Circumcision NOT an effective HIV preventative

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Even if circumcision would help statistically prevent hiv somewhat, would you do it?

Hell yes, any extra benefit is worth it
4
6%
Hell no, reduce sensation for MAYBE protection?
56
84%
Maybe..would need to think about it
7
10%
 
Total votes: 67

Omega18
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Post by Omega18 »

General Zod wrote: Several infants each year die from botched circumcisions. How many people die from bad appendectomys?
Obviously that's a flawed question as asked, at least if you want a useful answer. The question is the number of deaths versus the number of procedures.

Here's one study which appears to have revelevant data on the subject.
Our database contained information about 46,101 patients who underwent LA or OA. After excluding patients with diagnosis of appendicolithiasis and appendicopathia oxyurica (N = 858) and patients who underwent incidental appendectomies (N = 1486), 43,757 patients remained in our analyses. 7618 patients (17.4%) underwent LA and 36,139 patients (82.6%) underwent OA...

The distribution of length of stay for LA and OA is displayed in Figure 1. Sixty-seven percent (72/107) of patients who died had a hospital stay shorter than 14 days, whereas 33% (35/107) had a hospital stay equal to or longer than 14 days.
http://www.pubmedcentral.nih.gov/articl ... id=1356191

If you have that kind of fatal complication rate from circumcisions, which obviously is a much more oftenly performed procedure, we'd be talking about a staggering number in the US each year. Now the data is complicated by the that the people in question were presumably generally already having problems with their appendix, but the data still very strongly shows a much higher risk from an appendectomy by any reasonable measure. This is especially true since circumcized babies very rarely stay in a hospital for for monitering of their recovery after such a procedure.
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Post by CaptJodan »

Cairber wrote:[8. 100% chance of loss of a lot of sensation
I'd actually be interested in seeing this study. When confronting my own mother on the fact that I was snipped without permission, she said that she knew people who said they actually got more sensation after their clipping.
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Post by Omega18 »

General Zod wrote: You don't seem willing to answer my points either. Who gives a shit about other people on the internet?
Obviously I am willing, it just may not be instantly for me to give you relevant answers to the pertinent questions you bother to ask. I also shockingly enough will generally respond to posters in order with the person who posted first getting a quicker response. :roll:
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Post by Cairber »

You keep talking about this risk v benefit analysis. But how exactly do you qualify the amount of "benefit" in sexual pleasure? masturbation ease? causing less friction to your partner? less pain for your partner?


How can any risk v benefit analysis be done? Only the owner of the penis can make that call.
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Cairber
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Post by Cairber »

CaptJodan wrote:
Cairber wrote:[8. 100% chance of loss of a lot of sensation
I'd actually be interested in seeing this study. When confronting my own mother on the fact that I was snipped without permission, she said that she knew people who said they actually got more sensation after their clipping.
No prob:

link


That's the latest one, here are others:

link 2

link3

link 4
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Post by Omega18 »

Cairber wrote:You keep talking about this risk v benefit analysis. But how exactly do you qualify the amount of "benefit" in sexual pleasure? masturbation ease? causing less friction to your partner? less pain for your partner?

How can any risk v benefit analysis be done? Only the owner of the penis can make that call.
On the other hand you can argue you're likely to last longer if circumcized which can obviously be an advantage as far as your partner is concerned.
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Post by CaptJodan »

Thanks. :)
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Cairber
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Post by Cairber »

Omega18 wrote:
Cairber wrote:You keep talking about this risk v benefit analysis. But how exactly do you qualify the amount of "benefit" in sexual pleasure? masturbation ease? causing less friction to your partner? less pain for your partner?

How can any risk v benefit analysis be done? Only the owner of the penis can make that call.
On the other hand you can argue you're likely to last longer if circumcized which can obviously be an advantage as far as your partner is concerned.
Not true.
Recent study concerning ejaculation time:

http://www.medicalnewstoday.com/medical ... wsid=69318
Analysis of the results showed that there were no significant differences in sexual drive, erection, ejaculation and ejaculatory latency time between circumcised and uncircumcised men. Masturbatory pleasure decreased after circumcision in 48% of the respondents, while 8% reported increased pleasure. Masturbatory difficulty increased after circumcision in 63% of the respondents but it was easier in 37%. About 6% answered that their sex lives improved, while 20% reported a worse sex life after circumcision.
[/quote]
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Cairber
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Post by Cairber »

CaptJodan wrote:Thanks. :)
Note that in the one that was a survery, the men going for circumcision had foreskin tightness that was not treated with steriods, which meant they went into the survery having painful sex before circumcision. So that screws the results a little!

The first link is the best because it's not a survey, as well as the one on anatomy.
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Post by Oni Koneko Damien »

Omega18 wrote:On the other hand you can argue you're likely to last longer if circumcized which can obviously be an advantage as far as your partner is concerned.
Yes you could, if you're a fucking moron.

