found it funny last month when numerous publications were writing about the “baby foreskin facial.” New York, Refinery 29, and the Huffington Post are just three publications that wrote about the procedure in the past month.
- But “baby foreskin” being used in beauty products is nothing new.
In fact, the active ingredient in an Oprah-touted skin cream from SkinMedica uses ” foreskin fibroblasts ” that are used to grow and cultivate new cells. Just one foreskin is said to be able to grow these cells for decades. But it’s not just skin creams that use the ingredient.
Foreskin fibroblasts are also used to help treat burn victims, help cover diabetic ulcers, and more. Now, you can get those same properties in a facial. The HydraFacial, which has been around for some time and offered at nearly every spa up and down Newbury Street, has changed up its serums to incorporate the fibroblasts in its procedure.
First, the five step facial system uses high-pressure water to cleanse, exfoliate, extract impurities, and hydrate. Then, the same machine is used to push “antioxidants” deep into the skin. LED lights are then used to enhance the treatment by fighting acne-causing bacteria and to stimulate collagen production.
The light helps with skin resurfacing to diminish the appearance of fine lines, wrinkles, enlarged pores, and dark spots, but without using a harsh laser. But what exactly is in the “antioxidants?” And where does the foreskin come in? “It’s growth hormone,” says Jane Aransky owner and aesthetician at La Residencia Spa in Newton, which is celebrating its 40th anniversary this year.
“We put it in an ampule. It’s an extra $75 add on to the basic Hydrafacial.” The HydraFacial machine blasts the growth hormone into the skin, she says. Dr. Gail Naughton, an expert in regenerative science told New York : growth factors captured from the donated foreskin of a baby (just one can generate over a million treatments) are at their peak ability in promoting rapid cell turnover.
Can my doctor circumcise me?
Who performs circumcisions? – Circumcisions usually are done by a doctor such as a pediatrician or urologist. Circumcisions performed for religious reasons are sometimes done by others trained in the procedure. For your baby’s safety, be sure the person is well trained, uses sterile techniques, and knows how to manage your baby’s pain during and after the surgery.
Are most boys circumcised in the UK?
Is male circumcision for babies common in the UK? – It’s estimated that approximately 20% of males in the UK are circumcised (Morris et al, 2016), Circumcision is more usual in certain cultural or religious communities. Men from minority ethnic groups (except those of black Caribbean ethnicity) are significantly more likely to be circumcised than those described as white.
What is the circumcision rate in Europe?
Globally, one-third of males aged 15 and above are circumcised but male circumcision is almost universal in countries where the Muslim and Jewish faith are commonplace, according to the most accurate estimate among the world’s 237 countries. Published in Population Health Metrics, the most recent estimate is based on data from the US Central Intelligence Agency data, population data for all 237 countries and United Nations figures for males aged 15–64 years. Approximately half of all circumcisions were for religious and cultural reasons.
- The prevalence of circumcision varies widely in western countries led by the USA (71 per cent), New Zealand (33 per cent), Australia (27 per cent), the UK (21 per cent), France (14 per cent), Germany (11 per cent), Sweden (5 per cent), Italy (3 per cent) and Ireland (1 per cent).
- The estimate indicates that circumcision is higher among countries where the Muslim or Jewish faith are commonplace, such as Iran (100 per cent), Iraq (99 per cent), West Bank (99 per cent), Yemen (99 per cent), Indonesia (93 per cent), Syria (93 per cent), and Israel (92 per cent).
Led by Dr Brian Morris, Professor Emeritus at the University of Sydney, he and a research team from the USA and Europe scoured hundreds of publications to determine figures for each country. “Our findings suggest that male circumcision prevalence globally is approximately 38 per cent, although the real percentage could be slightly higher or lower than this,” said Professor Morris.
What happens if you get circumcised at an older age?
Circumcision, one of the oldest surgical procedures in existence, may be performed for cultural, religious, or health-related reasons, or simply reflect personal preference. Adult circumcision is an option for men who were not circumcised as infants.
According to the U.S. Centers for Disease Control and Prevention (CDC), about 79 percent of American men report that they are circumcised. Reasons for Adult Circumcision Some men may choose to get circumcised because they think that a circumcised penis will be more sensitive and enhance their sexual experience.
Studies on this are conflicting. Although some circumcised men do report an improvement in sexual functioning, most studies actually suggest a slight decrease in penis sensitivity after circumcision. Here are some medical reasons why a man might choose to get circumcised: Phimosis: This is a medical condition in which the foreskin covering the penis is too tight and is hard to retract.
- Penile cancer: Although rare, penile cancer is less common in a circumcised penis.
- Sexually transmitted diseases (STDs): Risks for genital ulcers, chlamydia, human papillomavirus (HPV), syphilis, and type 2 herpes have been shown to be lower in men who have circumcised penises.
