Circumcising Newborns May Protect Against Penile Cancer
March 6, 2000 (Boston) -- Putting aside questions of religion or personal preference, is there a compelling argument for having newborn boys circumcised? A new study in the journal Pediatrics showing that circumcising infants can protect against cancer of the penis is sure to ignite more debate over the procedure.
Circumcision is the removal of the foreskin from the penis. Historically performed for religious purposes, circumcision is now done for many other reasons, mainly cosmetic. Because it is an elective procedure, there is much disagreement on whether it should be performed routinely.
Research has shown that circumcision provides some health benefits to males throughout their lives. It has previously been found to protect against urinary tract infections. Circumcision is known to prevent closure of the foreskin so that it cannot be contracted over the head of the penis (a condition known as phimosis) and inflammation of the head of the penis and foreskin (called balanoposthitis) in childhood and adolescence. Studies have also shown that circumcised men have a lower risk for contracting HIV, the virus that causes AIDS, and other sexually transmitted diseases.
Edgar J. Schoen, MD, and colleagues studied more than 200 adult males enrolled in a large HMO to determine the relationship between circumcision and penile cancer. The overall rate of penile cancer in the United States is about 1 case per every 100,000 men. The researchers found that of 89 men with invasive penile cancer, 87 had not been circumcised. Among 118 men with a less serious form of cancer called carcinoma in situ, 102 were uncircumcised.
The study's authors say that parents of newborn boys should be informed of circumcision's protective benefits against cancer of the penis later in life.
The American Academy of Pediatrics (AAP) issued a statement on circumcision last year saying that although there is some scientific evidence that circumcising newborns provides medical benefits, there is not enough information to recommend routine circumcision. "In the case of circumcision, in which there are potential benefits and risks yet the procedure is not essential to the child's current well-being, parents should determine what is in the best interest of the child," the statement says.