On the other hand, you could look at the obvious: Millions of years of evolution have gifted humans with a literal 'sleeve' that fits over the head of the penis. There is no skin as elastic or as flexible as that in the entire human body.

It's specially designed to *reduce* friction during sex, which also vastly reduces vaginal-dryness and itching, reduces the risk of infection that would come from skin being rubbed raw during intercourse, and in general makes things far more pleasurable for both people.

So please, take your non-argument for genital-mutilation and shove it up your ass.
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Post by Omega18 »

Cairber wrote:Sorry to double post, you can read about what i am talking about concerning the UTI studies here: link
There certainly appear to be some very recent studies that still came to the same conclusions, even though they certainly should have been aware of most of the issues brought up in that article.
Data sources: Randomised controlled trials and observational studies comparing the frequency of UTI in circumcised and uncircumcised boys were identified from the Cochrane controlled trials register, MEDLINE, EMBASE, reference lists of retrieved articles, and contact with known investigators.

Methods: Two of the authors independently assessed study quality using the guidelines provided by the MOOSE statement for quality of observational studies. A random effects model was used to estimate a summary odds ratio (OR) with 95% confidence intervals (CI).

Results: Data on 402 908 children were identified from 12 studies (one randomised controlled trial, four cohort studies, and seven case–control studies). Circumcision was associated with a significantly reduced risk of UTI (OR = 0.13; 95% CI, 0.08 to 0.20; p<0.001) with the same odds ratio (0.13) for all three types of study design.

Conclusions: Circumcision reduces the risk of UTI. Given a risk in normal boys of about 1%, the number-needed-to-treat to prevent one UTI is 111. In boys with recurrent UTI or high grade vesicoureteric reflux, the risk of UTI recurrence is 10% and 30% and the numbers-needed-to-treat are 11 and 4, respectively. Haemorrhage and infection are the commonest complications of circumcision, occurring at rate of about 2%. Assuming equal utility of benefits and harms, net clinical benefit is likely only in boys at high risk of UTI.
http://adc.bmj.com/cgi/content/abstract/90/8/853
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Post by General Zod »

Omega18 wrote:
If you have that kind of fatal complication rate from circumcisions, which obviously is a much more oftenly performed procedure, we'd be talking about a staggering number in the US each year. Now the data is complicated by the that the people in question were presumably generally already having problems with their appendix, but the data still very strongly shows a much higher risk from an appendectomy by any reasonable measure. This is especially true since circumcized babies very rarely stay in a hospital for for monitering of their recovery after such a procedure.
Link


Total Estimated Number of Deaths4 131 to 2,744

4 Death rate estimated at between 1 in 24,000 and 1 in 500,000. Source: Thompson, Robert S. Routine Circumcision in the Newborn: An Opposing View. Journal of Family Practice, vol. 31, no. 2, pp. 189-196, 1990. At the present rate of over 1.25 million infant circumcisions annually, the estimated death rate of 1 in 24,000 translates to one infant death per week (52 deaths annually). An estimated death rate of 1 in 500,000 translates to one infant death every 152 days (between 2 and 3 deaths annually).
52 dead children per year for a purely cosmetic procedure seems an awfully high risk. Considering that people have been doing this bullshit for centuries, well before studies like this had been conducted, anything coming out to favor circumcision seems like cheap apologetics.
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Post by Cairber »

net clinical benefit is likely only in boys at high risk of UTI.
Right, so premies, low birthweight, etc. Pop out the boob and put that baby on it! Don't cut off pieces of his penis/
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Post by Omega18 »

Note the article in question appears to have exclusively dealt with the UTI component of the issue when evaluating circumcissions.
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Post by Cairber »

Oni Koneko Damien wrote:
It's specially designed to *reduce* friction during sex, which also vastly reduces vaginal-dryness and itching, reduces the risk of infection that would come from skin being rubbed raw during intercourse, and in general makes things far more pleasurable for both people.

So please, take your non-argument for genital-mutilation and shove it up your ass.
I try so hard to tell women this! Some of them only know painful sex. And, while I understand not all cases are due entirely to circumcision, many of them here ARE. And many of these women don't know; they think sex is suppose hurt like that. I read a good book on this: Sex as Nature Intended It. Sometimes this argument can help sway reluctant moms.
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Post by Cairber »

Omega18 wrote:Note the article in question appears to have exclusively dealt with the UTI component of the issue when evaluating circumcissions.
You gotta skin between 100 and 275 penises (depending on which study you look at) to prevent one UTI.
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Post by Omega18 »

General Zod wrote: 52 dead children per year for a purely cosmetic procedure seems an awfully high risk. Considering that people have been doing this bullshit for centuries, well before studies like this had been conducted, anything coming out to favor circumcision seems like cheap apologetics.
So in other words we've established that the risk of death from the two procedures isn't even on the same planet as far as the risks are concerned. Concession on that point accepted.