- HIV transmission: Several international studies show that circumcision lowers the risk of HIV transmission,
The U.S. Centers for Disease Control and Prevention (CDC) recommends that men consider circumcision as an additional measure, along with safe sex, to prevent HIV, Adult Circumcision Risks Adult circumcision is a surgical procedure, so it does carry certain risks as well as possible side effects; these include pain, bleeding, and infection.
- Although these health risks are low, they are higher than for infant circumcision.
- Unless adult circumcision is being performed for specific medical reasons, such as infection or phimosis, it will probably not be covered by insurance, so it may be expensive.
- The cost of adult circumcision varies, but it will be higher if you have general anesthesia instead of local anesthesia and if you have the procedure done in a hospital instead of an ambulatory care center.
Discuss your options with your insurance provider. If you are considering an adult circumcision, talk to your doctor and go over all the risks and benefits carefully. What to Expect If you decide to get circumcised, here is what you should expect:
You will be given local or general anesthesia.Your doctor will retract the foreskin and trim it off.Small, absorbable sutures will be used to close the incisions.You will be able to go home on the day of surgery.In the first few days after surgery your penis may be swollen, bruised, and painful.A dressing is usually placed over the entire circumcised penis that you will remove at home by soaking in a warm bath.Swelling goes down after about two weeks, but you may be instructed to avoid intercourse and masturbation for up to six weeks.
A good argument in support of adult circumcision can be made from the standpoint of reducing the risk of STDs and HIV. The CDC supports this option, but cautions that adult circumcision is no substitute for other proven safe sex measures. On the other hand, there are the costs, the temporary discomfort, and the possible risks associated with the procedure to consider, and a circumcised penis will probably not add anything to your sexual experience.
Can I get circumcised if I want to?
Can an adult get circumcised? – Yes. People who were not circumcised as babies may choose to undergo circumcision as an adult. Generally, the procedure is the same for older boys and adults as it is for babies. You’ll likely have the procedure in the hospital, using anesthesia.
Can adults get circumcised in the UK?
It can also be performed on adults. Adult circumcision can be performed for religious or cultural reasons, cosmetic reasons, or for medical reasons.
Can you get circumcised at the hospital?
What happens during the procedure? – If you decide to have your baby circumcised, the procedure is usually done in the hospital. These are the typical steps in a circumcision:
- Your baby will be taken to a special surgical area and any clothing will be removed for the procedure.
- The baby will likely be placed in a restraining device. This will keep him from wiggling around or moving during the procedure.
- The healthcare provider may give your baby a pacifier dipped in sugar water to soothe him while the procedure is happening.
- The healthcare provider will usually give your baby 1 of 2 types of local anesthesia. Choices are a topical cream that numbs the penis or an injected anesthetic that works much more quickly.
- The healthcare provider will next prepare the penis by applying an antiseptic.
- In some cases, the healthcare provider will place a surgical drape over the baby with just the penis exposed. This will help keep the area sterile (free of germs) during the procedure.
- The healthcare provider may attach a plastic clamp or ring to the penis to make it easier to cut the foreskin.
- Now the healthcare provider will use surgical tools to remove the foreskin of the penis. This exposes the end of the penis.
- The healthcare provider may place some petroleum jelly or ointment on the penis and cover it with loose gauze.
From start to finish, the entire procedure usually takes about 15 minutes or less. Your baby will probably be able to return to the hospital room with you after a brief observation.
Do hospitals sell circumcision?
You can stretch your shaft skin to cover and protect the glans as the foreskin was intended to do. You can actually do it using two baby bottle nipples. google it. However, you will never have the same skin as you were born with.IT IS GONE FOR NO MEDICAL REASON.
Some things I have learned and witnessed.1. Some hospitals in the USA sell the foreskins for up to $1,000 each. It has skin cells called fibroblast, when processed can be used in anti-aging creams.2. The doctor who pushed for routine infant circumcision, to stop masturbation, around the early 1900’s, from Battle Creek, MI John Kellogg sound familiar, yes he helped invent Corn Flakes.3.
The latest wisdom from the American Academy of Pediatric Surgeons is that the risks outweigh the benefits. Perhaps, that is why many insurance companies have stopped covering it they call it UNNESSARY COSMETIC SURGERY.4. Around 115 baby boys DIE from this surgery every year in this country, not counting surgical errors causing amputation of the glans or even the penis itself.5.
Some say if the father is circumcised, you should circumcise the child so they are like their father! I have had a father, a step father, and a foster father and I couldn’t tell you if any of them were circumcised.6. In the majority cases the mother signs the consent form, sometimes during labor. how is that legal? Wouldn’t the father know more about that subject.
Also, women use the reason in support of abortion is that it is their body and they should control their own body. When the cord is cut, isn’t it his body not hers. You don’t own the baby, you are to nurture and protect the baby, NOT put it in harms way.