Should routine neonatal circumcision be a police to prevent penile cancer? | Opinion: Yes

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Vol. 43 (1): 7-9, January – February, 2017

doi: 10.1590/S1677-5538.IBJU.2017.01.03


DIFFERENCE OF OPINION

Antonio Augusto Ornellas 1,2, Paulo Ornellas 3, 4

1 Departamento de Urologia, Instituto Nacional do Câncer do Brasil (INCA); 2 Departamento de Urologia Hospital Mário Kröeff, Rio de Janeiro, Brasil; 3 Departamentos de Urologia, Hospital Souza Aguiar Hospital, Departamento de Patologia, Laboratório de Biometria Circulante; 4 Programa de Pós-Graduação em Ciências Médicas (PGCM), Universidade Estadual Rio de Janeiro State, Rio de Janeiro, Brasil


 Keywords: prevention and control [Subheading]; Circumcision, Male; Penile Neoplasms; Phimosis


This theme is controversial because no major medical organization recommends universal neonatal circumcision and no major medical organization calls for banning it either. The argument that this procedure must be kept within the purview of medical professionals is found across all major medical organizations. In addition, the organizations advise medical professionals to yield to some degree to parents’ preferences, commonly based in cultural or religious views, in the decision to agree to circumcise (1). Circumcision may be used to treat pathological phimosis, refractory balanoposthitis and chronic, recurrent urinary tract infections (2, 3). Circumcision is contraindicated in infants with certain genital structure abnormalities, such as a misplaced urethral opening (as in hypospadias and epispadias), curvature of the head of the penis (chordee), or ambiguous genitalia, because the foreskin may be needed for reconstructive surgery. Circumcision is contraindicated in premature infants and those who are not clinically stable and in good…

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