Given the number of procedures per year, that's a very low fatal complication rate.

The reality is even historically the lower risk of UTI infection was probably noticed to some degree and had allot to do with the procedure gaining popularity in some areas in the first place. We certainly can go ahead and examine the tradeoffs, with relevant medical issues being a key issue to be aware of.
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Post by CaptJodan »

Cairber wrote: The first link is the best because it's not a survey, as well as the one on anatomy.
Indeed. It's also the most recent. Upon a relatively casual viewing (admittedly I read deeper into the first article) the first one seems the strongest.
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Post by General Zod »

Omega18 wrote:
General Zod wrote: 52 dead children per year for a purely cosmetic procedure seems an awfully high risk. Considering that people have been doing this bullshit for centuries, well before studies like this had been conducted, anything coming out to favor circumcision seems like cheap apologetics.
So in other words we've established that the risk of death from the two procedures isn't even on the same planet as far as the risks are concerned. Concession on that point accepted.

Given the number of procedures per year, that's a very low fatal complication rate.

The reality is even historically the lower risk of UTI infection was probably noticed to some degree and had allot to do with the procedure gaining popularity in some areas in the first place. We certainly can go ahead and examine the tradeoffs, with relevant medical issues being a key issue to be aware of.
So why the fuck should it be mandatory again? Appendectomys are at least generally only done when there's serious complications involved. I see absolutely zero reason why it should be mandatory for an infant when they won't even start being sexually active for at least 15 more years.
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Post by Cairber »

Omega18 wrote:
General Zod wrote: 52 dead children per year for a purely cosmetic procedure seems an awfully high risk. Considering that people have been doing this bullshit for centuries, well before studies like this had been conducted, anything coming out to favor circumcision seems like cheap apologetics.
So in other words we've established that the risk of death from the two procedures isn't even on the same planet as far as the risks are concerned. Concession on that point accepted.

Given the number of procedures per year, that's a very low fatal complication rate.

The reality is even historically the lower risk of UTI infection was probably noticed to some degree and had allot to do with the procedure gaining popularity in some areas in the first place. We certainly can go ahead and examine the tradeoffs, with relevant medical issues being a key issue to be aware of.
Meatal Stenosis occurs in 9-10% of circumcisions:
http://www.emedicine.com/ped/topic2356.htm

Adhesions in 70%:
link

Now, adhesions may sound like a not so big a deal. But you have to understand two points:

1) Doctors and parents rip them back, sometimes for 2 years after the circumcision, multiple times a day.

2) They cause scar tissue buildup (even more sensation lost) and skin bridges

Just those two alone would seem to say we have reason for pause.

Then there is MRSA infection. I warn you this page has grahpic photos.
graphic
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Post by Omega18 »

Furthermore its readily apparent that at best the 52 death estimate is obviously not even close to established. When the same document aknowledges that we may be only talking about 2 or 3 deaths per year, some really screwy is going on here. (It should not be that difficult to establish which one is closer to being accurate.)
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Post by Cairber »

CaptJodan wrote:
Cairber wrote: The first link is the best because it's not a survey, as well as the one on anatomy.
Indeed. It's also the most recent. Upon a relatively casual viewing (admittedly I read deeper into the first article) the first one seems the strongest.
Yeah, the first one has gotten a lot of press! Very excited about it. If you go to google news and search circumcision, you might find a few articles that talk about it.
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Post by Cairber »

Omega18 wrote:Furthermore its readily apparent that at best the 52 death estimate is obviously not even close to established. When the same document aknowledges that we may be only talking about 2 or 3 deaths per year, some really screwy is going on here. (It should not be that difficult to establish which one is closer to being accurate.)
Well, when an infant boy dies from an MRSA outbreak having gotten the infection through his penile wound, he isn't recorded as having been kiled by circumcision. Of course, had that unnecessary, nontheraputic surgery not been performed on an unconsenting infant...
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Post by Omega18 »

Cairber wrote: Well, when an infant boy dies from an MRSA outbreak having gotten the infection through his penile wound, he isn't recorded as having been kiled by circumcision. Of course, had that unnecessary, nontheraputic surgery not been performed on an unconsenting infant...
When you can't confirm where complications from fatalities are at one level or over 1700% higher, you've got a creditibility problem in my mind. This is data you need before advocating a policy change on this issue. It should be possilbe to perform studies and get this research done.
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Post by Anguirus »

Given the number of procedures per year, that's a very low fatal complication rate.
Why the fuck should ANY children die on the altar of habitual infant circumcision?

If some poor kid is getting UTIs six times a year and the doctor thinks circumcision would improve the quality of his life, ask the kid if he wants the procedure. THEN do it!
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