Monday 27 August 2012

Cutting to the chase


Disclaimer: I had one.

Plus, I’ve long believed they do no harm and can only do some good.

What am I talking about, you are probably screaming at this item right now?

Circumcisions, of course.

I know some of what you just read tells you more than you want to know (TMI) but these days a health reporter has to lay his or her cards on the table (so to speak) so that’s what all that is about.

And the reason it comes up is that the very prestigious American Academy of Pediatrics has just done a roughly 180 degree about-face on its decade-long anti-circumcision stance and has announced that it no longer recommends against circumcision as a routine procedure, although it doesn’t actually recommend doing it, either.

Why the change? And huh?

The first part is easy: because, the APA says, there is much stronger pro-circumcision data than anti-circumcision data in the medical literature - in common-speak, the benefits clearly outweigh the risks.

So is the APA for circumcision?

Nope. It doesn’t go that far probably, I’d guess, because it doesn’t want to face the vituperative counter-circ campaign that a pro-circumcision position would undoubtedly produce - this is an issue about which some people feel very, very strongly, and it’s likely that even this change in policy is going to produce a strong reaction.

So the people at the APA have elected to sit on the fence and simply advise prospective parents that the benefits of a circumcision in preventing several different STDs including HIV, herpes, and HPV clearly outweigh the risks and to make up their own minds about what this might mean for their kids’ futures.

My position? Been there, had it done, done it, too, and believe that unless there are strong reasons not to do one (and this includes the “feelings” of the parents, of course) a circumcision should be the standard choice for boys.

Unlikely to happen, though.